Hi doctor, I am a 59 year old male. My weight is 230 kg and height is 5'11". I am suffering from high blood pressure for the last 15 years. I am taking Metoprolol and a combination of Triamterene and Hydrochlorothiazide. I had an echocardiogram before four years. It was mostly normal except for enlarged LA 52 mm and moderate mitral regurgitation. Last year, I had an echo, and the numbers had not changed much. I still had moderate regurgitation, but it showed diastolic dysfunction grade 2 and mild enlarged left ventricle 58 mm. I do exercise and walk for five days a week and have lost some weight, but I am worried about my test results. Nothing was explained much, so I am trying to make sense of this. My EF is 60. I have attached my reports for your reference. There are no regional wall abnormalities. Please explain the condition of my heart. Thank you.
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