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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Health Of Heart And Medication To Improve

i aged 64 yra ; 5.5 cms ;87 k.g and under went byepass heart surgery ,replacement of mitral valve cms with tissue valve in 2007.-- l a -- edd-5.4cms ;esd-3.7cms ;ef-58% ;pw-3cms;edv-ml;esv-ml;ef% doppler --mild tr-jetvel-3.2m/sec ;mild ar ;pr ppg-34mm,g ;ppg-41mm;rvsp-mmgh ;mvg ppg-14mm;;mpg-4mm.g;pbf-1.3,/sec ;avg ppg 57mm/g mpg-37mm.g;vii-102 cms. other findings are hypokenesiaof interor wall. pl cna you go through the above and inform my heart position and medicines.
Thu, 16 Feb 2017
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Cardiologist 's  Response
Hi There

After going through the details provided it seems like you have underwent CABG with MVR probably you had an inferior wall MI with MV pathology severe enough to be considered for replacement at the time of CABG. Luckily your ejection fraction (ef) is still good (58%) which means that your heart is pumping adequately, rest it seems u have a moderate PAH as your RVSP is 44mmhg which means your right heart valve which is tricks pis valve is leaking to a certain extent which can be taken care my medicines like diuretics. your EDD which means end diastolic dimension and ESD both are within normal limits meaning your Left a ventricle is not dilated and is in good condition.
overall it's good. rest regarding your medicine query I personally wants you to take them as advised by your cardiologist.

wish You Good Luck
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Suggest Health Of Heart And Medication To Improve

Hi There After going through the details provided it seems like you have underwent CABG with MVR probably you had an inferior wall MI with MV pathology severe enough to be considered for replacement at the time of CABG. Luckily your ejection fraction (ef) is still good (58%) which means that your heart is pumping adequately, rest it seems u have a moderate PAH as your RVSP is 44mmhg which means your right heart valve which is tricks pis valve is leaking to a certain extent which can be taken care my medicines like diuretics. your EDD which means end diastolic dimension and ESD both are within normal limits meaning your Left a ventricle is not dilated and is in good condition. overall it s good. rest regarding your medicine query I personally wants you to take them as advised by your cardiologist. wish You Good Luck