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Kindly explain RWMA in echocardiography.

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

My father aged 66 is diagnosed with these three conditions as per echocardiography. RWMA seen as per text, mild LVsystolic dysfunction, LVEF- 50 % and a clot in heart. What does it mean and what treatment shoud be given?

Answered by Dr. Ahmed Mohamed Mahmoud Goha

Hi,

Welcome to icliniq.com.

I can understand your concern. The echo findings of RWMA suggests that your father has coronary artery disease which means occlusion or stenosis of coronary arteries that supplies the heart, EF 50 % means the function of the heart is borderline, and their is a clot in the heart, means blood thrombus formation in the heart with main concern of detachment of some of this clot and travels through the circulation and blocks blood vessels like in the brain leads to stroke.

The Probable causes

Coronary artery disease.

Investigations to be done

Do Myocardial perfusion imaging study to assess the severity and extent of coronary artery disease. Laboratory tests needed if not done: Do CBC (complete blood count), PT (prothrombin time), PC (protein C), INR (international normalized ratio), renal function test, liver function test, lipid profile, HbA1c (glycated hemoglobin).

Treatment plan

Keep on blood thinner and BP medication prescribed. If not taking medication for lipid, advised to start on a statin Rosuvastatin 20 mg OD.

Preventive measures

Take a healthy diet with low salt, low fat, increase fruits and vegetables. Do exercise for 30 minutes at least five days or a week. Avoid stress.

Regarding follow up

Please reconsult after doing the perfusion scan.

Answered byDr. Ahmed Mohamed Mahmoud Goha

Medically reviewed byDr. Divya Banu M

Published At June 30, 2020
Reviewed AtJune 26, 2023

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Dr. Ahmed Mohamed Mahmoud Goha

Cardiology

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