I feel like something is wrong, that I
shouldn't be this short of breathe and
have this much chest pain. Should we do
more testing? Is there treatment for any
of this or is this really nothing to worry
about? I made an appt with a cardiologist
but they can't see me for a month. I am
having trouble keeping up with the house
work and kids due to all this and this
isn't like me.
|
DoctorAnswer
Doctor Answer
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Heart Disease and Heart Attack Answer A3978 Posted: 04-23-08 14:04pm
According to the echo-cardiography report,
you probably have a kind of heart
disorder. According to your ejection
fraction, that heart disorder is still
well tolerated and does not cause heart
failure for now, but the condition may get
worse in time depending on its cause. You
didn’t tell me anything about the
valves’ condition and ventricles’
walls that are also checked with
echo-cardiography. Valvular defects
(stenosis or regurgitation) can cause
pathologic changes of the heart anatomy
and even heart failure in time. For
example: an enlarged right atrium can be
due to tricuspid valve regurgitation or
narrowing. Heart failure can be due to
various disorders that directly damage the
heart (infarct, congenital defects,
myocarditis, febris reumatica…) or to
disorders out of the heart (hypertension,
lung disorders…) that indirectly cause
pathologic changes in the heart’s
anatomy. For example: long term asthma,
that is not controlled well, can cause a
kind of heart failure (cor pulmonale) in
time.
Your chest pain can be due to narrowing of
the coronary arteries (arteries that feed
the heart muscle) but that has to be
proven with ECG, coronary stress test and
coronarography.
You should consult a cardiologist about
this.
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