Impaired left ventricular relaxation /normal filling pressures-whatever that means

[Iamfuzzyduck]

So I had an echo yesterday ordered by my cardiologist after I went to see him to ask for propranolol because my nurse navigator from my EP's office is weird about prescribing propranolol. I had an ablation in April. My cardiologist wants to rule out pulmonary vein stenosis following the ablation because I have had an uncomfortable feeling during high cardio and I gave up telling my nurse navigator a couple of months ago and only casually mentioned it to the cardiologist who actually listened! The Echo results say I have an impaired left ventricular relaxation but everything else is normal, my prior echo did not show this. I won't see my cardiologist until after the CT scan which will be sometime in the future. Just wondered if anyone knows what this is?

Thanks

[SeanJax]

it is diastolic dysfunction. It is the cardiologist domain since it impacts the cardiac muscle. Please see with him. As long you do not have clinical signs of heart failure your are ok. Also repeat the echo since it is technician dependent later in a year or two. And propanol is the good treatment since it slows down the heart rate allowing the heart to fill in the blood. And exercise is paramount in diastolic dysfunction.

[Iamfuzzyduck in reply to SeanJax]

Thank you! Hopefully I can exercise safely!

[Ppiman]

There is something on the internet about this. I gather it is when the ventricle wall fails to fully relax in time and can cause an increase in the ventricular pressure, but whether this is relevant, only your cardiologist will know. Echo scans are not the clearest I gather so he may put it down to that. The gold standard scan is a cardiac stress MRI but whether this is called for only the doctor can decide.

My experience of these things is that they settle and all is well.

Steve

[Iamfuzzyduck in reply to Ppiman]

Thank you, so I won’t panic yet! I have never had any kind of stress test which is strange because I do high cardio and I have no idea if it is good or bad for my heart. Thanks for your response!