Diastolic dysfunction grade 1

Can anyone help I have diastolic dysfunction grade 1, ectopics, pvcs, top and bottom of the heart. I have been in hospital with tachycardia a few times. I am having breathlessness upon exertion. I am having no treatment. I do get pain as well. Any advise on the best way to handle it. Doctor says grade 1 is of no significance!

[patch14]

It may be of no significance to the Dr but it is to you!!!! Are you on any medication for the pain? Is the Dr concerned your cardiologist or your GP? If it is the cardiologist then go to your GP and ask if you can see another specialist. If it is the GP then see another GP in the same practice or go to another practice. A second opinion is your right. Best wishes.

[sandybrown]

Hello,

Please go to your GP or cardiologist to explain below from the Internet, Internet information is only a guide line! do you have high blood sugar or high blood pressure?

GRADE 1 DIASTOLIC DYSFUNCTION

The grade 1 diastolic dysfunction is a mild condition that can also be termed as the early stage of diastolic dysfunction. There are no clinical signs of grade 1 diastolic dysfunction symptoms in many patients

As such it often goes undetected until it reaches a higher grade.

Its diagnosed by echocardiogram and each grade has its own diagnostic features shown by that test.

In the case of Grade 1 it is common to record reversal of the E/A ratio.....that is...On Echocardiography, the E/A ratio is the ratio between early (passive) filling of the ventricle during diastole, and late (due to atrial contraction). With diastolic dysfunction, a larger part of the filling volume is due to atrial contraction hence diastolic dysfunction.

TREATMENT.

There are no specific drugs used to treat this condition, the treatment will as is common with a lot of heart diseases depend on the cause.

The diastolic dysfunction treatment is generally aimed at treating a cause like diabetes, high blood pressure, etc. that leads to a stiff ventricle. Calcium channel blocker drugs may be used to reduce the stiffness in ventricles.

Diuretics are used in case of pulmonary edema

[Hidden in reply to sandybrown]

Hi Bala thanks for answering. No I don't have diabetes and I have always had low blood pressure. I sometimes have a marked difference in BP in both arms, but I had a angiogram and my arteries were fine. Had an adenosine stress test lying down which had to be stopped because BP crashed after 8 seconds. Showed some ST depression.

[Hidden]

Hi, thanks for answering. I am no longer under a cardiologist. I just keep putting up with it but it is getting worse. I am not the sort that likes to push. The breathlessness is affecting me . The heart races like mad when I move. I do have a GTN spray in the house but am scared to use it. Silly I know!!!!

[sandybrown]

Hi,

I was not pushy until four years ago!. GP practice left a blood test results message on my home answer phone.

Blood test showed high blood sugar and high cholesterol. Since that time I had blood test every six months, echocardiogram, 12-lead electrocardiogram. Most of it is under control by life style change and going to gym regularly. I am afraid you need to push your GP for Blood tests regularly and may be a 12-lead electrocardiogram.

Make an appointment to see your GP, write down all your questions and answers for future reference.

Because of my good results my family members are now on a life style change and also gym members!

Good luck

[sindy]

hi,

what is diastotic dysfuntion grade 1?

[Hidden in reply to sindy]

Hi Sindy, really sorry can't explain it. I am just trying to learn myself. All I know is that the blood doesn't pump through enough and in my case it is the left ventricle. I think the walls stiffen.

[Hidden]

This from "Wilkpedia" The mildest form is called an "abnormal relaxation pattern", or grade I diastolic dysfunction. On the mitral inflow Doppler echocardiogram, there is reversal of the normal E/A ratio. This pattern may develop normally with age in some patients, and many grade I patients will not have any clinical signs or symptoms of heart failure.

It is, I suppose, good that we are much better informed today but sometimes a little knowledge can be dangerous and cause unnecessary worry and stress. I would trust your doctor and just bear the result in mind for future reference if symptoms worsen (if you had any in the first place), It could have been an "incidental" finding when you were being investigated for something else.