Echo results.: Hi I have afib, not... - Atrial Fibrillati...

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Echo results.

Lupaal profile image
25 Replies

Hi I have afib, not usually too often but have had a few episodes this year. On all the usual meds. Have just been given an inhaler as hyperinflated patches were found on my lungs in a chest x ray. Anyway had the results of my latest echocardiogram yesterday and was wondering if you good people can interpret for me . Shows a non dilated left ventricle with normal wall thickness and preserved systolic function. Estimated ejection fraction of 65%. Right ventricle normal size with good function. No significant valvular abnormalities. Says a plan is already in place with arrythmia team. Basically that's extra bisoperol when in a fib. Thank you.

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Lupaal
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25 Replies
BobD profile image
BobDVolunteer

Basically you are fine in heart department.

Lupaal profile image
Lupaal in reply toBobD

Thank you. Wish they'd just write an explanation along with the results.

BobD profile image
BobDVolunteer in reply toLupaal

Ah but patents aren't supposed to know . That is why they use latin or greek names for things !

Buffafly profile image
Buffafly

Great result!

Bagrat profile image
Bagrat

My last echo before being discharged was reported to me by cardiologist as "more or less normal". I decided that would do.

BenHall1 profile image
BenHall1

Hiya Lupaal,

Nice result, real nice. I don't know how old you are now but I would have another Echo done in 2 years or so .... important to keep an eye on things over time. AF or no AF the EJ Fraction will deteriorate as a result of increasing age. Back in 2020 (aged 76 ) my EF was about 65%, two years later it was down to 62% - can't remember the present reading ( 80 in Sept 2024 ) think it was around 58 to 60. %.

As BobD says ................ your good in the heart department. Well done .

Lupaal profile image
Lupaal in reply toBenHall1

Thanks. I'm nearly 71.

Jonathan_C profile image
Jonathan_C

Adhere to the protocol or regimen with the inhaler so as to relieve the stress those patches in lungs have been causing on your cardiovascular system.

AmandaLouise77 profile image
AmandaLouise77

Normal EF is mid 50's to 65 so that's brilliant, everything else sounds good too. I wish mine was as good!

pusillanimous profile image
pusillanimous

I got a similar report on my annual echo a few months ago, but the Cardio finished off with the words 'From a cardiac point of few, she seems fine, treatment seems reasonable; - appeared to me like a veiled implication that she's as mad as a hatter! For comparison I'm 81!

Lupaal profile image
Lupaal in reply topusillanimous

Ha, ha. They wanted me to have the echo, I didn't ask for it .

Vonnegut profile image
Vonnegut

Bisoprolol, if that is what you were given, reduced your heart rate but does nothing for the irregularity which is the important part of our problem.

JOY2THEWORLD49 profile image
JOY2THEWORLD49 in reply toVonnegut

Hi

I recommend that heart rate and BP most important with arryhymia last.

When the meds control the heart rate they are effectively slowing down the irregular rhymn.

cheri Joy. 75. (NZ)

Vonnegut profile image
Vonnegut in reply toJOY2THEWORLD49

But as I’ve mentioned here several times before, the lowest dose of Bisoprolol was too much for me to take daily as it brought my heart rate down to the low 40s and I shouldn’t think I am the only one affected in this way! Flecainide (100mg twice daily) has kept my heart in order for well over a year now and my blood pressure is fine according to British levels, if not those in the US where the drug companies might have more power!!

JOY2THEWORLD49 profile image
JOY2THEWORLD49 in reply toVonnegut

Hi

If you have had an ablation causing low heart rate through scarring there is no turning back.

Some Drs home in on rhymn and others feel that rate getting it under control is most important.

At 186 and 156 control of h/rate for me also with an abnormal heart made Flex.... not an option.

Flex .. is a risky med. It can make AF worse.

Others say that its role diminishes as time goes on.

cheri JOY

Vonnegut profile image
Vonnegut in reply toJOY2THEWORLD49

Well, we are all different- I have not had an ablation and at 80, I have already outlived my parents and have no wish to make a century as I developed chronic fatigue with this heart condition following a virus.

JOY2THEWORLD49 profile image
JOY2THEWORLD49 in reply toVonnegut

Hi

I have fatigue as well.

What could it be ... my triage team Thyroidectomy blame Stroke with AF. Then the Cardiac blame the Thyroid issues.

I need to stop at exerting myself for a few seconds or minutes and then carry on.

But after the PET/CT scan Nuclear my thyroglubin went down from 1.7 to 1.1.

I was recalled in my 4th neck Scan for any recurrence of Papillary thyroid cancer in the tissues.

