Hello doctor, As I am feeling tired of walking, my company doctor suggested for ECG, and it showed no abnormality, after which he suggested going for ECHO. The ECHO report shows as follows, ECHO diagnosis RWMA, trivial MR, grade I LV diastolic dysfunction, no pericardial effusion or clot. Now doctor had advised me to for angiography to see the exact one. Please advice.
Hello. I have gone through your reports (attachment removed to protect patient identity). In ECG, there is RBBB (right bundle branch block), and ECHO shows RWMA (regional wall motion abnormality) and mild LV systolic dysfunction. There is a mild cardiac dysfunction, so you should undergo coronary angiography rather than CT as there is evidence of blockages on echo. We must address those blockages to prevent further decline in heart function. Your medicines are fine, but it would be better if you can request your doctor to add beta-blockers like Metoprolol to improve the heart function. Also, your sugars are entirely uncontrolled, which has played an important role in causing these blockages. So, sugars should be well controlled. Continue to have daily walking or brisk walking. Low calorie and a low oily fatty diet. Also, you should start regular medicines like Aspirin and Statins and have it without default. So overall, it is better to go for coronary angiography. If you do not want to undergo any significant angiography then alternatively you may have CT coronary angiography which if shows abnormalities then finally will need coronary angiography. I hope this helps you and get back if you have any doubts.