The echocardiogram results you have provided raise the following concerns:
- Despite the overall left sided pump function being in the normal range, there is 'regional variation' in how the heart is pumping. Regional variation means some parts of the heart are stronger than others and this may be seen in patients with a past history of heart attack. Heart attacks lead to scarring of the heart, seen as regional variation on echo.
- The specific region that is reduced is the 'inferior wall'. This can be associated with disease in the right coronary artery or the left circumflex artery.
- There is evidence of hypertrophy or thickening of the heart. This is most commonly associated with high blood pressure.
One significant concern is the comment relating to LV clot. Clot in the left ventricle or left sided pumping chamber may be associated with a prior heart attack or significantly reduced pumping function. If the clot enters the circulation it can travel to the brain and cause a stroke. The presence of a clot in the left ventricle requires blood thinning medications (commenced after doctors have ruled out any reasons why blood thinning medications shouldn't be taken). I would recommend that your father discuss the echo report with his doctor.
Take care and good luck.