moderately dilated left ventricle and atrium with severely reduced LVEF 0/20-0.24

The  measurement in 2D COLOUR DOPPLER ECHOCARDIOGRAPHY REVEALS AS UNDER:-
LVEDD 66 MM, LVESD 49 MM, IVS 12MM.. AO 28MM, LA35 MM LVEDV 153ML.. LVESV 130ML

SEVERELY REDUCED LEFT VENTRICULAR SYSTOLIC FUNCTION LVEF= 0.20-0.24

MILD-MODERATE2/4 MITRAL 7 TRICUSPID REGURGITATION

ESTIMATE SYSTOLIC PULMONARY ARTERY PRESSURE 40-45 MM Hg IVC DILATED
MILD RIGHT PLEURAL EFFUSION
GENERALISED LV HYPOKINESIA

MILD-MODERATE CONCENTRIC LEFT VENTRICULAR HYPERTROPHY

NORMAL RV SYSTOLIC FUNCTION

MORMAL INFLOW 7 OUTFLOW VELOCITY. SINUS TACHICARDIA

NO EVIDENCE OF VEGETATION OR PERICARDIAL EFFUSION OR THROMBUS

DOES ABOVE CONDITION REQUIRE IMMEDIATE  SURGERY  OR FOLLOWING MEDICINES BEING TAKEN SHALL HELP THE PATIENT.:-  tHE PATIENTT HAD NO EARLIER HISTORY OF HIGH BP  AND WHILE OPERATED FOR ORTOPADIC PLATE INSERTION THE DOPPLER TEST HAS REVEALED ABOVE AND THEREAFTER A SEVERE STROKE OF ASTHMATIC ATTACK AND BREATHING DIFFICULTY HE WAS PUT ON VENTILATER FOR 12 HRS AND NORMAL WITH THESE MEDICINES:- (1)DIGOXIN(0.25MG 1/2 TABT EVERY ALTERNATE DAY) (2) DOXOFYLLINE 400 MG 1 BD (3) LOSAR 50 1 OD (4) DYTOR 10 MG 1 BD (5) RACIPER 40 MG 1 BD (6) AUTRIN 1 BD


This discussion is related to Could you please explain the results of  the echo report?.

[kenkeith]

SEVERELY REDUCED LEFT VENTRICULAR SYSTOLIC FUNCTION LVEF= 0.20-0.24

>>>That statement indicates the heart is only pumping into the system about 20 to 24% of the blood filling phase.  Normal is 50 to 70% and is referred to as injection fraction (EF).  Reduced EF can be due to several causes.  LV hypokinesis indicates a problem due to weak contractions of the left ventricle (pumping chamber) and that could be the source or at least a contributing source.  Cause of hypokinesis can be heart muscle damage and/or dormant heart cells caused by blocked coronary arteris due to plaque or a prior heart attack.

There is pulmonary hypertension meaning the heart has an additional burden to pump blood to the lungs, but right side systolic is preserved (that is the pumping side to the lungs) .  Normal pulmonary pressure is about 14  mm/hg at rest, and the pulmonary pressure may due to asthma.  The inferior vena cava (IVC)is a large venous structure which delivers blood into the right atrium of the heart.   Anything that increases right atrial pressure will cause a subsequent increase in pressure inside the IVC resulting in dilation as expected with high pulmonary pressure.  However, if the pressure is reduced the IVC may return to its normal size.

The most significant underlying problem is high pulmonary pressure.  Successful treatment of that condition may be very beneficial for the heart.  Medication should help...based on your posted remarks surgery is not an option for any of the conditions listed.