Should I worry about my deteriorating 2D Echocardiogram?

Question

Hello doctor,

For the past three years, my 2D Echo seems to be deteriorating. My TMT (treadmill Test) is positive and CAG (coronary angiogram) is recommended. Early stage cervical spondylosis too has been reported. I have attached my test reports for your reference. Currently I am taking Losar- H 25 mg. Please go through the reports and let me know if I need to be worried about something. It would be of help if you could suggest any medication for betterment. Thank you in advance.

Answer 1

Hi,

Welcome to icliniq.com.

I have reviewed your case and can understand your genuine health concerns. I would like to assure you not to worry; everything is going to be fine. You require proper care and treatment. According to the attached reports (attachment removed to protect patient identity), I will need a few significant clarifications.

A slight increase in RBC (red blood cell) count will not cause much of a problem. Regarding heart chambers, no clots were seen, and there was no problem with the resting (filling phase) of the heart. There are no issues with the lungs, as there is no pulmonary arterial hypertension or clots.

A raised ESR (erythrocyte sedimentation rate) value is due to the raised RBC counts. Liver function is normal, and there is no hepatitis B or hepatitis C. The Lipid profile is deranged.

Only medications will not help. You need to modify your lifestyle, change your diet and start exercising. Fatty liver may be due to alcohol intake or due to age-related deranged lipids. Early changes are observed in the cervical spine. Age related osteoporosis of the bones is seen on chest x-ray and heart seems to be enlarged.

Angiography is recommended to determine the exact problem with the heart's coronary blood vessels and to determine whether CABG (coronary artery bypass grafting) is needed or whether stent placement (angioplasty) is enough right now. Let me know if any assistance is required during the treatment.

Tablet Losartan is a good drug that you are taking. It lowers blood pressure and decreases the risk of stroke in patients with high blood pressure.

Avoid having heavy meals containing carbohydrates. Avoid fried fatty foods, junk foods, and beverages. Avoid added salts.

Eat plenty of vegetables, salads, and fruits, and use canola oil for cooking. A deranged lipid profile is directly related to the heart's blood vessels, resulting in bad health.

Walk for ten minutes in direct sunlight after applying sunscreen lotion and wear sunglasses so that you will get enough of the vitamin D required for your body.

I hope this helps.

Thank you.