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diastolic dysfunction

am 56 years old retired female.one year back i had a small pain the heart.so i consulted the cardiologist.after doing echo test the following impressions found in the test.
NORMAL VALVES&CHAMBERS
NO WALL MOTION ABNORMALITY
NORMAL LV SYSTOLIC FUNCTION
GRADE I -LV DIASTOLIC DYSFUNCTION.i have no diabetes and a normal BP.
doctor has given some tablets to continue it.my question is
1.what does GRADE I -LV DIASTOLIC DYSFUNCTION mean?
2.whether is it necessary to  take angiogram ?
8 Responses
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367994 tn?1304953593
You have missed the point.  You interjected a personal response that rudely imposed your nonsequiter, off-the-subject  rhetoric on another members thread....it called hijacking a thread.  Son, didn't your mother ever tell you that is rude to interupt a conversation or dialogue?! :)...same circumstance.  If there is something you don't understand in my answer to the orginal post, feel free to comment.

I answered the question posed by lakghan regarding an echo and specificaly grade-one diastolic dysfunction and definition.  I didn't/don't believe the other respondant answered with the first response, as an EKG is/was irrelevant to the specific questions asked.

Your refer to my post that acknowledged another member's comments that she, the orginal poster, is returning with some activity to the board and my expressed welcome to that decision.  It doesn't make sense to compare that to your imput to this thread, does it?

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916737 tn?1243936842
Just a little information to add.

The echo is useful in measuring the size of the heart chambers, to calculate the contractility, the see the mobility, to check the state of the valves, to measure pressure inside the heart chambers and to see if there’s any abnormality inside the heart as calcification, vegetation, thrombus or tumors. It can also be used to detect if there’s any extra amount of pericardial fluid.

However, it does not indicate anything about the state of the coronary heart vessels. Only angiograms can do it more accurately than the ECG. The idea is to inject a dye in the coronary vessels and see the vessels using X-ray. It will detect any degree of narrowing inside the blood vessels.

In your condition, it is really advisable to have this angiogram, especially if your ECG results were abnormal or non convincing. You have a chest pain and mild diastolic dysfunction. These two factors should raise the suspicion of any abnormality in one of the blood vessels.

You don’t necessarily have coronary heart disease, but you will never regret being reassured completely about the state of your heart vessels. I wish for you best of luck.
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Avatar universal
didn't I just see you trading personal comments with someone who had posted "I am back".

I'll quote it for you, if your memory is failing: "It has been awhile!.  Good to hear your condition is manageable and welcome back." What hypocrisy.

Do you imagine that you are in charge of censoring posts on this group? If you have some ego-driven comments to make, send them in email and keep them off the group. I'll just delete them anyway.
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367994 tn?1304953593
Do you have any relevant information to help lakghan?  The OP asks a good question and has concern...discussion is always welcome and personal comments is better served by E-mail, whatever....
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916737 tn?1243936842
Thank you for your kind opinion Sonny. I am just trying to help as much as I can. I will feel happy to find that my help gave some result to some people. Hope to hear from you soon.

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Avatar universal
Hello to BrokenPen. It's good to see you on this discussion group. You are the most knowledgeable person here, and you have a very good way of explaining things without any pretentiousness. I hope you stick around for a while :)
Helpful - 0
367994 tn?1304953593
Your echocardiogram indicates your systolic function (pumping) is normal and is ejecting an adequate volume of blood with heartbeat.

Diastolic dysfunction is associated with a preserved contractility, ejecting its
volume adequately, but having difficulty relaxing during diastole, therefore filling
more slowly than usual and increasing its filling pressures rapidly.

Grade 1 mild to moderate filling pressures and usually no problems at rest with mild exercise limitations. After the age of 40 there may be some loss of the elastic properities and that will cause an abnormal diastolic function.

An angiogram can measure intra-chamber pressures and whether that would be useful information is doubtful.  An echo is the appropriate test as it measures heart dimensions, wall movement, degree of pumping functionality and filling capacity.

Helpful - 0
916737 tn?1243936842
According to what you are saying, I can see only one cause of your diastolic dysfunction (which is minimal). Your heart must have been subject to a transient ischemia that affected the ventricular wall for a while, causing its malfunction for a while.
You didn’t mention if you have done an ECG or stress ECG and what are their results. These are non invasive procedures and easily done. However, an angiogram would much more specific to detect any abnormality in the coronary vessels.
I hope this would help you. Best regards.

Helpful - 0
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