Dear James B.
Sorry to hear about your abnormal test results.
Your echocardiogram shows:
1) Septal-apical akinesis. This suggests that the heart muscle in this area is not contracting. This could be the result of a heart attack caused by a blockage in one of the heart arteries or a disease of the heart muscle itself.
2) Left ventricular enlargement. The heart contains 4 chambers. 2 top chambers called atria and 2 bottom chambers called ventricles. The left ventricle is the main pumping chamber of the heart, the enlargement of which usually suggests an ongoing disease process. The enlargement of the atria is abnormal and also suggestive of an ongoing disease process.
3) Trace mitral regurgitation and tricuspid regurgitation. 2 of the 4 valves in the heart have a minimal amount of leakage. This minimal amount of leakage can probably be seen on over half of the population.
Without knowing more about your medical history it is difficult to comment further on potential causes. However, I would recommend seeing a cardiologist soon, who can go over some of the likely causes of these findings such as high blood pressure and coronary artery disease. Your doctor may want to perform some invasive studies to figure out a diagnosis.
Thanks for your question,
CCF-MD-KE