Diastolic Dysfunction

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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What does diastolic dysfunction grade 1 mean?

Query: Hi doctor, I have been dealing with many heart-related symptoms for a long time, primarily a pressure like severe crushing chest discomfort, tightness, suffocation spread around the chest, throat, left arm, left hand with fingers accompanied with fatigue, dizziness, palpitations, and very low exerc...  Read Full »


Dr. Rishi Lohiya

Cardiologist

Answer: Hello, Welcome to icliniq.com. I have gone through all your reports (attachment removed to protect patient identity) and history. In my opinion, the pain you are perceiving is less likely a cardiac pain. 1. About your query relating to an echocardiogram, some dimensions variability is known from ...  Read Full »

What is the significance of high deceleration time in echocardiogram?

Query: Hi doctor, I recently had an echocardiogram. The results were normal, but the deceleration time is 439 ms. My doctor did not say anything about it while reviewing the results. But, I have subsequently learned that it is very prolonged. What should I do now?  Read Full »


Dr. Mangesh Baliram Danej

Cardiologist, Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. It suggests grade 1 diastolic dysfunction. It is explainable by your obesity as evident from BMI - body mass index mentioned. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist  Read Full »

Please explain the echo report in detail along with remedy.

Query: Dear doctor, My mother has some problem. Nothing specific, but a general weakness with increased heart rate sometimes. After a course of gastroenterology specialist checkup, no abnormality was found in the gastrointestinal tract. But, now an echocardiography reveals some type of dysfunction in the ...  Read Full »


Dr. Vivek Pillai

Cardiologist

Answer: Hello, Welcome to icliniq.com. I have gone through your mother's reports (attachment removed to protect patient identity). The LV (left ventricular) diastolic dysfunction in the echo is normally seen in females of her age and is not a cause for worry. The heart rate in both the ECGs (echocardiogr...  Read Full »

Will COVID-19 infection cause worsening of grade 1 diastolic dysfunction?

Query: Hello doctor, I am a 35-year-male. I am non-diabetic, non-hypertensive (have family history of BP). My height 165 cm, and weight is 74kg. I am recently infected with COVID-19. I only had mild symptoms and got recovered. I observed that my heart rate increased to 80 -90 bpm on standing and 65-75 on l...  Read Full »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. Your heart rate is fine and it is normal to have such variation. In echo, the significant findings are mild concentric LVH (left ventricular hypertrophy) and diastolic dysfunction. Firstly, these are not anything serious and worrisome issues. Mild concentric LVH m...  Read Full »

Is diastolic dysfunction reversible?

Query: Hello doctor, I recently had an echo done for my heart, and the results are: Nondilated aortic root: sinus of Valsalva 3.5 cm, sinotubular junction 2.4 cm. Ascending aorta not imaged. Normal arch appearance normal flow and proximal descending aorta. Tricuspid, normally functioning aortic valve....  Read Full »


Dr. Md Rajja

Internal Medicine Physician, General Practitioner, General Medicine Physician, Family Physician

Answer: Hello, Welcome to icliniq.com. Nondilated aortic root: Sinus of Valsalva 3.5 cm, sinotubular junction 2.4 cm. Ascending aorta not imaged. Normal arch appearance normal flow and proximal descending aorta. Tricuspid, normally functioning aortic valve. Main pulmonary artery and pulmonary valve appear...  Read Full »

Will diastolic dysfunction reverts to normal with LVH reversal?

Query: Hello doctor, I have been taking steroids on and off for the past three years. I got artial fibrallation a year ago (never again since then). My blood pressure was quite high 152/90 at the doctor. LV is normal and LVEDD is 53 mm, normal systolic function, no regional wall movement abnormalities. L...  Read Full »


Dr. Tanmai Yermal (jain)

Internal Medicine Physician, Cardiologist, General Medicine Physician

Answer: Hello, Welcome to icliniq.com. I have gone through your query. Can I know why were you on steroids? Was there any particular disease that was diagnosed and started you with steroids? As there are many determinants causing diastolic dysfunction, one of the common cause is hypertension. And yes, d...  Read Full »

Please suggest precautionary steps for BP patients from COVID-19.

Query: Hello doctor, I am having a history of hypertension for the last 13 years. My BMI is around 39 and recently I found grade 1 diastolic dysfunction. What is your advice on going out to the office? As I am working in a bank and it comes under essential services. What precautions should I take against ...  Read Full »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. Certainly, you fall into hig-risk category and prevention is very important in your case, so ideally you should avoid going to bank or outside as much as possible. But this may not be possible for essential service providers like you, doctors. If you could not manag...  Read Full »

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 bre...  Read Full »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

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 »

My cardiologist informed me that I have diastolic heart failure. Please explain.

Query: Hello doctor, I am a 41-year-old male with 5'11" height and weight 214 pounds. Multiple sclerosis and bipolar disorder are co-morbid conditions. I was recently admitted for a heart catheterization to check for any potential blockage after an abnormal ECG, chest and chin pain, months of breathlessne...  Read Full »


Dr. Carlos L. Alviar

Cardiologist, Criticalcare Physician

Answer: Hello, Welcome to icliniq.com. I am sorry to hear that you did not receive any detailed explanation of your condition. Diastolic dysfunction is the inability of the heart to relax, which can be diagnosed with echocardiogram or with evidence of high pressures inside your heart chambers, as evidence...  Read Full »

I was diagnosed with diastolic dysfunction. What does it mean?

Query: Hello doctor, I was diagnosed with diastolic dysfunction. The report says velocity E is 84.2 cm/s, and the MVA max velocity is 133.5 cm/s. What does this mean?  Read Full »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. Diastolic dysfunction means there is dysfunction in cardiac relaxation. This is not a worrisome thing and quite common in elders, overweight and patients with hypertension, and other diseases which must have been ruled out on echo and ECG. However, this may cause sym...  Read Full »

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