Question 1

I'm really concerned about my father's heart condition. His report says the LVEF is 25, which I read somewhere is quite low, and theres mention of severe LV systolic dysfunction. The terms like "Grade mitral regurgitation" and "moderate pulmonary arterial hypertension" caught my attention. Can you help me understand what all this means? Also, what should we be doing next to manage or improve his heart health?

Accepted Answer

That seems to your father is at risk of serious cardiac disease with this report no need to worry its conservative management,follow cardiologist advice and reduce physical activity.

Question 2

My father is 66 and has been diagnosed with triple vessel coronary artery disease with 90% stenosis in his right coronary artery and 70-80% blockages in his LCX and LAD. He chews tobacco and occasionally smokes, plus he has diabetes and slightly high blood pressure. Doctors suggested either angioplasty or bypass surgery which option would be better for him given his condition?

Accepted Answer

For a 66-year-old with triple vessel coronary artery disease, 90% stenosis in the right coronary artery, and 70-80% blockages in the LCX and LAD, plus risk factors like tobacco use, diabetes, and high blood pressure, bypass surgery (CABG) is likely the better option compared to angioplasty with stenting

Question 3

It's been 4 years since my dad had an angioplasty, and he hasn't had any follow-ups. He just can't seem to quit chewing smokeless tobacco. I'm really worried if this habit could affect his heart again. He's also having some tooth pain lately but insists that there's no connection between tobacco chewing and heart issues or even toothaches. Is there a medical way to help curb his cravings for tobacco?

Accepted Answer

Your dad's continued smokeless tobacco chewing significantly increases his risk of another heart attack, as it raises blood pressure, heart rate, and cardiovascular stress, while also potentially leading to tooth pain, gum recession, and oral cancer; to help him manage cravings, consider consulting a doctor about prescription medications like nicotine replacement therapy (NRT), bupropion (Zyban), or varenicline (Chantix), or non-pharmacological approaches like counseling or support groups; regarding his tooth pain, insist he visits a dentist to rule out tobacco-related oral health issues.

I'm 25 and just got my 2D echo mvp report. It says mvp grade I trivial MR and normal LV function. Should I be concerned about anything here? What exactly does this mean for my heart health, and do I need to take any action or follow-ups?

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