34/Male, Extremely concerned about my Echocardiogram results

Posted by joejumbalya @joejumbalya, Oct 4, 2023

So I have a couple of uncles who've had heart issues at a relatively young age and I also suffer from extreme health anxiety. So I went and had an Electrocardiogram done just to make sure everything is ok and below are my results. The doctor hasn't called me about these they posted them on the web portal, I'm still waiting on a call back. But in the mean time I'm freaking out over these results, I usually work out especially cardio 5 days a week and try to watch what I eat. I'm in pretty decent shape I'm 5'11 185lbs. Should I be super concerned about these? The main ones I'm concerned about I put a @ sign in front of.

Interpretation Summary:
@ 1. Normal left ventricular size, wall thickness, wall motion, with low
systolic function and ejection fraction of 50-55%. The average global
longitudinal strain is-14.8%, also indicative of mildly reduced function.

2. Normal right ventricular size and function.
@3. Borderline dilated aortic root measuring 3.6 cm in diameter.
4. No significant valvular abnormalities seen.
Echo Findings
Aortic Valve:
The aortic valve is trileaflet.
Aortic valve is mildly thickened.
Borderline aortic root dilatation.
Aortic root measures 3.6 cm in diameter.
No aortic stenosis.
There is no aortic regurgitation.
Mitral Valve:
The mitral valve is normal in structure and function.
There is trace mitral regurgitation.
Tricuspid Valve:
The tricuspid valve morphology and motion is normal.
There is trace tricuspid regurgitation.
Pulmonic Valve:
The pulmonic valve is not well visualized.
Right Ventricle:
The right ventricle is normal in size and function.
Pulmonary artery pressure could not be evaluated due to inadequacy of
tricuspid regurgitation jet.
Right Atrium:
The right atrium is normal in size.
Left Atrium:
The left atrium is normal in size.
Left Ventricle:
The left ventricle is normal in size.
There is normal left ventricular wall thickness.
@The left ventricular systolic function is low normal.
@Ejection Fraction = 50 - 55%
@The average global longitudinal strain is-14.8%, also indicative of
decreased left ventricular function.
The left ventricular wall motion is normal.
The pericardium appears normal.
LA Volume Index = 22.18cc/m2.
E / E' = 6.03

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I was put on a small dose of metoprolol partly for heart rate control when I first came down with AF, but my cardio also said he was a bit worried about my BP, and he said the metoprolol doubles as a relaxant and doesn't let the heart beat quite so strenuously. Helps to lower BP.

Your diastolic pressure of 83 is....IS...high. Not worryingly so, but it is three points over the received high value of 80 before you are likely to need some kind of remediation. Again, I'm not a physician, but I read only three days ago, while looking up something else, that 80 is the demarcation point between 'healthy' and 'needing some careful thought' and watching. As an example, despite my use of metoprolol until my second ablation, I was running in the 130/85 range at rest. Now, seven months off metoprolol altogether, my waking BP is routinely 115/72. So, metoprolol might/might not be something you need, but it could....COULD...help to nip you back under the diastolic 80.

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