Originally Posted by optimist324
I have just been diagnosed with dilated cardiomyopathy (familial?) EF now up to 35% my family doctor just gave me a copy of the letter the cardiologist sent him and it said" EF 35% with pseudo-normalized diastolic function", can anyone tell me what that means? Follow up in 1 year advised.
The skinny version to your questions. Dialated cardiomyopathy is an enlarged ventricle usually due the result of the heart compensating and overworking for a deficiency within the circulation system.
Psuedo...is a condition that relates to the pressure gradients and stroke volume within the left side of the heart. If the left ventricle muscle is stiff, there will be an increase in pressure, and an impaired rate of relaxation during the filling of blood stage. The increased pressure is the heart compensating and the left ventricle will enlarge (cardiomyopathy).
There are 3 classifications for LV dysfunction with progression from impaired relaxation (mild), "psuedonormalization" (moderate due to an increase in LA pressure), and restrictive (severe, remarkable increase in LA pressure).
Sometimes the condition is due pericarditis when the outer layer of the heart becomes inflamed and thickened reducing the elasticity of the chamber. For this reason or some other reason the result can be the inablity of the heart's stroke volume of blood to meet the system's oxygen demand. Worst-case scenario!!! EF will be at the 29% level or below.