My echocardiogram shows diastolic dysfunction . the cardiologist i saw today said no worries comes with age. i'm 60. my ekg showed silent mi?

Diastolic dysfunctn: Actually diastolic dysfunction is not normal at any age, as shown by several recent studies. The most common cause of heart failure as people get into the very elderly years is diastolic heart failure. Imagine a closed pumping system which needs some suction activity to fill itself prior to pumping - when the heart gets stiff, it loses that function.

Not clear: Diastolic dysfunction is a stiffening of the heart that one experiences with aging, especially if one had high blood pressure or diabetes or being overweight. There is no specific treatment other than exercise and control the above risk factors. If the ECG showed a silent infarct, one has to take into account the infarct location and your symptoms. You may need a stress test if you have symptoms.

Depends on symptoms: If you have diastolic dysfunction and have shortness of breath, particularly with exertion, then it can be something to be evaluated and possibly treated. The echo can give a clue but a heart cath is frequently needed to really know how bad it is but won't be done unless you have significant symptoms.