Echo Results

[Crow92]

Everything on the ECHO is normal except IVS=1.3    LVPW= 1.3   RV=3.8  /Ejection fraction  EDV==177.4ml, ESV=97.4ml, EF=45.1%, Method=Mod Simpsons
Left Ventricle= There appears to be concentric left ventricular hypertrohy w/ global reduction in contractility and calculated EF of 45%.  There is no evidence to implicate diastolic abnormality.  Short axis views of the left ventricle suggest an age indetrminate inferior posterior wall infarct and this is also substantiated in the apical 2 chamber view. Grade I diastolic dysfunction is evident.

So can you make me understand tis is old and not to worry if all other parts of this ECHO were normal and no evidence of abnormality? A friend who is a nurse said a stent would be in order and another said bypass. please shed some light.  Also, just started on Diovan HCT 160mg 1qd, Glucophage 1000mg 1bid, zocor 1qd, plavixx 1qd.
Thank you.
Everything on the ECHO is normal except IVS=1.3    LVPW= 1.3   RV=3.8  /Ejection fraction  EDV==177.4ml, ESV=97.4ml, EF=45.1%, Method=Mod Simpsons
Left Ventricle= There appears to be concentric left ventricular hypertrohy w/ global reduction in contractility and calculated EF of 45%.  There is no evidence to implicate diastolic abnormality.  Short axis views of the left ventricle suggest an age indetrminate inferior posterior wall infarct and this is also substantiated in the apical 2 chamber view. Grade I diastolic dysfunction is evident.

So can you make me understand tis is old and not to worry if all other parts of this ECHO were normal and no evidence of abnormality? A friend who is a nurse said a stent would be in order and another said bypass. please shed some light.  Also, just started on Diovan HCT 160mg 1qd, Glucophage 1000mg 1bid, zocor 1qd, plavixx 1qd.
Thank you.

[Darcy Green Conaway, MD]

I cannot tell you there is no evidence of abnormality as the echo report you are giving implies that there has possibly been a prior heart attack and your ejection fraction is slightly below normal.(This is not "normal" and is considered an abnormality.  It is impossible to know if you need a revascularization procedure (stent or bypass) without having an evaluation for ischemia. I suggest you discuss these findings with your cardiologist.
Of note, you state earlier in the note that there is no evidence of diastolic dysfunction but later state there is grade 1 diastolic dysfunction. I think the findings here are important enough that you should discuss them with your cardiologist so that you may discuss an appropriate strategy for your care.

[Darcy Green Conaway, MD]

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