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What does high deceleration time in echocardiogram indicate?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I recently had an echocardiogram. The results were normal, but the deceleration time was 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?

Thank you.
Answered by Dr. Danej Mangesh Baliram

Education:

MBBS

Professional Bio:

Dr. Danej Mangesh Baliram is a certified Cardiologist. He completed his MBBS from Maharastra University of Health Sciences in 2007. He studied MD in General Medicine from Maharastra University of Health Sciences in 2010. Later, he studied DNB in Cardiology from the National Board of Examinations, New Delhi in 2015. He is well-trained in diagnosing, treating, and preventing diseases of the blood vessels and heart. He is currently practicing at Jupiter Hospital in Pune and has 17 years of clinical experience.

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Hi,

Welcome to icliniq.com.

It suggests grade 1 diastolic dysfunction. It is explainable by your obesity, as evidenced by your BMI - body mass index mentioned.

I hope this helps.

Please revert so I can assist you further.

Thank you.

Patient's Query

Hi doctor,

Thank you for your reply.

My E to A ratio is 1.51, and E/Ea is 6. Is that inconsistent with E/Ea's deceleration time? I am concerned about cardiac amyloidosis.

Thank you.

Answered by Dr. Danej Mangesh Baliram

Education:

MBBS

Professional Bio:

Dr. Danej Mangesh Baliram is a certified Cardiologist. He completed his MBBS from Maharastra University of Health Sciences in 2007. He studied MD in General Medicine from Maharastra University of Health Sciences in 2010. Later, he studied DNB in Cardiology from the National Board of Examinations, New Delhi in 2015. He is well-trained in diagnosing, treating, and preventing diseases of the blood vessels and heart. He is currently practicing at Jupiter Hospital in Pune and has 17 years of clinical experience.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hi,

Welcome back to icliniq.com.

E to A ratio (early to late ventricular filling) for grade I diastolic dysfunction, which is characterized by prolonged deceleration time due to prolonged relaxation, is typically less than 1.0. Also, your E/Ea of 6 suggests either normal diastolic function or grade I diastolic dysfunction.

So, your readings have to be repeated by another echocardiography, although not as an emergency. For suspicion of cardiac amyloidosis (abnormal protein deposit in the heart), there should be diastolic dysfunction of severe grade.

I hope this helps.

Please revert so I can assist you further.

Thank you.

Patient's Query

Hi doctor,

Thank you for your reply.

I will repeat the echocardiogram. I have read that in the early stages of cardiac amyloidosis, there is an abnormal relaxation before restriction. Is it so?

Thank you.

Answered by Dr. Danej Mangesh Baliram

Education:

MBBS

Professional Bio:

Dr. Danej Mangesh Baliram is a certified Cardiologist. He completed his MBBS from Maharastra University of Health Sciences in 2007. He studied MD in General Medicine from Maharastra University of Health Sciences in 2010. Later, he studied DNB in Cardiology from the National Board of Examinations, New Delhi in 2015. He is well-trained in diagnosing, treating, and preventing diseases of the blood vessels and heart. He is currently practicing at Jupiter Hospital in Pune and has 17 years of clinical experience.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hi,

Welcome back to icliniq.com.

In the first place, there is a discrepancy in the readings itself. Then, we have an explanation already (a high BMI) for this case, and there is grade 1 diastolic dysfunction. To shed more light on the morphology of myocardium for diagnosis of amyloidosis, one may require a cardiac MRI followed by a confirmatory endomyocardial biopsy.

I hope this helps.

Please revert so I can assist you further.

Thank you.

Medically reviewed by Dr. K. Shobana
Published At October 1, 2016
Reviewed At September 26, 2024

Education:

MBBS

Professional Bio:

Dr. Danej Mangesh Baliram is a certified Cardiologist. He completed his MBBS from Maharastra University of Health Sciences in 2007. He studied MD in General Medicine from Maharastra University of Health Sciences in 2010. Later, he studied DNB in Cardiology from the National Board of Examinations, New Delhi in 2015. He is well-trained in diagnosing, treating, and preventing diseases of the blood vessels and heart. He is currently practicing at Jupiter Hospital in Pune and has 17 years of clinical experience.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

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Companion

High Deceleration Time Echocardiogram Companion

How it works

An echocardiogram provides important insights into your heart's function. Here's a breakdown of what a high deceleration time might mean and related factors.

1

Deceleration
Time

2

Diastolic
Dysfunction

3

Ratio
Analysis

4

Obesity
Impact

5

Amyloidosis
Risk

6

Further
Diagnostic

This information is based on general medical guidance. It is not a substitute for professional medical advice; consult a qualified clinician.

Always consult a doctor before taking medication; self-medication carries serious health risks. Take exact prescribed doses, and never start, change, or stop treatment without medical supervision.
Dr. Danej Mangesh Baliram
Dr. Danej Mangesh Baliram

Cardiology

Education:

MBBS

Professional Bio:

Dr. Danej Mangesh Baliram is a certified Cardiologist. He completed his MBBS from Maharastra University of Health Sciences in 2007. He studied MD in General Medicine from Maharastra University of Health Sciences in 2010. Later, he studied DNB in Cardiology from the National Board of Examinations, New Delhi in 2015. He is well-trained in diagnosing, treating, and preventing diseases of the blood vessels and heart. He is currently practicing at Jupiter Hospital in Pune and has 17 years of clinical experience.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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