About left ventricular systolic dysfunction

Posted by joymallow @joymallow, May 13 10:42am

Hi
I'm a 40 yr old young lady,who had ruptured uterus 2yrs ago, following that the BP was high.I was referred to a cardiologist who requested for ECG and echo,same done.ECG shows normal but my echo shows left ventricular dystolic dysfunction.Was placed on Telmisartan and hydrochlorothiazide to control my BP.Pls can left ventricular dystolic dysfunction reversed if the Blood pressure is controlled?

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Justin McClanahan, Moderator | @JustinMcClanahan | May 13 11:37am

Hello @joymallow, welcome to Mayo Clinic Connect.

If you don't mind sharing a bit more, could to clarify if your echo showed signs of systolic dysfunction or diastolic dysfunction?

@joymallow, diastolic dysfunction, if left untreated, can lead to heart failure. However, medications and lifestyle changes can prevent this from happening, https://www.mayoclinic.org/diseases-conditions/heart-failure/diagnosis-treatment/drc-20373148. One of the most important factors is early detection and making those lifestyle changes, which it sounds like you are on the path to doing so. @joymallow, were you given any advice on additional ways to monitor and manage your diastolic dysfunction other than the medications?

joymallow | @joymallow | May 13 12:04pm

Before my obstetrics emergency incident my Blood pressure was within normal.could the surgery contributed to the heart diz caused I lost so much blood

Debra, Volunteer Mentor | @karukgirl | May 13 12:55pm

Hello @jaymallow,
I join @JustinMcClanahan in welcoming you to Mayo Connect.
First I would like to say, OMGOSH!
I can't imagine what you must have gone through having a ruptured uterus! That must have been so very scary...and painful! I had terrible, miserable trouble with excess bleeding from fibroids, and had to have a hysterectomy...so I can't imagine what you must have gone through. I'm glad you survived and are here today on Connect.
You posted in the Hypertrophic Cardiomyopathy group, which is a specific condition, usually genetic, and I am wondering if you have had a chance to poke around Mayo Connect in the Heart and Blood disorder group?
I am NOT a doctor, so asking the questions you have, I would not be able to say for certain. I am doubtful blood loss could caused long term heart disease, but again, I am not a doctor.
May I ask if you have had a chance to ask these questions of your cardiologist? That is where I would start if I were you. You are so young and you must be very concerned about what you are facing right now...have you also considered a second or third medical opinion outside of your current medical community?

manuelpo | @manuelpo | May 13 4:54pm

I think a Cardiologist can answer that question more accurately than what I found online is this:
"Diastolic dysfunction is an early poor prognostic factor in hypertension and is a reversible condition. Early detection and treatment is necessary to avoid cardiac complications."
I hope this helps.