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Dear Sirs, I'm A Woman And I'm 51 Years Old.
Question: Dear Sirs,
I'm a woman and I'm 51 years old. For the first time seven years ago, I accidentally discovered a first degree block and a systolic murmur on the heart 2/6. My doctor suggested ultrasound. UZV heart:
Neat dimensions of the heart cavity. Suitable thickness of both chambers. Mild antheroseptal hypokinesia. The valves are morphologically and functionally neat. Effective systolic EF 60%, lesion of diastolic function E / A 0.7 left ventricle. What is this UZV sign? Am I in danger? Feeling good and having no health problems except mild anxiety What does this mean to me? Afraid there's no heart attack or something? Keep in mind that I have no symptoms other than my anxiety that I was treated for 15 years ago and I still have control without medication. Afraid of what that means to me in the future? Thank you
I'm a woman and I'm 51 years old. For the first time seven years ago, I accidentally discovered a first degree block and a systolic murmur on the heart 2/6. My doctor suggested ultrasound. UZV heart:
Neat dimensions of the heart cavity. Suitable thickness of both chambers. Mild antheroseptal hypokinesia. The valves are morphologically and functionally neat. Effective systolic EF 60%, lesion of diastolic function E / A 0.7 left ventricle. What is this UZV sign? Am I in danger? Feeling good and having no health problems except mild anxiety What does this mean to me? Afraid there's no heart attack or something? Keep in mind that I have no symptoms other than my anxiety that I was treated for 15 years ago and I still have control without medication. Afraid of what that means to me in the future? Thank you
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome to - Ask a Doctor - service!
I passed carefully through your concern and would like to explain that considering the ECG and echo findings (first degree AV block and anteroseptal hypokinesia), it is necessary to undergo a differential diagnosis (excluding first a silent cardiac ischemia, or any other myocardial involvement, like myocarditis, sarcoidosis, etc.).
Coming to this point, it is recommended to perform additional cardiac tests:
- ambulatory ECG monitoring (Holter), especially is additional symptomatilogy has occurred (lightheadedness, syncope),
- stress cardiac imagine test (like stress echo, stress cardiac magnetic resonance) to clarify any possible sign of cardiac ischemia,
- cardiac magnetic resonance imagine test for properly investigating any myocardial tissue alteration (tissue characterization).
Regarding peculiarities of you echo report, I advise you to upload it here for a direct review and and additional second professional opinion.
You need to discuss with your attending cardiologist on the above mentioned issues.
Hope you will find this answer helpful!
In case of any further questions, feel free to ask me again!
Kind regards,
Dr. Ilir Sharka
cardiologist
I would explain as follows:
Detailed Answer:
Hello!
Welcome to - Ask a Doctor - service!
I passed carefully through your concern and would like to explain that considering the ECG and echo findings (first degree AV block and anteroseptal hypokinesia), it is necessary to undergo a differential diagnosis (excluding first a silent cardiac ischemia, or any other myocardial involvement, like myocarditis, sarcoidosis, etc.).
Coming to this point, it is recommended to perform additional cardiac tests:
- ambulatory ECG monitoring (Holter), especially is additional symptomatilogy has occurred (lightheadedness, syncope),
- stress cardiac imagine test (like stress echo, stress cardiac magnetic resonance) to clarify any possible sign of cardiac ischemia,
- cardiac magnetic resonance imagine test for properly investigating any myocardial tissue alteration (tissue characterization).
Regarding peculiarities of you echo report, I advise you to upload it here for a direct review and and additional second professional opinion.
You need to discuss with your attending cardiologist on the above mentioned issues.
Hope you will find this answer helpful!
In case of any further questions, feel free to ask me again!
Kind regards,
Dr. Ilir Sharka
cardiologist
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Answered by
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