AboutDavid Richardson Expertise Adult heart function and disease. Not very good about children lesss than 12. Hypertension is o.k. Heart rhythm a special interest.
Experience Certified in cardiology by the American Board of Internal Medicine. Was chairman of division of cardiology at the Medical College of Virginia. Am now mostly retired.
Organizations Fellow of American Heart Association and American College of Cardiology and member of American Physiological Society..
Publications Circulation, American Heart Journal, Hypertension.
Education/Credentials M.D. from Harvard Medical School. Residency training at Yale Uhniversity School of Medicine and Medical College of Virginia.
Awards and Honors Gold Heartt Award from American Heart Association in 1995.
Here is my recent echocardiogram at rest results dated june 15 2009
my age is 33 male non smoker and do sports
measurements RV (apical) 33 < 43mm , Aortic root 30 <37
Left Atrium 35 < 40mm, LV systole 26 25-40mm
LV diastole 45 35-57mm, Septum 10 <11mm,
Posterior Wall : 10 < 11mm,
1) Normal LV cavity diameter, No left ventricular hypertrophy. Grade 1 left ventricular function. EF=71%. Normal diastolic filling. E/A: 1.16
2)Normal trileaflet aortic valve. Trace aortic regurgitation.
3) Normal mitral valve morphology. Trace physlolgical mitral regugitation.
4) Normal pulmonary valve. Trace pulmonary insufficency. Normal tricuspid valve. Trace physlological tricuspid regurgitation. RVSP= 23mmhg. Mild pulmonary hypertension.
5) Normal left atrial size , normal right atrial size. Normal right ventricular size and function. Trace precardial effusion.
6) No echocardiographic indication for antibiotic prophlaxis.
Summary:
Normal Study
From this report what can you tell me or advice me, and what is my possibility of having a heart problem or diseasr or cornary arteries, because recently i have short of breath numbeness pain and bruise behind breast bone tired not excercising like before...etc.
Is there any connection between my report and my symptoms.
I also had recently like 40 days ago high blood pressure and taking atacand 16 mg but sometimes my blodd pressure goes to 90/ 59 or 100/ 70 and sometimes 115/75 and 108/77
When i went to the ER also 40 days ago they did 2 side x rays and blood work and ekg at rest they all came normal sinus rhythm and heartrate: 75 bpm.
My family doctor also asked me for a urine and blood test 3 or 4 weeks ago and al came normal.
I also did in Dec 2008 a stress ecg exam my hr: 85 bpm at rest and bp: 128/82 ECG Normal
Stress Data Protocol Bruce , Duration 12 minutes
Maximum HR 165 BPM Maximum BP 152/80
Target HR: 88%
Symptoms : None
Negative stress ECG
There were no significant ST segment changes over baseline during excercise.
From all those exams what can you say about my case , they always when they dont find anything they say anxiety which is not true, i still have short of breath and fatiogue loss of apetite ...etc and i still did not get yet my holter and louper results.
What should i ask my doctor to do next for me because my situation did not change really , is there anythign they ignored in my reports that might cause me all this. Do i ask for Cath now or what shall i do. What could the cause be.
Thank you
Answer Your heart is normal. Clogging pf cpronary arteries is very rare under age 45. Seems like anxiety to me, the fatigue, loss of appetite and shortness of breath cannot be from your heart, which is pumping normally. Your chest pain might be chostochondritis, a nuisance but no threat to life or health. See file:///%20Cardiology%2012:07/%20Cardiology%2011:07/Chest%20Costochondritis.webarchive
Are you depressed, crying, considering suicide, sad all the time? If so, tell your doctor about that. Depression would explain the fatigue, loss of appetite and shortness of breath.
This is all the help I can offer. I'm just a heart doctor and your heart is normal.
