“Is my mom's condition serious and is it reversible?”
My mother is age 68 and was recently advised an echo doppler test and the report is as follows: AO 26mm, AO EX 16 mm, LA 35 mm, EF SLOPE 78 mm/sec, DE 18 mm EPSS 02mm, IVS-D 12mm, PW-D 11mm, LVIDd 42 mm, LVIDs 25mm, LVEF 65%, FS 35% DOPPLER DATA- E/e' ratio (avg) 9.5 Trivial MR and TRIVIAL TR (PPG 25 mmHg) FINAL IMPRESSION: LV shows concentretic hypertrophy with normal-sized cavity. No RWMA. Good LV-SYSTOLIC function. LVEF 65%. TYPE I DIASTOLIC DYSFUNCTION. ( E/e' 9.5). NORMAL LA, RA, RV. (TAPSE 20mm). TRIVIAL MR AND TR SEEN. NORMAL MORPHOLOGY OF VALVES. ESTIMATED PASP 30mm Hg. INTACT IAS/IVS. NO CLOT/ VEGETATION SEEN. NORMAL PERICARDIUM. IVC- 14mm shows >50% inspiratory collapse. The patient has hypertension and type 2 diabetes. Is her condition serious and is it reversible?
Female | 68 years old
Medications: CONCOR AM5, VALEMBIC 80, IVABID OD10 , TIDEPLUS 20, DAPARYL 10 THYRONORM 75, REVOSTAT 10
Conditions: HYPERTENSION, TYPE 2 DIABETES ( CONTROLLED ON DIET)
3 Answers
Your mother has thickened heart muscle, which is likely due to her hypertension. Yes, it's reversible. It will take good blood pressure medications and lifestyle management (diet, exercise, good sleep hygiene) and diabetes management. None of these drugs sound familiar. Does your mother live outside the US?
Mark Rasak
Cardiologist
Not serious and yes reversible. Blood pressure needs to be optimally controlled ie less than 130/80 consistently. If she is over weight then weight loss would also help reduce stress on the heart and decrease the thickness of the heart.
Mom has hypertensive cardiovascular disease with diastolic dysfunction, which can lead to congestive heart failure. She should be on a low-salt diet. Excellent control of both blood pressure and diabetes to prevent complications.
Respectfully,
Marvin A. Leder, MD FACP FACE
Respectfully,
Marvin A. Leder, MD FACP FACE
