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NetWellness provides the highest quality health information and education services created and evaluated by faculty of our partner universities.
Friday, February 10, 2012
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NetWellness provides the highest quality health information and education services created and evaluated by faculty of our partner universities.
Friday, February 10, 2012
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Heart Failure |
Interpreting 2D Echo01/07/2009 |
I had my 2D echo-colour doppler few days back as a part of health check. I am hpertensive male aged 47 years on Atenolol-100 Amlodipine `0 Losartan 100, My 2D Echo report says : 1.Concenric LVH 2.Normal LV size and Normal LV systolic function LVEF 65% 3.Normal LV compliance 4.No RWMA/PAH/Normal pericardium 5.Trivial MR Mild TRIs this report ok ? Kindly suggest if any
This report is not totally ok. Your echocardiogram shows the presence of left ventricular hypertrophy (LVH). This means that the muscle mass of your left ventricle is increased, most likely due to your hypertension. While an increase in left ventricular muscle mass can be healthy (e.g. in athletes), it is a sign of some heart damage in hypertensives.
Your heart function is probably still normal, because you have normal LV compliance and a normal ejection fraction. However, if the LVH becomes more severe, you can develop heart failure even with a normal ejection fraction. This form of heart failure is called "diastolic dysfunction" and is fairly common. LVH by itself (all other things being equal) is a risk factor for heart failure and stroke.
Losartan has been shown to reduce LVH and to reduce the risk of stroke. Your blood pressure should be controlled to a level of 120/80 or lower, and your resting heart rate should be around 60. If you don't have those values, your medication may have to be adjusted.
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Max C Reif, MD Professor of Medicine Director of Hypertension Section Division of Nephrology & Hypertension Department of Internal Medicine College of Medicine University of Cincinnati |
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