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Dr. Andrew Rynne

Family Physician

Exp 50 years

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My left ventricle is functioning at either 50% or 53%

My left ventricle is functioning at either 50% or 53% both of which are below average. I was also told I had an enlarged Aorta and I'm wondering what the next step should be. I'm getting conflicting reports from my VA health care team. I drank river water in Vietnam and was exposed to Agent Orange through our drinking water. I'm 65 and feel like I'm falling apart.
Fri, 28 Sep 2018
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doctor1 MD

Hi my heart s left ventricle diameter is 10.5 cm. My resting heart rate is 48 to 50 per min. I m 47 years old, 6 2 , 240 lbs workout at the gym weight lifting, I m muscular and always been active. Is my left ventricle s size too enlarged. I always known I had an enlarged heart, but always was told not to worry. So, I never paid attention to the size.

doctor1 MD

Hello, I would like international heart professionals to give me guidance and opinion on my infant son s heart issue. We experience numerous misdiagnosis and negligence in the healthcare area so any suggestions would be greatly appreciated. I was just told that my newborn son (12 days old) has respiratory problem. My wife had elevated sugar level on the week of the delivery. So she ended up in the hospital and had some insulin doses. She was also in controlled diet. When my son was born we were told that the baby had excessive breathing and we were asked to watch out for signs of blueness or abnormal breathing for a month and see if things will get better on his own. When we brought him home he started to have temperature of 101 so we brought him back to the hospital. They performed echocardiogram and found that baby has hole in his heart and may need surgery because of his issues in his heart. We took him to a heart specialist and did another round of echo. I have attached the results below. We were sent home and asked to monitor the baby. Once other reports are back the doctors will discuss the further actions. I don t know the details on that. Please help me translate below result. I just want to double check with international heart professionals before jumping into conclusion of performing a heart operation on an infant. Any suggestions would be helpful. Echocardiography Report -------------------------- M-Mode LV Function: Diastole     Systole LVID:     1.7 cm      1.1 cm IVS:     0.3 cm      LVPW: 0.3 cm EF: 66.0% --------------------------- M-Mode LA/Aorta LA:     1.7 cm AO:     0.9 cm --------------------------- Mitral Valve Study: E-Vel:     1.07 m/s.     E Grad:     4.5 mmHg A-Vel:     0.57 m/s.     A Grad: 1.3 mmHg E/A:      1 AML:     Normal PML:     Normal Mitral valve Score: Mitral Regurgitation: NIL -------------------------- Tricuspid Valve Study: Morphology:     Normal -------------------------- D-Mode Study TR Vel:     2.9 m/s      TR Grad: 33.0 mmHg TRICUSPID REGURGITATION: Gr-II -------------------------- Aortic Valve Study: Aortic Cusps:     Normal      D-Mode LV Ejection Peak Vel:     0.95 m/s. Peak Grad:     3.6 mmHg. AORTIC REGURGITATION: NIL -------------------------- Pulmonary Valve Study: Morphology: Normal D-Mode Study Peak Vel: 1.7 m/s.     Peak Grad: 13.0 mmHg --------------------------- PULMONARY REGURGITATION:     NIL IAS:      Deficient IVS: Deficient Pericardium:      No effusion seen Intracavitary mass:     Not Seen Vegetation:      Not seen Wall Motion Analysis:     No regional wall motion abnormalities ---------------------------- Other Features:      Situs solitus, Levocardia, A-V concordance, V-A discordance, Sub pulmonic VSD, 0.7 cm in size, bidirectional shunt, overriding of pulmonary artery to IVS by 50%, Mitral -pulmonic fibrous continuity absent, aortra arising from RV, Both great arteries lying in same plane, aorta is right to the PA, ASD/PFO present, bidirectional shunt, Mild TR with Mild PAH (estimated PASP: 33+10=43.0 mmHg), No PS, Dilated RA, RV and pulmonary artery, RVH, left sided aortic arch. ---------------------------- Final Impression:     Complex Cyanotic Congenital Heart Disease: Situs Solitus, Levocardia, Double Outlet Right Ventricle (DORV, Taussig -Bing Anomaly) with ASD/ PFO present, No PS ======================================= What does this all mean? Does this look like he has serious issue? Are we overreacting?

doctor1 MD

I have a Left Ventricle Hypertrophy (LVH) with measurement of 187 gm/m2 and RWT of .50. In addition, I have a moderate Mitral Regurgitation as well based on my 2D Echo. What would be my next step on this? Can the LVH and MVP be reversed? I also do have an asthma which recently is uncontrolled and I am very much dependent on nebulization. Can this be also a factor as to why I do have this mitral regurgitation and dilated LV? Thanks so much

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