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Had episodes of suddenly waking up from sleep, difficulty breathing, pressure in chest, racing heart, sever pain in back. Done ECHO. Should I be concerned?

Echo showed left atrium mildly dilated, mild mitral annular calcification , aortic root sclerosis/calcification, mitral valve inflow pattern shows mild LV relaxation, and mild concentric LVH . I have been having a few times when I wake up from my sleep, difficulty breathing, pressure in chest, racing heart, sever pain in back. Should I be concerned with any of this.
Asked On : Tue, 1 May 2012
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Cardiologist 's  Response
Hi friend,
Welcome to Health Care Magic

The symptoms suggest left heart failure...
An ECHOcardiogram alone may not clarify the issue.
You may need further investigations -      
TMT – Treadmill exercise ECG; may be with thallium isotope – is necessary to evaluate ischemia (reduced blood flow / Coronary Artery Disease)
     HOLTER (24 to 48 hour ambulatory monitoring) is done to analyse and plan for further management, if a routine ECG does not show. It may also detect silent (no symptom) ischemia.

The treating doctor can suggest based on his assessment of the situation.

Take care     
Wishing speedy recovery
God bless
Good luck
Answered: Mon, 12 Aug 2013
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