This time it showed a ring of 72mm calcification.

The CT scan showed 2 lymphs? with 7mm and 8mm ? cancer. Then another 19mm x 9mm is ?ed .

Because this area has never been imaged the Drs and Surgeon cannot compare them so I need to wait 6 onths fore a repeat CT Scan with contrast which has been scheduled.

Also in the PET scan my pituitary gland lit up and this Tuesday 11th June I have an MRI with contrast in our main base hospital.

I can drive for 1/2 hr do my shopping, errands drive home and fall asleep for an hour or two a couple hours later.

On Metoprolol I couldn't even exert myself without stopping to sleep.

On CCB Diltiazem the Day 60s H/Rate is great and makes my H/rate under control. Night is always 47bpm avge.

What would your guess be?

I keep my TSH at 1.7ish, T3 is 3.9-4.2, T4 total is 21-24.

My Mum lived until 93 but a UTI went undiagnosed in a nursing home and she was in bed for 10 days. I had flu so the 3-4 hr drive kept me anchored, The Home then the hospital rung. "You better get dwn here smartly your Mum has Renal Failure and her heart can't take it any more. She is semi-conscious.

I was with her, a painful end of life. They stopped the med and the saline drip. I watched her pass this world and gave her permission.

With my assistance she signed end of life as "if an organ fails please leave me" but "if I have an infection please treat it".

What is best?

cheri JOY

** I have a friend finally in hospital. been under assessment. They are sending her home today but she is 'unrealistic and thinking loopy". She refuses to take meds at home.

My diagnosis from her tests shows she has Cryptogenic Organising Pneumonia. It all started with flu like symptoms. This friend walks 12 km two days running a week up to then.

Lungs and Brain thinking are deeply connected. Must talk to the drs today. Antibiotics don't sure but steriods do.

Vonnegut profile image
Vonnegut in reply toJOY2THEWORLD49

Sorry!!Too much to cope with answering! A recent scan showed something nasty so I have a hospital appointment next week to find out what it is and what the docs propose to do about it.

JOY2THEWORLD49 profile image
JOY2THEWORLD49 in reply toVonnegut

Hi

Take care of number 1 .. YOU.

You can get back later V.

cheri JOY

Vonnegut profile image
Vonnegut in reply toJOY2THEWORLD49

My husband takes care of me and I’ll let you know what I find out on Thursday. “Thanks for your support” as the headmaster at the children’s school used to say to parents many years ago!

JOY2THEWORLD49 profile image
JOY2THEWORLD49 in reply toVonnegut

Hi

Thank goodness for a loving, caring husband.

At 38 mine laughed at the lump in my groin coming around the back of me having coming straight out of shower. Then after the indirect ingroinal hernia repair and hysterectomy (talked unto it by surgeon - a little longer wound) I had to have blood transfusions and I was left with 10" wide circle of bruising which he laughed at.

2 years later I left him.

And he had leukaemia at the time. He died at 61. He was 7-8 years older.

I go for my MRI Pituiary Gland tomorrow. Cross fingers.

You take care.

Cheri Joy 75. (NZ)

Vonnegut profile image
Vonnegut in reply toJOY2THEWORLD49

Poor you! Sounds like you’ve had a rough time. And on the other side of the world. I’d wanted to visit New Zealand but writing to you is the nearest I’ll get now. Just had a call from a lovely locum doc, passing through our surgery sadly, and she urged me to continue to finish the pack of statins I was given despite the fact that it says they are not suitable for people over 70 and I’m 80!!

JOY2THEWORLD49 profile image
JOY2THEWORLD49 in reply toVonnegut

Hi

On thyroxin I can only take Avorstatin to 20mg.

Before a blood test I will take them for 5 days prior to keep them happy. It does bring down your cholesterol. But high is over 10!

Reading up there is no way that they can measure choresterol. I read that. they do little for someone over 75.

cheri JOY

Vonnegut profile image
Vonnegut in reply toJOY2THEWORLD49

Interesting- I rang the company where a woman confirmed that the 20mg Avorstatin were not suitable for those over 70. However, the pharmacist who I consulted, told me that most people who take them are over 70 and he urged me to take them! I’ll carry on taking them hoping that the next blood test is fine and I can stop as I used to do with the red yeast rice capsules that I used to get when this cropped up but can’t find any more!

Ppiman profile image
Ppiman

Lucky you!!! 😊 Maybe now what they and you can do to preserve this important cardiac health. Some doctors see higher doses of beta blockers and blood pressure medicines (even with no hypertension) as doing this over the long term, for example.

Steve

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