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Avatar universal

Riddle me this Docs.....Please. please help.....

Info: 1. NO previous heart attacks.
2. NO history of High blood pressure (AT ALL)
35, smoker (I am trying to quit) 35 year-old Father of three.
Only medical history is of anxiety/panic disorder
Will improving LV diastolic dysfunction help lower pulmonary pressures due to secondary pulmonary hypertension?
The facts (echo):
1. LV "mildly" hypertrophic (posterior wall thickness- 1.5 cm, septal thickness 1.2cm).
2."suggestion of concentric left ventricular hypertrophy".
3.LV ejection fraction normal.
4.Mital valve and aortic valve areas are reduced (although I have researched this, and according to the #'s on the echo, the aortic area is normal at 2.5cm)
5.Reduced LVcompliance= LV diastolic dysfunction AND
6. RV systolic pressure of 46.81 suggestive of mild to moderate pulmonary hypertension.

I guess I am just needing some hope, as I have been doing something I probably should not do:(searching  the internet reading outdated info that scares the heck out of me).
ANY info would be greatly appreciated!!!!!
3 Responses
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Avatar universal
You have LVH. Left ventricular hypertrophy.
In English: Whether you know it or not, you have had longstanding high blood pressure. Your heart has bulked up so it is strong enough to be able to push blood against this high pressure, much like your biceps bulk up when lifting weights. This is not a good thing. Because your heart is now bulky, it is stiff and cannot relax and fill well. If you cannot fill a pump, it cannot do its job. That is "diastolic dysfunction." Easy to understand, no?
Now, because the blood from your lungs empties into the left side of the heart, if it cannot relax, blood "backs up" into your lungs and causes, guess what, pulmonary hypertension. Smoking can also lead to pulmonary hypertension.
You need to stop smoking, and get your blood pressure under control. Don't wait. Find a doctor who will help you. If you do not, you're in for serious problems down the road. Do it for your kids.

Sincerely,
A concerned observer
Helpful - 0
Avatar universal
I have had an evaluation. ALL blood work came back fine, and the only thing that happened is he took me off all restrictions (diet, activities, ect.) Again, he seemed far more worried about my anxiety than anything else.
Helpful - 0
290383 tn?1193100321
MEDICAL PROFESSIONAL
You need a complete evaluation by a cardiologist as you clearly have heart disease based on the echo.  Go get an evaluation !!!!
Helpful - 0

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