Hi, i am 40 year old male. I dont drink but i do smoke about 5-8 cigarrettes a day. I dont any illnesses that i know of and i am 6'2" 210 pounds. I do get palpitations and they have been icreasing in frequency the last few weeks.
like one to two every 10 minutes.
Yesterday i had a 2d echo done and the results have me a little worried since the soonest i can see my cardiologist is may 3. Just wondeing how long i have to live :)
left ventricular size thickness and function are normal
grade 1 diastolic dysfunction (abnormal relaxation pattern)
left ventricular wall motion is normal
left atrial size is normal
right ventricle systolic function is normal
right atrial size is normal
anatomically normal aortic valve
the mitral valve is grossly normal
there is trace mitral regurgitation
the tricuspid valve is not well visualized but is grossly normal
there is mild tricuspid regurgitation
the pulmonic valve is not well visualized
trace pulmonic regurgitation
trivial preicardial effusion not hemodynamically significant
mild aortic root dialation
inferior vena cava is normal in size with normal collapisibility index
am i about to have a heart attack? i guess my doctor would have called by now right?
Your grade 1 diastolic dysfunction is also pretty normal-- in people older than fifty. What it means is that the ventricle is not relaxing well between contractions. Cigarettes cause blood vessels to contract abnormally, and it would be reasonable to think that the ciggies are helping that part of your heart get older faster than usual.
Your aortic root dilation is mild. It is an abnormal sign, perhaps related to cigarettes and blood pressure, and although it is mild now, it should be watched by a cardiologist from now on.
Palpitations are worsened by cigarette smoking. You can expect them to get worse as long as you continue to smoke.
In short, nothing in that report indicates to me that you are in any danger right now--but unhealthy habits mean that you might run into cardiac trouble earlier than usual.
Here is info on smoking and the heart:
http://www.nhlbi.nih.gov/health/health-topics/topics/smo/