Brief Answer:
Mild muscle weakness, otherwise good heart function

Detailed Answer:
Hello,
Thank you for your query.
I'm Dr. Shuba Hariprasad and will be answering your query today.

-do you have e hypertension, diabetes, high cholesterol? What medications are you on?
-do you smoke or consume alcohol?
-any other medical issues?

Your echocardiogram report :

- Coronary artery disease : this means that the blood vessels that supply your heart muscles has some degree of block which is causing your heart muscle to function at suboptimal levels.

- normal chamber dimensions : all your hearts chambers are of normal size

-mild AR /TR- this means that there is minimal back flow of blood through the valves that transmit blood from the upper to the lower chambers of the heart. It is mild and doesn't need specific treatment. It is commonly found in the elderly and those with heart disease

-normal PA pressure : pressure in your lungs are normal

-concentric left ventricular hypertrophy (LVH) : thickened left ventricular muscle. The left ventricle is the chamber that pumps out blood to the rest of the body. Thickened muscle here indicates that it has had to do extra work to pump the blood, for instance in hypertension (increased blood pressure)

-regional wall motion abnormality (RWMA) present :when blood supply to the heart is affected, part of the muscle that is compromised starts to become weak. This shows on the Echo as a movement abnormality.

-borderline left ventricular (LV) systolic function - 55% :this indicates the pumping capacity of the left ventricle. Normally it is 60-75%.
It reduces with heart disease and other associated illness.

As you have already undergone a bypass surgery and your heart condition is stable now, please follow your doctor's advice and continue medications and lifestyle modifications.
This echo only shows that there was something that affected the heart and is on its way to recovery.
An ejection fraction (EF) of 55% is borderline but is good.
A comparison with a previous echo and details of your bypass surgery will allow me to help you further.

Hope this helps. Please let me know if there is anything else I can help you with.
Wish you good health

Regards,
Dr. Shuba Hariprasad

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