What are the ways to manage grade 1 diastolic dysfunction?

Question

Hello doctor,

I have had anxiety for the last five months. Recently, I had an echocardiogram, which showed grade 1 diastolic dysfunction of the left ventricle with an E/A ratio of 0.7. All other parameters on the echocardiogram are normal. Sometimes my diastolic blood pressure reaches 90 due to anxiety.

Could you please explain what this dysfunction is? Will it cause future issues, and will it improve if I manage my anxiety and blood pressure? My ECG results were normal.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

Diastolic dysfunction seen on the echocardiogram refers to an abnormal function of the left ventricle during the relaxation phase, called diastole. It occurs when the left ventricle muscle becomes hypertrophied due to increased blood pressure. Grade 1 diastolic dysfunction is the initial phase, but do not worry, it is reversible. Controlling blood pressure can help it resolve within a few months. There is no need to repeat the echocardiogram, but managing blood pressure is essential.

According to the latest guidelines, optimal blood pressure is 120/80 mmHg. To lower blood pressure, try to reduce anxiety, avoid smoking (if you smoke), avoid alcohol and other addictions (if applicable), reduce salt intake, and limit junk foods, oily foods, and ghee. Regular exercise and maintaining a healthy weight are also important.

I hope this helps you.

Thank you.