There are two components involved in the pumping action of the heart - systole and diastole. When there is an abnormality in the diastolic action, it is called diastolic dysfunction. Here, the ventricles do not relax sufficiently. Hence, blood does not fill in certain heart chambers and instead builds up in other parts of the body. It may lead to heart failure.
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I have grade 2 diastolic dysfunction and have 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 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 ... Read Full »
What is the treatment for 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 »
Is Dextroamphetamine contraindicated in 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 »
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 »
Will diastolic dysfunction lead to heart failure?
Query: Hi doctor,I am a 46 year old male. My height is six feet and weight is 216 pounds. I have been having balancing problems for over a year. It is some form of sensory ataxia. I also have compression in C4-C5 and C5-C6 cervical spine. I also have severe sleep apnea. I had some breathlessness and chest... Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen your report (attachment removed to protect patient identity) and keen observation. Yes, diastolic dysfunction can cause heart failure. But, we need to find out the reason here. Sleep apnea is one additive factor and need to treat it. Also, you need to con... Read Full »
My recent echocardiogram suggests I have diastolic dysfunction. Is it an alarming condition?
Query: Hello doctor, I had an echocardiogram done recently that indicates I have diastolic dysfunction. The report reads left ventricular diastolic function is abnormal with grade II (moderate) diastolic dysfunction; there is mild tricuspid valve regurgitation, mitral annular calcification, and mild mitra... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern and would be happy to help. The diastolic dysfunction is due to high blood pressure and your history of CAD (coronary artery disease). By ensuring that your blood pressure and lipids are well maintained, diastolic dysfunction will not progre... Read Full »
I am attaching my dad's medical reports regarding his heart problem. Kindly advise.
Query: Hello doctor, My 65 year old father has a heart problem. I am attaching his medical reports with this message. Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your dad's results (attachment removed to protect patient identity). The echo investigation indicated an evidence of diastolic dysfunction. This can be caused by cardiomyopathy, or in aged patients with diabetes or hypertension, etc. I genera... Read Full »
What is the reason for my mother's breathlessness and pain in the left arm, legs, and chest?
Query: Hello doctor, This is concerning my mother, who has been having pain in her left hand and leg at times. She also has pain in her chest and breathlessness. We were concerned about this and decided to take her to a doctor. An echo was done, and the doctor found some abnormalities in the report. Howeve... Read Full »
Answer: Hello, Welcome to icliniq.com. Thanks for providing all the test reports. I have gone through the test results (attachment removed to protect patient identity). She has grade 1 diastolic dysfunction. I normally do not recommend treatment for grade 1 diastolic dysfunction, as it occurs normally due... 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 »
Does high E/A ratio suggest diastolic dysfunction?
Query: Hello doctor, I want to show my echocardiogram, to know if I have diastolic dysfunction or not. I can see that the velocity is high, but the report says normal. I am not an expert, but I have read that, if E/A ratio is higher than 1.5, then it is a problem. Please help, I am worried. Read Full »
Answer: Hello, Welcome to icliniq.com. In order to diagnose a person to have diastolic dysfunction, there are factors that have to be met. Like ejection fraction more than 45%, the presence of diastolic stiffness, and heart failure symptoms, with changes in some laboratory test indexes. E/A ratio grea... Read Full »