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What Do The Following ECG And ECHO Test Reports Suggest?

Posted on Mon, 20 Jul 2015

Question: Hello Doctor. My father is 78 years old hid ECG and Echo reports found below

ECG - complete RBBB

Echo -
Good left ventricular systolic function with reduced diastolic compliance
Mild aortic regurgitation(degenerative)

His pressure is on higher on side - 160/90. No symptom for heart disease.

Cardiologist told not to worry. Looking for 2nd opinion

Please suggest if anything to worry about.

Thanks in advance

Answered by Dr. Divakara (1 hour later)

Brief Answer:
No need to worry.

Detailed Answer:
Hi

Greetings from Dr.Divakara. P
Thanks for posting your query.

Well if there is no chest pain for him then no need to worry about the ECG or Echo findings.

But his Blood pressure is slightly high. I would recommend him to get his blood pressure checked on 2 separate occasion and if it's 160 or more then he needs to be started on Anti hypertensive medications.

Hope this information was useful to you.
Any clarification feel free to ask.

Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Divakara (20 hours later)

Thank you so much Dr. Divakara for your prompt reply.

His blood pressure sometimes remains 150 or lower.

Just in case, local doctor said that he has complete bundle branch block on right side and left ventricle is damaged slightly!

Could you please tell me is there tendencies to get more damage in future? Are these factors could affect in long run or affect his life span?

Appreciate your response.

Regards,
XXXX

Answered by Dr. Divakara (35 minutes later)

Brief Answer:
Will not cause any problem in future.

Detailed Answer:
Hi

Thanks for the information.

Well most of the time right sided bundle branch block will not cause any problem in future ( left sided bundle branch block could have caused ). Neither any further damage could be excepted with respect to bundle branch block.

However just for complete evaluation I would recommend Treadmill test for him to check for his heart status.

Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Divakara (48 minutes later)

Thanks Dr. Divakara. Your words reduce my worries greatly.

One last question, out of curiosity - what about the other factor...
Mild aortic regurgitation(degenerative)

Please give me some insight on this.

Thanks a lot for your assistance,
XXXX

Answered by Dr. Divakara (6 minutes later)

Brief Answer:
Its an age related change.

Detailed Answer:
Hi

Aortic regurgitation means some amount of blood pumped by the heart goes backward to the heart itself instead of being pumped into the aorta ( the major blood vessel ).

Degenerative means this regurgitation is happening due to age related changes and since it is mild there is no need to worry.

Regards.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar