Badly needed help, please explain my 2D echo result in layman's term

[boinksama]

3 year ago I had 2D echo because I was experiencing palpitation. My doctor told me that I had a mitral valve prolapse. She told me that it is not life threatening. 3 months ago, I experienced palpitation, difficulty in breathing and chest pain. So, I went to another cardiologist. I had 2D echo again. My doctor told me that He saw something in my heart. So, I told him that I have mitral valve prolapse. He said contrary to what I said I don't have Mitral valve prolapse but instead I have an alarming result because in between normal and bypass operation, I am now in the middle. If you could please explain in layman's term what my 2D echo result means. Is it life threatening? This is my 2D echo result: Interpretation: doppler: normal mitral tricuspid E/A ratios normal pulmonary artery pressure 2D ECHO: Normal left ventricular geometry (left ventricular mass index = 71 g/m2; relative wall thickness = 0.37) with mild hypokinesia of the arterior interventricular septum and anterior left ventricular free wall from base to apex Normal right ventricular dimension with adequate wall motion and contractility Normal left atrial dimension with normal left atrial volume index (19 ml/m2) Normal right atrial dimension Structurally normal mitral valve, aortic valve, tricuspid valve and pulmonic valve with good opening and closing motion Normal main pulmonary artery and aortic root dimension CONCLUSION: Normal left ventricular geometry with mild segmental wall motion abnormality; ejection fraction = 70%; E/E1 = 6

[ed34]

I think you need a more recent one

[boinksama]

3 years ago. i had a stress test.

[ed34]

The echo does look fine but it does seem to show a blood flow restriction which is likely in the left anterior descending (LAD). How bad the blockage is, well that would require an angiogram. I assume you had a stress test?

[boinksama]

tnx for your time. no, I did not have a bypass surgery. I did not also have heart attack. But my doctor said that if I will not take any medication I might end up having one because he told me i'm in between normal and bypass operation.

[ed34]

Just to add something. The 'mild' stiffness is with the heart relaxed but when your heart is working harder it could be worse. Personally I think you should establish what the cardiologist feels is the cause of this.

[ed34]

Did you have a heart attack in the past? Or did you say you had bypass surgery? Either could explain the hypokinesis of the areas of the heart suggested, or it could be a blockage forming. Basically there is a section of heart muscle which is 'stiff'. This wouldn't reflect necessarily in the :LVEF of 70% which is very good by the way, but it can be an indicator for the reasons of your symptoms. If you've had previous heart attack or bypass surgery, it could explain the stiffness.

[Flycaster305]

Words like normal and mild, coupled with a high ejection fraction like you have indicate a basically normal heart.  I'm not a health professional, but I've had at least a dozen Echo tests of the heart, and it sure sounds like you have absolutely nothing to worry about.  Your first doctor might have meant you have a little blood leaking, but almost everybody does.