LV Dysfunction grade 2
My Mother was admitted to hospital 3 months back with complaint of numbness of right side of body, she was not having any problems till the day except Hypertension from a decade. Doctors told due to high sugar and BP, she got mild stroke due to left PCA territory infarct and is suffering from right sided hemiparesis. Now she has numbness only on stomach,face nad palm on right side. During hospitalization they did 2d echo, we came to know the she has grade 2 lv diastolic dysfucntion with LV EF 28%(concentric LVH).She was asymptomatic till that day and a working woman who manages office and household work effectively. Is grade 2 Lv dysfunction is a very serious problem. Can angiogram be performed her while she is suffering from numbness (due to diabetic neuroptahy). Does she need surgery. Can EF be increased with medicines. She is taking below medicines: cardace 2.5 - 8:00 AM & 8:00pM dytor plus - 8:00AM storvas 80mmg - 8:00pM clopitab -2:00pM Gabapin NT- 8:00 AM & 8:00pM
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She has EF 28% means severe LV systolic dysfunction. It means heart pumping function is reduced when heart is not pumping is low there is stagnation of some blood in heart and the blood clots are formed which get travelled in circulation to brain and produced stroke. It is called cardioembolic stroke. Management wise she will require coronary angiogram after neurological green signal and further management. Also we give drugs to reduce volume overload and pressure overload on heart. Generally diabetic patients with low EF have multiple blocks in coronary arteries or the heart muscle is week as cardiomyopathy. Follow your cardiologist and neurologist instructions.
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