Recently Answered Questions
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What is the life expectancy of a patient with myocardial infarction and aortic sclerosis?
Query: Hello doctor, My uncle is 68 years old. He got a myocardial infarction 23 years back, and another one before 13 years, he had four bypasses that year. In the same year, he was diagnosed with NYHA 2; he also had diastolic dysfunction, aortic sclerosis and akinesia in LV. Now he has shortness of breat... Read Full »
Answer: Hello, Welcome to icliniq.com. This does not mean stage D. This is likely stage C. However, he has to undergo echo for ejection fraction, which would tell us regarding stage. If, despite all medical treatment, he remains symptomatic and not able to do any activities then may be considered stage D.... Read Full »
Why am I having LVEDP of 4 mmHg in diastolic dysfunction?
Query: Hello doctor, I am a 57 year old male, and I had episodes of shortness of breath and tachycardia, six months back. I take high doses of Statin and ACE inhibitors from ten years, and my lipid profile is excellent. EKG showed slight ST depression, an echocardiogram showed WMA (wall motion abnormaliti... Read Full »
Answer: Hello, Welcome to icliniq.com. Thanks for providing a detailed explanation. In my practice, normal LVEDP (left ventricular end-diastolic pressure) is considered between 4 to 12 mmHg. I would love to know when you last went for any of these tests, that is EKG (electrocardiography), echocardiog... Read Full »
What does grade 1 diastolic dysfunction in echocardiogram indicate?
Query: Hello doctor, I have anxiety for the last five months. Recently, I had an echocardiogram, it says grade 1 diastolic dysfunction of the left ventricle with E/A ratio 0.7. Rest other parameters of the echo are fine. Sometimes my diastolic BP goes to 90 due to anxiety. Can you please tell what is this... Read Full »
Answer: Hello, Welcome to icliniq.com. Diastolic dysfunction in the echo is, in fact, abnormal function of the left ventricle during relaxation phase that is diastole (attachment removed to protect patient identity). It occurs when left ventricle muscle is hypertrophied due to increased blood pressure. Gr... Read Full »
My ECG shows diastolic dysfunction and enlarged left atrium. Kindly help.
Query: Hello doctor, I have sickle cell disease, and my echocardiogram results indicate grade one diastolic dysfunction and mild enlargement of the left atrium. The recent hematologist I consulted prescribed beta blockers, but I had an adverse reaction. All other vital signs in the echocardiogram are good.... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and understood your concern. Sickle cell disease may result in iron overload due to transfusions, and hemolysis can lead to heart problems. The optimal approach is to collaborate with your cardiologist to maintain iron levels within the normal range... Read Full »
Is Dextroamphetamine contraindicated due to heart condition?
Query: Hello doctor, I am a 55-year-old woman recently diagnosed with ADHD and prescribed stimulants. I have hypertension, and I take Amlodipine 5 mg, Losartan 50 mg, and Propranolol (10 mg to 60 mg) for anxiety which also helps with my blood pressure. My echocardiogram says that my left ventricular wall t... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and understand your concern. So, currently, you do not have any serious heart issues. The impaired relaxation and diastolic dysfunction occur due to chronically elevated BP leading to hypertrophy. It is not a serious heart problem and needs no speci... Read Full »
Will quitting alcohol and cigarettes improve my blood tests?
Query: Hello doctor, I am suffering from hypertension since few years, and I am currently on medication Telmisartan. I am an alcoholic and smoker, and I smoke approximately 15 cigarettes a day for the last five years. My current CBC report suggests high RBC, hemoglobin, and PCV. Though it reduced slightly ... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi,Welcome to icliniq.com.I have gone through your attached reports (attachment removed to protect patient identity).The diagnosis is polycythemia. Polycythemia can be secondary or primary. Secondary polycythemia occurs because of hypoxia, which activates the oxygen sensor and more erythropoietin is... Read Full »
How to treat LV diastolic dysfunction?
Query: Hello doctor,What is LV diastolic dysfunction grade 1? The doctor suggested stress echocardiography. And conclusion includes this line. I can show you the reports. What is the treatment for this? Any medicines? Read Full »
Answer: Hello, Welcome to icliniq.com. Various causes of LV diastolic dysfunction include advanced age, hypertension, diabetes, and obesity. It has stages 1 to 4. In your case, it is grade 1, mild diastolic dysfunction. Treatment for it is to treat underlying causes like hypertension, and diabetes and to ... Read Full »
Can echo and abdominal USG differ in hypertensive patients?
Query: Hello doctor, My father is 67 years old. He has blood pressure and is under medication. He is currently taking Dilnip-T 40 every alternate day and his blood pressure is under control. He also suffered from a COVID delta variant one year back for which he took an antibody cocktail treatment. Recently... Read Full »
Answer: Hello, Welcome to icliniq.com. Thank you for your query. I went through his reports (attachments removed to protect the patient's identity). ECG (electrocardiogram) is normal. Echocardiography findings are also fine. Sclerosis of the aortic valve is a normal aging phenomenon that is present in 50 ... Read Full »
I have grade 2 diastolic dysfunction and chest pain and discomfort. Why so?
Query: Hello doctor, I have grade 2 diastolic dysfunction. I am diabetic and hypertensive. I feel discomfort in my chest and have chest pain. Kindly help. Read Full »
Answer: Hello, Welcome to icliniq.com. Thank you for your query. Diastolic dysfunction means the heart can not adequately expand during diastole which can be due to left ventricular hypertrophy. LVH (left ventricular hypertrophy) is due to uncontrolled hypertension. Control your blood pressure and blood s... Read Full »
My mother has left ventricular hypertrophy. Kindly help.
Query: Hello doctor, My mother is 47-year-old and is long-term hypertensive. She got diagnosed with diastolic dysfunction grade 1 after experiencing swelling in her feet, cough, and breathlessness three years ago with an E/A ratio of 45/42, mild TR, and concentric ventricular hypertrophy. And the recent te... Read Full »
Answer: Hello, Welcome to icliniq.com. Thank you for your query. I reviewed your query. The concentric left ventricular hypertrophy leading to diastolic dysfunction can be reversed by controlling blood pressure. I suggest you to follow a few instructions mentioned below. Please get basic blood tests, like... Read Full »