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Suffer from chest pain due to stress. Ischemic heart disease, segmental hypokinesia and mitral regurgitation found in the color doppler test

hi! my name is harish my dad had recently chest pain, i took him to the jayadeva institute of cardiovascular ,
there they did 2d-echo cardiograph and color Doppler test
conclusion is given;
ischemic heart disease
lv segmental hypokinesia
mildly reduced lv function (EF-47%)
trivial mitral regurgitation
sclerotic aortic valve with trivial AR
no obvious clot
this is the result, now what should i do?
his symptoms seen is stress , tension and cholesterol
sir what is the best treatment for him to undergo please help me!
Asked On : Mon, 22 Apr 2013
Answers:  1 Views:  86
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General & Family Physician 's  Response
Hello, and welcome to Healthcare Magic!

Your father has had some rather abnormal test results. I will try to explain them as best I can.

The human heart is essentially a muscle. Ischemic heart disease means that part of the heart muscle is receiving less blood flow than it needs. Most often this is caused by narrowing of the coronary arteries (blood vessels whose job it is to bring blood to the heart muscle). This condition is called coronary artery disease, or CAD. CAD can be caused by high cholesterol, blood pressure, smoking, diabetes, family history, and other causes.

"Reduced LV function" means that the most important of the four chambers of the heart is not "squeezing" as well as it should. The ejection fraction (or EF) should be 60-65%. 47% would be considered by most cardiologists to be "mildly decreased" from normal, meaning he has "mild systolic congestive heart failure".

As for what you should do: first he needs to be regularly seen by a doctor. He can prevent further damage to his heart and even reverse some of the current damage by stopping smoking, lowering his cholesterol, losing weight, lowering his blood pressure, avoiding ilicit drugs like cocaine and methamphetamine, decreasing alcohol consumption, etc. Here is a very helpful website where you can read more about this complicated, broad topic:

His doctor will recommend a number of medicines to help with the above problems. One that he can begin taking right now is a baby aspirin (81mg) daily. Aspirin helps thin the blood and keep clots from forming in the coronary arteries. If your father has a history of a stomach ulcer or blood in his stools he should wait and talk to the doctor about whether or not the aspirin is a good idea.

I hope I have provided you with helpful information, and I wish you the best of health.


Dr. Kinney
Answered: Mon, 22 Apr 2013
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