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Is Grade 1 Diastolic Dysfunction While Experiencing Burning Sensation In The Chest A Serious Concern?

Posted on Wed, 18 Oct 2023

Question: hi. Iam 30 year old obese male suffering from chest burning i had a echo almost 2 years back .everything was normal with mild tr,ph tr jet 2.8 rvsp 30 plus rap doctor said nothing to worry since Iam obese lungs will be restricted so pressures were fine also my other findings were normal in echo including ECG and tmt test.i took another test after 3-4 months with same doctor this time no tr/ph was reported but had grade 1 diastolic dysfunction with A>E in my last report everything was fine normal E>A it showed mild concentric lvh in new reported with left artium 4.0. consulted couple of doctors all echo reported E>A and Ivs 1.0 almost all echo reports had left artium under 3.7 to 3.8.new doctor told me couldn't find lvh in any of Ecgs. must be error on first doctors partall my echo,ECG,tmt are consist with normal values except for that diastolic dysfunction and ph which keeps worrying me

Answered by Dr. Bhanu Partap (2 hours later)

Brief Answer:
Need more information

Detailed Answer:
Hello Sir

After going through your medical details I understand your concern for your health but before giving my opinion I would like to know more about your medical history if you have any medical illness like high blood pressure or diabetes and tell me if you have any symptoms .

I would like to review your both Echo reports also . Kindly upload the reports from your dashboard and revert back with required information so that I can assist you.

Kind Regards
Dr Bhanu Partap

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Bhanu Partap (1 hour later)

I had kidney stone removed through ursl+dj stent.before the procedure they had all the blood tests done along with ecg everything was fine no diabetes .cholesterol levels were great considering my weight.bp was little fluctuating because of tension then it went back to normal problem with chest pain started when stent was removed two weeks after the procedure.kidney doc told me to consult cardio for chest pain that's when first echo was taken.which I have attached showed mild ph.with same doctor after 3 months echo report showed diastolic dysfunction with no tr/ph.i dont have that report other two which i have taken after the diastolic report is attached.when I visited doctors regularly my diastolic bp was little higher side 90-100 they prescribed me nebicard 2.5mg have put on even more weight now. cholesterol levels increased for which iam using rozat 5mg then cholesterol levels came down.i had renal Doppler scan in case kidney is causing issue everything was fine

Answered by Dr. Bhanu Partap (1 hour later)

Brief Answer:
Hello Again

Detailed Answer:
No reports of yours are worrisome to me. You are a young individual and all these changes are because of low physical activity levels and over weight.

Furthermore if you keep taking stress and be anxious then again your blood pressure will remain high. You just need to have a change in your lifestyle as these lifestyle modifications will surely benefit you in lowering cholesterol as well as lowering your blood pressure which will ultimately help bringing you off from medications.

1. Start 45 mins of daily morning walk for at least 5 days a week.
2. Include good amount of fresh fruits Nd vegetables in your daily diet
3. Consume less salt and sugar
4. Avoid junk and caffeinated drinks
5. Sleep on time and drink lots of water.

I hope this information will guide you properly

Kind Regards
Dr Bhanu Partap

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Bhanu Partap (2 hours later)

regarding chest pain initially it was constant.after adding medicine nebicard 2.5 mg,rozat 5mg,sompraz d40 pain was not continous only when having big meal.nowadays iam having chest while walking initially it was left side now it's on right side.i also get dizzy feeling for split second especially lying down even a small head turn may trigger it.also I have breathing issues like my nose is blocked xray showed increased tuberinates

Answered by Dr. Bhanu Partap (4 hours later)

Brief Answer:
Hello again

Detailed Answer:
If you experience symptoms like chest pain which gets relieved with meds then I would like to suggest you to get a stress test like TMT done to make sure there is no underlying coronary artery disease.

Regarding turbinates you have to take opinion from an ENT surgeon.

Kind Regards
Dr Bhanu Partap

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

Follow up: Dr. Bhanu Partap (24 minutes later)

had like 4 tmt test all negeative

Answered by Dr. Bhanu Partap (1 hour later)

Brief Answer:
Hello again

Detailed Answer:
If TMT was negative then considering your age group the possibility of having a coronary artery disease is almost negligible.

You just need to stop worrying about it and relax.

Kind Regards
Dr Bhanu Partap

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

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