- male
- 61 Years
- 20/02/2025
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?
Answered by 1 Apollo Doctors
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.
Dr. Chandra Suggests...
Consult a Cardiologist
Answered 25/07/2025
0
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View allI'm feeling pretty concerned about my wife's situation. She's 32 years old and she's had two abortions in the past. She's currently 23 weeks into an IVF pregnancy. Before getting pregnant, her echo was normal with an EF of 67, but now it shows Grade 1 diastolic dysfunction with an EF of 57, though everything else seems alright. She's experiencing mild breathlessness during activities like bathing. Her blood pressure reads 12490 on the right and 12084 on the left. I'm wondering if I should consider starting her on Labetalol. Is this something we should be worried about?
Considering your wife's medical history and current condition, it is important to address the diastolic dysfunction and high blood pressure to ensure the well-being of both your wife and the baby. Labetalol is a suitable choice for managing hypertension in pregnancy. I recommend starting your wife on tab. labetalol at a dose of 100 mg twice daily initially, with close monitoring of blood pressure. The dosage can be adjusted as needed based on her response. It is essential to continue monitoring her symptoms, blood pressure, and cardiac function regularly throughout the pregnancy. Additionally, it would be beneficial for your wife to follow up with her obstetrician and cardiologist for further evaluation and management of her cardiac condition during pregnancy.
Answered by 1 Apollo Doctors
I'm 32 and my blood pressure readings came out to be 14890. Is that within the normal range, or should I be concerned? I'm not diabetic, so I'm wondering if I need to see a doctor or if there's something I should do on my own. Could you advise me on this?
it is high consult doctor
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.