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 lying position after COVID infection. After 16 days of my first symptom, I went for a general check up. I underwent 2D echo, ECG, HRCT chest.
My ECG showed early repolarization. In 2D echo, the impression was no RWMA, mild concentric LVH, Good LV systolic function, grade1 diastolic dysfunction, trivial TR with normal PAP. I am worrying about grade 1 diastolic dysfunction. Two years back, I tested 2D echo, then it was not there. Will it progress to worse? Can I revere this? Is there any chance of misdiagnosis?
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 may be a calculation error as it is mild only or another possibility is of intermittent high BP (blood pressure). So you should monitor your blood pressure intermittently just to be sure.
Diastolic dysfunction can also be fallacious. Also, diastolic dysfunction may accompany concentric LVH (if it is truly there), sometimes may be seen in otherwise normal individuals.
So these findings are benign and can be an error as well. Diastolic dysfunction may disappear with time especially with a healthy lifestyle like avoiding weight gain, healthy diet, and weight loss. So you should keep a watch over the blood pressure, have a healthy lifestyle, weight loss, and get an echo repeated after three or six months just to confirm the findings.
I hope this helps.
Thank you doctor,
I had mild concentric LVH in my first echo on June 2017, then after I got two more echo's after my first echo one year apart from each other. Reports did not mention mild LVH. 20 days back, when I checked randomly, my BP was 130/85. Now it came down to 120/80. For the past four months, I am using N95 along with surgical mask double protection. So I was breathing hard. Could it cause grade 1 diastolic dysfunction?
Welcome to icliniq.com.
Mask would not cause this. However, if there is any recent weight gain, then it may contribute to a small extent. I do not think there is anything to worry about it. Finding of concentric LVH is probably an observer-dependent variation. Since it is mild, a slight error in taking measurements may put the value in the LVH range. BP of 130/85 is also fine and just monitor frequently for a week.
Was this answer helpful?|
I still had moderate regurgitation, but it showed diastolic dysfunction grade 2 and mild enlarged left ventricle 58 mm ... However, I was concerned about the diastolic... Read fullWhat is the treatment for LV diastolic dysfunction?
Hello doctor,What is LV diastolic dysfunction grade 1 ... There are various causes of LV diastolic dysfunction like advanced age, ... Read fullWhat do the symptoms of chest tightness, sweating and uneasiness suggest?
The tests showed blood pressure reading as 140/80 mmHg and ECG showed left ventricle irregularity ... Read full
Article Overview: COVID-19 has finally made us realize the value of immunity. In individuals with a strong immune system, this fatal virus cannot result in severe infection. This is why COVID-19-related deaths are common in older adults and people with comorbidities. Read the article to know how to boost your immunity. Read Article
The World Health Organization (WHO) announced the COVID-19 outbreak on January 30th, 2020, and described it as a pandemic on March 11th, 2020. Currently, behavioral, non-pharmacological interventions (NPIs), such as the use of masks, self-isolation, quarantine, and even lockdown of entire territorie... Read Article
Query: Hello doctor, I am a 40-year-old male. Recently I was diagnosed with LVH in ECG (possible LVH). My cholesterol level was 175, and pressure was 90/150. Now pressure came down to 80/135. I am taking Diovan 80 and I have little chest pain. Is this disease curable with this medicine? The sugar level is... Read Full »
Article Overview: This outbreak of COVID-19 has caused depression for many. Read this article to know more about the depressive states of COVID-19. Read Article
What Is COVID-19? The new coronavirus (later named SARS-CoV-2) that was identified during late 2019 in Wuhan China, has been one of the deadliest killers worldwide for the past six months. It has been spreading limitlessly with no barriers to all ages and populations. It was not predicted to be a c... Read Article
Ask your health query to a doctor online?Ask a Cardiologist Now