echo results

[poggie]

i have been troubled with exertional chest pain with a normal stress test.  my echo shows  grade 2 diastolic dysfunction left atrial enlargement 4.3 la volume indes 38 rvsp 38 mod mitral aortic calcification mild tricuspid regurg daily supravent arrythmia runs.  i am 59 normal bmi treated for htn and high chol.  can these echo findings cause chest pain and do the echo findings relateto each other or are they just incidental findings.  i am trying to find another explanation for rhe exer chest pain other than cad, in light of a normal stress test thank you

[kenkeith]

Moderate mitral calcification can enlarge left atrial. There are four basic Echocardiographic patterns of diastolic heart failure, graded I to IV. The mildest form is called an abnormal relaxation pattern or grade I diastolic dysfunction.  This pattern may develop normally with age in some patients and many grade I patients will not have any clinical signs or symptoms of heart failure.

Grade II diastolic dysfunction is considered moderate diastolic dysfunction and is associated with elevated left atrial filling pressures. These patients more commonly have symptoms of heart failure and many have left atrial enlargement due to the elevated pressures in the left heart. Heart failure symptoms include angina.

Chest pain due to insufficient blood flow in medically referred to as angina.  Insufficient blood flow with diastolic dysfunction occurs due to decrease capacity of the left ventricle and cardiac output is compromised as the heart wall is thickened and the rigidity impairs contractions as well as reduced capacity by the crowding out effect of the thickened walls.

A diagnosis of diastolic heart failure is often
made after a patient presents with signs and
symptoms of CHF and the LVEF is found to be
preserved. Another cause of heart failure, however,
such as a transient left ventricular (LV) dysfunction
or a primary valvular abnormality, may
be the underlying problem.