Confused

[txmom_101]

my echo came back with Abnormal Left Diastolic Funtion, Mitral regurgitation & S4 Heart sounds.

What does this mean?   I am 47 and female, was hopitalized with Unstable Angina.  Now my right leg and foot is swelling to the point of Deep Denting with a small amount of pressure that last for several minutes.  Now they are sending me for a Venus Doppler.  I have no endurance for any activites besides walking for more than 5-10 minutes depending on the temp.  After that time my face turns blood red and I start dry heaving.  
Any thoughts.....

Thanks
txmom_101

[kenkeith]

Left diastolic dysfunction indicates there is a medical problem regarding inadequate filling of the left ventricle prior to pumping phase.  The cause can be enlarged heart walls that crowds out normal filling, and/or heart wall is inflexible.  This condition causes blood from the lungs to back up rather than pumped into circulation and fluids leak into the lungs....that would explain the dry cough and hyperventilation.

Venus doppler is ultrasound and a transducer is  passed over your legs, toes to groin. The test looks for normal veins by pushing the blood out and watching the return of blood. Blocked veins will fluids to leak into the tissues.  Peripheral edema can also be caused by heart's right-side failure to pump adequately and blood backs up and fluids leak into the tissues.  Because only the right foot is involved that may rule out right side heart failure.

Mitral valve regurgitation indicates some blood flows back into the left atrium rather than pumped into circulation.  Not uncommon nor serious to have mild regurgitation and usually considered medically insignificant.

An abnormal S4 is a stethoscope sound heard in people with conditions that increase resistance to ventricular filling, such as a weak left ventricle causing left ventricle dysfunction..

[txmom_101]

Thanks for the info, that makes sense to me.  I don't understand why the doctors words seem to make no sense when they are talking.
But that makes sense!  Any Ideas as to what the treatment should or could be?