- Male
- 37 Years
- 20/02/2025
I'm really struggling to understand my heart issues. For someone who's been dealing with heart problems for 34 years, it's tough to know what's happening. I have diastolic relaxation abnormality, and my TMT was mildly positive, but that was dismissed with a normal CT angiography. I often feel my heart skip a beat with a thud during exercise and even at rest. My exercise tolerance seems to be getting worse, and my heart rate jumps past 130 after just a few minutes of daily activity, though it calms to 60s bpm in the morning. I often feel dizzy, weak, and fatigued. The ECGs say I have LVH, but the echo says normal LVM. Can diastolic relaxation abnormality indicate heart failure? Is the ECG more reliable than the echo for identifying LVH? And should I be comfortable trusting the CT angio results? Any insights would really help clarify things for me.
Answered by 1 Apollo Doctors
- Diastolic relaxation abnormality does not necessarily mean you have heart failure, but it does indicate that your heart's ability to relax and fill with blood is impaired. It is a condition that can progress and should be monitored and managed carefully by your healthcare provider.
- The echocardiogram (echo) is generally considered more accurate for assessing left ventricular mass (LVM) and structure, so you can trust the echo results over the ECG for diagnosing LVH.
- A normal CT angiography report is generally reliable and indicates that your coronary arteries do not have significant blockages.
Given your symptoms of skipped heartbeats, exercise intolerance, dizziness, and fatigue, it's important to follow up with your cardiologist. They may need to reassess your condition and consider other diagnostic tests or treatment changes. Continuous monitoring and a thorough evaluation by your healthcare provider are essential to address your concerns and ensure proper management of your heart health.
Dr. Dr Khaleel Suggests...
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Answered 04/07/2025
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Diastolic Relaxation Abnormality and Heart Failure
- Diastolic dysfunction can indicate early heart failure, as it affects the heart's ability to relax and fill properly.
- Symptoms like shortness of breath and fatigue may suggest progression.
- Regular monitoring and management with your cardiologist are crucial.
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ECG vs. Echocardiogram for Identifying Left Ventricular Hypertrophy (LVH)
- An echocardiogram is generally more reliable for detecting LVH due to its detailed imaging.
- ECG can suggest LVH but may miss subtle changes.
- Discuss with your doctor which test suits your condition best.
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Trusting CT Angiography Results
- CT angiography is effective in evaluating coronary artery disease.
- It is accurate but can be influenced by factors like heart rate.
- Consult your cardiologist to interpret results and consider further testing if needed.
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Answered 10/09/2025
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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.