I have a mildly dilated aortic root and a proximal ascending aorta. How bad are my results?

Hi,

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A mildly dilated aorta is usually of no concern unless family history is positive for dilated aorta, aortic aneurysm, or aortic dissection. The ejection fraction is mid-range. Should find the cause for it. Do you have a family history of cardiac issues? Do you have diabetes or thyroid issues? What symptoms do you have? What are the medications you are taking for the heart? One of the causes of reduced ejection fraction is obesity. Therefore, I suggest you reduce your weight. Please answer the above questions so that I can guide you accordingly.

Hi,

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Yes, many a time, it can be improved if not completely reversed (But first ensure that echocardiography is correct as results may vary from operator to operator). For LV (left ventricular) dysfunction, adopt the following measures (If echocardiography report is confirmed). Take a Mediterranean diet, and do regular moderate-intensity exercise. Lose weight. Avoid smoking and drinking alcohol. Alcohol intake causes cardiomyopathy. I suggest you take the following medicines. Take Tablet Entresto (Sacubitril -Valsartan) 49 mg or 51 mg twice a day (Stop taking Lisinopril. Take the first dose of Entresto after 36 hours of the last dose of Lisinopril). Check BP (blood pressure) daily and Tablet Nebivolol 5 mg once daily in the daytime. Doses will be changed, or other medicines may be added depending upon BP, heart rate, and symptoms. I hope this was helpful.