Aa
Aa
A
A
A
Close
Avatar universal

What treatment/ lifestyle for Global LV Hypokinesia - LVEF 30%- dilated LA?

My mother is 55 years old. She had been diagnosed with hypertension, Rheumatic heart disease, severe mitral regurgitation, atrial fibrillation, LV dysfunction (EF 30%) with Normal CAG. She had suffered an incidence of heart failure last month and was diagnosed as AF with fast ventricular rate and reverted to NSR by DC shock.

She has undergone Mitral Valve Replacement (Mechanical Valve) through Key Hole Surgery 10 days back. Her ECHO at discharge read :

"PHV seen in Mitral Position, Mean PG 9mm Hg at HR 135/minute. Other sever valves are normal. LV is normal in size. Global LV Hypokinesia. LVEF 30%. LA is dilated. Mild to moderate TR (PASP 40mmHg). No PE"

Her medications currently include: Acitrom 2mg, Cordarone 200, Betaloc 25mg, Pansec 40mg, Lasix 20mg, Lasiclatone 20mg and Heam-up.

She has consistent cough since her surgery and is hypersensitive to even cooking fumes which triggers her cough very badly. Since we stay in Delhi, air quality outside home is pretty bad owing to pollution, we are avoiding walks outside home.

I am specifically concerned for her recovery (what could be the timeframe and do's/don'ts?) and treatment/ lifestyle to be followed for Global LV Hypokinesia, LVEF 30% and dilated LA. Please suggest....
1 Responses
Sort by: Helpful Oldest Newest
11548417 tn?1506080564
Mitral valve replacement is not something to be thought of lightly even if it was done by keyhole surgery.

I think her heart has suffered a lot from the regurgitation. Atrial fibrillation, LV dysfunction and LA enlargement are very probablly results from the regurgitation.

It will take time for the heart to (partially) recover from the period of regurgitation. The time frame I think of is half a year at least.

Lifestyle and treatment:
1st: Follow the advice of the cardiologist.
2nd: Try to be as active as allowed and as possible. Eat healthy. Take rest when needed.
3nd dont smoke, drink, etc..

Although perhaps she may not recover fully, improvement is surely possible. Give it time.
Helpful - 0
Have an Answer?

You are reading content posted in the Congestive Heart Failure Community

Top Heart Disease Answerers
159619 tn?1707018272
Salt Lake City, UT
11548417 tn?1506080564
Netherlands
Learn About Top Answerers
Didn't find the answer you were looking for?
Ask a question
Popular Resources
Is a low-fat diet really that heart healthy after all? James D. Nicolantonio, PharmD, urges us to reconsider decades-long dietary guidelines.
Can depression and anxiety cause heart disease? Get the facts in this Missouri Medicine report.
Fish oil, folic acid, vitamin C. Find out if these supplements are heart-healthy or overhyped.
Learn what happens before, during and after a heart attack occurs.
What are the pros and cons of taking fish oil for heart health? Find out in this article from Missouri Medicine.
How to lower your heart attack risk.