Goldy, yes you are really uninformed without the actual echocardiogram. Not the summation sent to your PCP or maybe yourself. You need the actual test data. There is so much information on an echo data sheet. It is your current heart status
and is unadulterated.
This information is sometimes withheld on purpose, because the doctors do not want you to be worried about anything abnormal on the test. They try to contain your emotions and limit your worry and stress. That is all well and good for some patients, but you are proactive and take responsibility for your health.
I have diastolic dysfunction with preserved ejection fraction, which means that my left ventricle does not fill properly during the diastolic phase. My left ventricle end fill pressure is high (LVEDP). A cardiac cath 3 months ago showed an LVEDP of 24 mmhg. Diastolic dysfunction is diagnosed when the LVEDP is > 20 mmhg.
I believe it is diastolic failure, but my cardio corrected me....Due to these excessive fill pressures, my left atria has enlarged as shown on my last echocardiogram, about 3 weeks ago. I have mild reverse blood flow (MVR, or mitral valve regurgitation) into my pulmonary vein i.e. blood from my pulmonary vein is fresh, oxygenated blood that should be going to and through and being pumped by my LV
and onto my body. Of course this reverse flow volume is to low to cause me to pass out or otherwise check out, but it flows against the fresh blood coming from my lungs and causes pulmonary edema, due to turbulent, regurgitant blood flow. The pressure in my PV is also elevated due to my high LVEDP. I take Lasix for the PE.
CHF can be caused by either right or left sided heart failure and either condition, after an extended period of time and not responsive to treatment, will cause both sides of the heart fail.
I have shortness of breath, zero energy and my legs, ankles and feet ache and swell. Ankle/leg edema is more often associated with right sided heart failure. I do not understand it unless it is venous insufficiency or PAD.
If I piddle pretty hard for a day, it takes 2 or 3 days to get over it. I am also having lots of muscular pain, but I have FM and CFS....I think I told you earlier that I am having MID-CAB bypass surgery evaluation 9/21. Maybe this will get me going. I found out yesterday that I have early stage macular degeneration. Smoking and a way too stressful job wrecked me.
I wish you the best