Doctor insights on:
What Does The Echocardiogram Not Tell You About Your Heart
Many things: Congestive heart failure leads to back up of fluid in lungs and difficulty breathing. Sometimes congenital heart disease causes too much blood delivered to lungs and again respiratory problem. If diffuse lung disease heart has difficulty pumping blood to lungs for oxygenation which can result in heart failure. If blockage of heart delivering blood to lungs, blood not oxygenated and cyanosis. ...Read moreSee 1 more doctor answer
Limited utility: The electrocardiogram is only a small part of a cardiac evaluation. For specific questions, such as the heart's electrical rhythm, the ECG is reliable. For other questions, it can have errors in both ways. In other words, the ECG can be abnormal when the heart is normal or the ECG can be normal when the heart is abnormal. ...Read more
Labs and kidneys: A full blood work up can give an idea of your estimated GFR and which is derived from your BUN and creatinine levels. If you have advanced chronic kidney disease (ckd) you will find an elevation of bun, creatinine, parathyroid hormone and phosphorous levels. You may also find a low calcium and hemoglobin levels. If these are found, see a nephrologist for further work up. ...Read more
Left Ventricle: When the left ventricle is pressure overloaded the muscle hypertrophies(overgrows)and this causes the fibers to get less nutrient from the vessels and gradually demand outruns supply and the muscle malfunctions. With volume load the fibers get overstretched and eventually lose contractility. There are also mixed forms of the two kinds of load. ...Read more
Can an echo see pulmonary hypertension? If not, what does and what are the symptoms? Thank you in advance
Ventricles: It could mean a small hole between the two ventricles or large hole, or it could be a smaller then normal left ventricle. ...Read more
Not satisfying: I know my answer won't be satisfying to you, but "non-specific st-t wave changes" mean exactly what they sound like. The ekg has changes that are abnormal but are non-specific, ie they don't diagnose anything. For example, sometimes you don't feel good. You can't describe what's wrong - something is wrong but the problem is "non-specific". You just don't feel normal. ...Read more
My ef is 25%, what does this mean? Can you tell me what do you mean by dilated cardiomyopathy due to rheumatic valvular heart disease? Thanks.
Cardiology: Ejection fraction is the percentage of blood in the left ventricle that is removed with each contraction. 65% is considered normal. 25 is a low number and implies a weakness of the left ventricle that is usually referred to as a cardiomyopathy. Dilated cardiomyopathy is when the wall thins out and the ventricle gets large like a thin ballon. It can be caused by many conditions. ...Read moreSee 1 more doctor answer
Bascially two tests: For your heart are electrocardiogram (ekg) and echocardiogram. The first tests the electrical conduction of your heart, the latter tests the mechanical function of your heart. Ask your doctor, but neither test is necessary at your age if you are not having symptoms. ...Read more
Do doctors check your heart regular checkups like how do they know if something is wrong can explain how they check your heart thank you doctor?
Symptoms, exam, test: A good doctor should talk to you about how you feel. If you have symptoms of fatigue, shortness of breath, palpitations, light headedness, or chest pain, they should examine you to gain additional data. Experience and clinical acumen can the help them pick the appropriate tests to make a diagnosis. If no symptoms, and exam is normal, your heart is most likely fine. ...Read moreSee 2 more doctor answers
See below: There are different types of congenital heart disease, some require complex surgeries to be corrected. Only a minority of patients with congenital heart disease need a pacemaker as there are only a few that can be associated with an increase in heart block. Also, there are patients who are born with congenital heart block. These patients eventually require a pacemaker. ...Read more
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