Your Echocardiogram: Key Insights on Heart Health and Risks

Echocardiogram

1.
The echocardiogram report indicates that your left ventricular function is normal with an ejection fraction (EF) of 64-65%.
This suggests that your systolic function is within normal limits.
However, as you age, there is a possibility of gradual decline in cardiac function, so regular monitoring is advisable.
2.
Aortic regurgitation or mitral/tricuspid regurgitation can lead to chronic heart issues, but they do not directly cause death.
It is important to manage your hypertension, especially since you started treatment recently.
Your average blood pressure readings of 148-152/86-98 and heart rate of 64-78 beats per minute indicate that your blood pressure is still elevated, and ongoing management is crucial.
3.
The estimated pulmonary artery pressure (PAP) of 31 mmHg is generally considered to be within normal limits.
However, it is important to correlate this with clinical symptoms and other diagnostic findings to rule out pulmonary hypertension.
4.
Feeling lightheaded but not fainting can be related to several factors, including the use of antihypertensive medications, which can cause low blood pressure.
It is essential to monitor your symptoms closely.
While it is less likely to be a stroke precursor, it is advisable to consult your healthcare provider to evaluate the potential causes, including medication effects, valvular issues, or pulmonary hypertension.

A An, 50~59 year old female. Ask Date: 2021/09/10

Dr. He Dongjin reply Cardiology

Hello, is it normal for contractions to weaken with age? No one knows what the future holds, and the probability of developing aortic regurgitation or mitral/tricuspid regurgitation leading to chronic mortality is not necessarily higher.
Your condition is not that severe regarding pulmonary hypertension; it should be monitored as it is at a critical threshold.
Recently, if you often feel dizzy, there could be many reasons, and it may not be related to valve issues or pulmonary hypertension.
As for blood pressure medication, it's hard to say; if taking it makes you dizzy and not taking it alleviates the dizziness, it might resemble a precursor to a stroke.
Don't overthink it.
If symptoms do not improve, it is advisable to consult a neurologist for further examination.
Changhua Hospital cares about your well-being.

Reply Date: 2021/09/10

More Info

Understanding your echocardiogram is crucial for assessing your heart health and identifying potential risks. Based on the report you provided, let's break down the key findings and address your concerns.

1. Systolic Function: Your report indicates that your left ventricular systolic function (LVSF) is normal, with an ejection fraction (EF) of 64-65%. This is a good sign, as a normal EF typically ranges from 55% to 70%. It suggests that your heart is effectively pumping blood. However, it’s essential to monitor this as you age, as heart function can decline due to various factors, including hypertension, coronary artery disease, or other cardiovascular conditions. Regular check-ups and maintaining a healthy lifestyle can help mitigate these risks.

2. Aortic Regurgitation (AR) and Mitral/Tricuspid Regurgitation (MR/TR): The report notes moderate aortic regurgitation and mild mitral and tricuspid regurgitation. While these conditions can lead to complications over time, they do not necessarily lead to chronic mortality if managed appropriately. Regular monitoring and treatment, especially for your hypertension, are crucial. Uncontrolled high blood pressure can exacerbate these valve issues and lead to heart failure or other serious complications. Since you have recently started treatment for hypertension, it’s essential to follow your doctor's advice and keep your blood pressure within the target range.

3. Pulmonary Artery Pressure (PAP): Your estimated PAP of 31 mmHg is within the normal range, which typically is less than 25 mmHg at rest. Elevated PAP can indicate pulmonary hypertension, which can strain the heart and lead to serious complications. Since your value is slightly elevated, it’s essential to monitor this closely, especially if you have symptoms such as shortness of breath or fatigue.

4. Dizziness and Symptoms: Feeling dizzy can be concerning, especially if it’s a new symptom. It could be related to several factors, including the medications you are taking for hypertension, which can sometimes cause side effects like dizziness or lightheadedness. It’s also essential to consider other potential causes, such as dehydration, electrolyte imbalances, or even issues related to your heart valves or pulmonary pressure. If you are experiencing persistent dizziness, it’s crucial to discuss this with your healthcare provider to rule out any serious conditions, including the possibility of stroke or significant cardiovascular issues.

In summary, while your echocardiogram shows some areas of concern, particularly with the moderate aortic regurgitation and mild regurgitation in other valves, your overall heart function appears to be stable. It’s essential to manage your blood pressure effectively and monitor your symptoms closely. Regular follow-ups with your cardiologist will help ensure that any changes in your heart health are addressed promptly. If your dizziness persists or worsens, seek medical attention to ensure there are no underlying issues that need to be addressed. Maintaining a healthy lifestyle, including a balanced diet, regular exercise, and stress management, will also contribute positively to your heart health.

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