prognosis for future?

[too2mch2d0]

Had LAD stenting last Nov. [95% blockage; No heart attack; no previous history] They tried to stent the diagonal  too, but failed. Have been  on Lopressor and Lisinopril [low doses; no history of HBP] since the stenting. Lost all my extra weight during thelast 14 months and walking 3 miles daily. Have just received the following echo results:

RVID [nothing shown]
LVID 5.25   3.27
LA               2.63
AO     2.57
IVS    0.54   1.07
LVPW 0.64
EPSS [nothing shown]
FS                  37.7
LV EF            67.4

Left ventricle: Structure and systolic function: There is globally normal left ventricular function. Overall left vent. EF 67%
Left Ventricle - Diastole: The overall diastolic pattern is one of mild [grade I] impairment of left ventricular relaxation with normal left ventricular filling pressure.
Left Atrium size is normal
Right Atrium size is normal
Aortic Valve: Trace degree of aortic regurgitation is present
Mitral Valve Trace, and clinically insignificant, mitral regurgitation is present.
Tricuspid Valve: Peak TR regurgitation velocity of 2.42 m/s, consistent with a RV systolic pressure 23.4 mmHg greater than RA pressure. Trace Tricuspid regurgitation is present.
Pericardium: No pericardial effusion seen.

[CCF-M.D.-MJM]

Hello,

Thanks for posting.

Is the EF "high"?

No,67% is fine.



Is the RV systolic high?

Normal

is there a relationship to the LV pressure?

Not necessarily and there doesn't appear to be in your case.


What would the comparison of RV and RA pressure nornally be?

Yours is normal.

Have recently experiencing "lower" blood pressure in AM [70-90/40-60] with dizziness and some vision changes when trying to go for walk, so the afternoon dose of Lopressor was discontinued. Hasn't made much difference. Is this related to the LV problem or ...?

I don't see an LV problem here.  Your echo is pretty normal.
I am not sure what to attribute your low-ish blood pressure to.  I would need more information.

With these echo results and history what are they watching for?

You have coronary artery disease.  You should exercise regularly and eat well.  People without contraindications should take a baby aspirin daily (generic is fine) and a statin medication. Control risk factors like smoking, obesity, hypertension if you have it.

I hope this helps.

[too2mch2d0]

Balance of question and history ...
Dr. said "heart is normal; AV has trace leak; take antibiotics before dental work."  Didn't mention the other trace leaks or anything else. Which leaves questions:  Is the EF "high"? [because the LV doesn't fill completely or because the systolic is high or ...?]  Is the RV systolic high?; is there a relationship to the LV pressure ? What would the comparison of RV and RA pressure nornally be?  

Have recently  experiencing "lower" blood pressure in AM [70-90/40-60] with dizziness and some vision changes when trying to go for walk, so the afternoon dose of Lopressor was discontinued. Hasn't made much difference. Is this related to the LV problem or ...?

With these echo results and history what are they watching for?