I'm a bit worried about my dad. He's 61 and has been dealing with diabetes and thalassemia. He had surgery for a blockage about six years ago, and now he's been feeling really fatigued. He just got a 2D echo done, and the report says RWMALVEF 50. Should I be concerned about these results? Is it something dangerous or is this considered normal given his medical history?

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Dr Chandra P

General Practitioner

MBBS
5+ Yrs

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Patient's 2D echo report showing impression of Regional Wall Motion Abnormality (RWMA) with Left Ventricular Ejection Fraction (LVEF) of 50% indicates a decreased heart function. This can be concerning and may require further evaluation and management. To improve heart function and address fatigue, the patient can be prescribed medications like Carvedilol 6.25 mg twice daily and Lisinopril 5 mg once daily. Additionally, the patient may benefit from Aspirin 81 mg daily for cardiovascular protection. Regular follow-up with a cardiologist is recommended to monitor the condition and adjust treatment as needed.

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Answered 25/07/2025

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