Diastolic Disfunction

[Pantx]

I was dx with Cushings recently secondary to prednisone treatment for Lupus. I've been off of prednisone for several weeks and my dosage was never higher than 30mg/day at any rate
I began to have 3+ pitting edema in legs and 2+ arms +1 in various other places etc.
Blood pressure was high specifically the diastolic.  
Had echo (previous history of subclavian thrombosis and below is the echo results.
The cardio said that diastolic dysfunction is expected to reverse, but when?

We started lasix recently because the water weight was increasing and causing other problems. This has helped
My avg blood pressure a few days ago was 195/112  - we upped lasix to 20 x 3 a day and its now averaging 126/100  average resting BPM stays between 90-110  I'm sure the increase in lasix is what has caused the numbers to get closer to gether so I increased fluid intake.....

I want to be able to work out. How long does it usually take for diastolic disfunction to go away?


INTERPRETATION SUMMARY
A complete two-dimensional transthoracic echocardiogram was performed
(2D, M-mode, Doppler and color flow Doppler). Normal chamber sizes.
There is normal left ventricular wall thickness.Left ventricular
systolic function is normal. The left ventricular wall motion is normal.
EF 56% by single-plane MOD. The right ventricle is normal in size and
function.No significant valvular abnormalities. The transmitral spectral
Doppler flow pattern is suggestive of impaired LV relaxation. IVC normal
in size consistent with normal CVP. Compared to previous study, no
significant change.

MMODE/2D MEASUREMENTS & CALCULATIONS
RVDd: 3.9 cm LVIDd: 4.6 cm IVS/LVPW: 1
IVSd: 0.9 cm LVIDs: 3.4 cm FS: 25.5 %
LVPWd: 0.9 cm EF(Teich): 50.3 %

EDV(cubed): 98.4 ml LV mass(C)d: 135.9 grams SV(Teich): 49.4 ml
ESV(cubed): 40.7 ml LV mass(C)dI: 71.4 grams/m\S\2 SI(Teich): 26.0
ml/m\S\2
EF(cubed): 58.7 % SV(cubed): 57.8 ml
SI(cubed): 30.3 ml/m\S\2

Ao root diam: 2.6 cm LA/Ao: 1.0 EDV(MOD-sp4): 88.6 ml
LA dimension: 2.6 cm EDV(sp4-el): 90.8 ml
ESV(MOD-sp4): 39.2 ml
ESV(sp4-el): 40.5 ml
EF(MOD-sp4): 55.8 %
EF(sp4-el): 55.4 %

LVAd ap2: 29.7 cm\S\2 LVLd %diff: -1.3 % SV(MOD-sp4): 49.4 ml
LVLd ap2: 7.7 cm EDV(MOD-bp): 92.2 ml SI(MOD-sp4): 25.9 ml/m\S\2
EDV(MOD-sp2): 94.0 ml LVLs %diff: 2.5 %
EDV(sp2-el): 97.1 ml ESV(MOD-bp): 42.3 ml
LVLs ap2: 6.9 cm EF(MOD-bp): 54.2 %
ESV(MOD-sp2): 45.6 ml
ESV(sp2-el): 45.8 ml
EF(MOD-sp2): 51.5 %
EF(sp2-el): 52.9 %

SV(MOD-sp2): 48.4 ml SV(MOD-bp): 49.9 ml SI(sp4-el): 26.5 ml/m\S\2
SI(MOD-sp2): 25.4 ml/m\S\2 SI(MOD-bp): 26.2 ml/m\S\2

SV(sp2-el): 51.3 ml
SI(sp2-el): 27.0 ml/m\S\2

DOPPLER MEASUREMNTS & CALCULATIONS
MV E point: 98.7 cm/sec MV dec time: 0.2 sec Ao max PG: 6.9 mmHg
MV A point: 115.0 cm/sec
MV E/A: 0.9

LEFT VENTRICLE
The left ventricle is normal in size. There is normal left ventricular
wall thickness. Left ventricular systolic function is normal. The
transmitral spectral Doppler flow pattern is suggestive of impaired LV
relaxation. The left ventricular wall motion is normal.

RIGHT VENTRICLE
The right ventricle is normal in size and function.

ATRIA
The left atrial size is normal. Right atrial size is normal.

MITRAL VALVE
The mitral valve is normal. There is no mitral valve stenosis. There is
no mitral regurgitation noted.

TRICUSPID VALVE
The tricuspid valve is normal. There is mild tricuspid regurgitation.

AORTIC VALVE
The aortic valve opens well. No hemodynamically significant valvular
aortic stenosis.

PULMONIC VALVE
The pulmonic valve is not well visualized. There is no pulmonic valvular
stenosis. Trace pulmonic valvular regurgitation.

GREAT VESSELS
The aortic root is normal size.

PERICARDIUM/PLEURAL
There is no pericardial effusion.

[Pantx]

Thank you! I don't do any of that other stuff. My body has been stabilizing and my BP is no longer high. YAY! Thank you