HomeAnswersCardiologydiastolic dysfunctionHow dangerous is diastolic dysfunction grade 2?

What is the prognosis for diastolic dysfunction grade 2?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Isaac Gana

Medically reviewed by

Dr. P. C. Pavithra Pattu

Published At December 20, 2021
Reviewed AtJuly 18, 2023

Patient's 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, it was diagnosed, and it had reached grade 2. It remained in grade 2 since then. I am currently taking tablet Metformin 1500 mg for PCOS and tablet Fluoxetine 60 mg daily. My cardiologist told me that I can live a very long life and that I need to have a low sodium diet and exercise. But then I read about diastolic dysfunction grade 2 online, and it does not look good. I have already taken ECG. I am looking for an honest answer. Kindly help.

Answered by Dr. Isaac Gana

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 revert with answers.

Patient's Query

Hi doctor,

Thank you for the reply. I am asymptomatic. I do not have any issues you asked. The cardiologist also mentioned that the absence of symptoms is a very good sign.

Answered by Dr. Isaac Gana

Hi,

Welcome back to icliniq.com.

I understand your concern. It is good that you are asymptomatic. However, being asymptomatic does not entirely rule out the danger. Because there is a chance that the dysfunction is likely to progress in the future as it is at the second stage. It does not mean you cannot live long in good health. I need some more information. For how long have you been taking tablet Metformin? What measures have you taken to lose weight? Your weight is a problem here. When was the last time you checked your fasting blood sugar levels? Kindly reply.

Patient's Query

Hi doctor,

Thanks for the reply. I have been taking the tablet Metformin since six years. I checked my fasting blood sugar six months ago and will be checking again soon. It is generally a bit high, ranging from 120 to 130 mg/dL. But my doctor has never prescribed anything other than tablet Metformin as my a1C is always 5.9 to 6 mg/dL range. Should I repeat the test? Regarding the weight loss, I need to work hard at this and get in shape. But diet and exercise have always been a struggle for me in terms of consistency. Kindly suggest a diet that is best for my heart and weight loss.

Answered by Dr. Isaac Gana

Hi,

Welcome back to icliniq.com.

It is good that your sugar levels are not too elevated. But it is important to keep it in check. I suggest you go for an intensive weight loss where you will use an eating formula—the 50-25-25 percent eating rule. Your diet will be 25% protein, 50% fruits and salad, and 25% carbohydrates. You must use a medium-sized plate, not a big one. Most importantly you have to exercise. You can start walking for 30 minutes every morning. Start with three days a week. Do not eat after 7 PM. Eat only salads and Greek yogurt if needed. Avoid smoking and drinking if you do. Have you ever suffered any form of chest pain that might radiate to other parts of your body like your shoulder, jaw, or back? Was it sharp? Have you checked your cholesterol levels? Kindly reply.

Patient's Query

Thank you for your advice! No chest pain & cholesterol levels are good. I have no further questions. Thank you!
Answered by Dr. Isaac Gana
OK. Kelly best regards

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Isaac Gana
Dr. Isaac Gana

Cardiology

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