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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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 »


Dr. Isaac Gana

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 »

How dangerous is diastolic dysfunction grade 2?

Query: Hi doctor, I am a 40-year-old healthy female. I am mildly obese. I have diastolic dysfunction grade 2, normal ejection fraction, structurally normal heart, some palpitations, and have NSVT at times. I had no diastolic dysfunction seen on echocardiogram until three years back. But three years back, i...  Read Full »


Dr. Isaac Gana

Answer: Hello, Welcome to icliniq.com. Thanks for writing in, and I understand your concern. For proper evaluation, I need some more information, Do you have shortness of breath or fatigue? Do you have any foot swelling or any episodes of cough? Do you have any history of high blood pressure? Kindly rev...  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 »


Dr. Isaac Gana

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 »

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 »


Dr. Sagar Ramesh Makode

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 specif...  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 »


Dr. Isaac Gana

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  generally r...  Read Full »

Is it normal if my SpO2 drops to 93% on lying down?

Query: Hello doctor,My SpO2 saturation drops to 93% when I lie down. But my normal SpO2 saturation is 98%. I have diastolic dysfunction, and I was diagnosed with UTI recently. My current medications are antibiotics and tablet Zapain.Is it normal if my SpO2 drops when I lie down? Thanks.  Read Full »


Dr. Basuki Nath Bhagat

Answer: Hello,Welcome to icliniq.com.Regular oximeter reading should be above 95%. There will be differences in the oxygen saturation according to the different body positions. Usually, sitting upright has more reading than in the supine position. So, it is normal for the saturation to drop if you lay down....  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 abnormalit...  Read Full »


Dr. Isaac Gana

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), echocard...  Read Full »

I am worried about my diastolic dysfunction. Kindly help me.

Query: Hi doctor, I am a 59 year old male. My weight is 230 kg and height is 5'11". I am suffering from high blood pressure for the last 15 years. I am taking Metoprolol and a combination of Triamterene and Hydrochlorothiazide. I had an echocardiogram before four years. It was mostly normal except for enla...  Read Full »


Dr. Rishu

Answer: Hi, Welcome to icliniq.com. Do not worry. Your report is not that bad. Most of the regurgitant lesions are very well tolerated by our body. Unless you are symptomatic like you have breathlessness or angina, etc., it is nothing to worry. Repeat your echocardiogram once every year and keep taking Meto...  Read Full »

Should I concern about diastolic dysfunction?

Query: Hello doctor, I recently had a cardiac CT scan. The report shows LCx - near the origin of the LCx/ramus. There appears to be an arterial communication with an outpouching of the LV anterior to the left pulmonary veins. There is no coronary artery dilatation that one may expect in a coronary LV fist...  Read Full »


Dr. Isaac Gana

Answer: Hello, Welcome to icliniq.com. In case of next time, please always upload or give information on the complete result of an investigation. It helps to explain the investigation better. The report means simply that there is an anatomical deformity or changes perhaps present in the left ventricula...  Read Full »

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

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 »

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