ADVERTISEMENT

Q. What does high deceleration time in echocardiogram indicate?

Answered by
Dr. Danej Mangesh Baliram
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Oct 01, 2016 and last reviewed on: Sep 15, 2020

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?

#

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

Thank you doctor,

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

#

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 heart), there should be diastolic dysfunction of severe grade.

For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist

Thank you doctor,

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?

#

Hi,

Welcome back to icliniq.com.

  • In the first place, there is a discrepancy in the readings itself. Then, we have an explanation already (as 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 cardiac MRI followed by a confirmatory endomyocardial biopsy.

For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist


Was this answer helpful?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
Is it possible to cure neck pain due to degeneration of cervical spine?

.. have cervical osteoarthritis. It is due to cervical spine degeneration. It is due to the wear and tear of cartilage and bones, which are present in the cervical spine. It causes chronic, severe pain and stiffness. Actually, it is age-related probl...   Read full

Does vitamin deficiency cause twitching and tingling?

You have to take Vitamin B Complex and D supplements for 12 weeks ...   Read full

What is Obesity? Why People Become Over-Weight?

And lesser activity causes imbalance of your hormonal levels, especially insulin- thereby causing weight gain and diabetes ... The odds are that insufficient sleep may increase the risk of obesity and also ...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


Coronavirus Variant Arcturus: | Omicron XBB.1.16 Variant
Arcturus is an emerging variant of the Omicron virus that causes various symptoms and spreads rapidly across the world. ...  Read more»
Adrenaline Rush - Symptoms, Causes, Effects, and How to Control
Adrenaline is a hormone responsible for fight or flight response. It is also a neurotransmitter and medicine. It is also...  Read more»
Fatty Liver - Types, Symptoms, Stages, and Treatment
The liver is the largest gland in the body. Its primary function is to process the food and drinks we consume. and filte...  Read more»

Ask your health query to a doctor online?

Ask a Cardiologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.