Hello My Mom Had Echo Test Fornheart Yesterday And They

Posted on Tue, 22 Oct 2019

Question: Hello my mom had Echo Test fornheart yesterday and they reports came today morning in which there are two section highlighted and states as

1. Left ventricle chamber is thickened . Mid and Apical anterior wallAnd XXXXXXX mildly hypokinetic and Jerky septal motion. Left ventricle ejection fraction Is 43 %

2. Mitral valve is thickened And Sclerotic. Normal mobility of Mitral leaflets.

So now I am much worried what is all this about and what's its cure does she need to be operated or what ,?

Am very much worried kindly help me and suggest it's treatment options and also is it curable or not ?

Please help

Thank you.

Answered by Dr. Bhanu Partap (2 hours later)

Brief Answer:
Please refer to detailed information below

Detailed Answer:
Hello,

After going through the eco report details of your mother, I would like to tell you that the normal functioning capacity of the heart is is more than 55% in a healthy individual. However, in your mother's case it's 43% which is suggested that some portion of cardiac muscles has gone weak.

This usually happens as a result of inadequate blood supply to the muscles of the heart as a result of blockage inside the blood vessels of the heart.

Few details I would like to know
1. What all medications she is taking presently?
2. Any history of heart problems in the past?
3. Any history of diabetes or hypertension?

Kindly revert back with required details

Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Bhanu Partap (22 minutes later)

Medicine at present she is taking for osteoarthritis and supplements like glucosamine and omega 3 and non other medicine she is taking

In the past she never had any heart issues

She also don't have diabetes but she do take tensions of small small things

Answered by Dr. Bhanu Partap (12 minutes later)

Brief Answer:
follow-up

Detailed Answer:
Hello Again,
Thanks for the feedback.

Now taking into consideration her age group and the echocardiogram report, ideally, angiography is advisable so that the problem can be identified properly (status of her Coronary artery blood flow).

So it's advisable that you should personally take her to a Cardiologist as some cardiac medications like antiplatelets, statins also need to be started.

I hope this information will guide you properly.

Kind Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Bhanu Partap (14 days later)

As you know earlier reports of my mother so this time she has undergone TMT Stress test and after going through this test the reports came negative and normal so if her heart TMT is normal then why the echo test had 43% ?

Answered by Dr. Bhanu Partap (49 minutes later)

Brief Answer:
Hello Again

Detailed Answer:
The stress test is negative because there is no new changes in the functioning capacity of the heart during the test however the portion of the heart that has gone weak before is still the same that's why the EF is still at 43%.

I hope you understand what am trying to convey.

Kind Regards

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Bhanu Partap (4 days later)

Ok but with medication or is there anything by which this percentage of EF can increased by any how or now it will fail slowly till death?

Answered by Dr. Bhanu Partap (12 hours later)

Brief Answer:
Hello Again

Detailed Answer:
Only optimal medical therapy is the option as of now. Kindly provide me the details of the medicine which she is taking so that I can analyse.

Kind Regards

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Bhanu Partap (21 minutes later)

Doctor have given her cardiologist doctor has given her these following medicine Aspirin, DYTOR and debinor and calcium k2 something but I don't know this is nice medicine for her as on internet it has written use of angiotensin increases the EF so there is no angiotensin in these so how to increase EF ??

Answered by Dr. Bhanu Partap (3 hours later)

Brief Answer:
Hello again

Detailed Answer:
Yes it's right and this is what I wanted to know. ACE OR ARB'S do have cardioprotective properties and in some patients even prove helpful in improving ejection fraction upto a certain extent.

I would like to suggest you to discuss this with your treating doctor that why he hasn't added one in the medicine regime.

Kind Regards

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Prasad