Most likely diagnosis is hypertensive heart disease, since E/A <1 also indicate grade I diastolic dysfunction. 2nd most likely diagnosis is 3-vessel coronary artery disease with balanced ischemia (global hypokinesis). 先去做一个stress test (stress echo, nuc, coronary CT), 现在不需要去做angioraphy, 如果stress test positive then angiography. Start a beta-blocker (metoprolol, carvedilol, bisoprolol) and ACE-inhibitor (lisinopril). If still having symptoms start MRA (Spironolactone). Need a cardiologist for follow up. If next echo shows EF<35% then need ICD. Need EKG to see if QRS >140 and if there is left bundle branch block, if so need Bi-V pacing. 如果不是贫血性心肌病，那就高血压好好控制，吃上些药物，very like yo recover.
Most likely diagnosis is hypertensive heart disease, since E/A <1 also indicate grade I diastolic dysfunction. 2nd most likely diagnosis is 3-vessel coronary artery disease with balanced ischemia (global hypokinesis). 先去做一个stress test (stress echo, nuc, coronary CT), 现在不需要去做angioraphy, 如果stress test positive then angiography. Start a beta-blocker (metoprolol, carvedilol, bisoprolol) and ACE-inhibitor (lisinopril). If still having symptoms start MRA (Spironolactone). Need a cardiologist for follow up. If next echo shows EF<35% then need ICD. Need EKG to see if QRS >140 and if there is left bundle branch block, if so need Bi-V pacing. 如果不是贫血性心肌病，那就高血压好好控制，吃上些药物，very like yo recover. Littleman18 发表于 2020-10-05 16:40
Most likely diagnosis is hypertensive heart disease, since E/A <1 also indicate grade I diastolic dysfunction.2nd most likely diagnosis is 3-vessel coronary artery disease with balanced ischemia (global hypokinesis).先去做一个stress test (stress echo, nuc, coronary CT), 现在不需要去做angioraphy, 如果stress test positive then angiography. Start a beta-blocker (metoprolol, carvedilol, bisoprolol) and ACE-inhibitor (lisinopril). If still having symptoms start MRA (Spironolactone).Need a cardiologist for follow up. If next echo shows EF<35% then need ICD. Need EKG to see if QRS >140 and if there is left bundle branch block, if so need Bi-V pacing. 如果不是贫血性心肌病，那就高血压好好控制，吃上些药物，very like yo recover. Littleman18 发表于 10/5/2020 4:40:39 PM
正常60-65
谢谢。 下一步需要做什么呢？ 现在人看起来好像没事似的。
查了一下，应该是吧。国内的医生说是心脏造影。不过说这个造影也有风险。让现在决定要不要做。
先去做一个stress test (stress echo, nuc, coronary CT), 现在不需要去做angioraphy, 如果stress test positive then angiography.
Start a beta-blocker (metoprolol, carvedilol, bisoprolol) and ACE-inhibitor (lisinopril). If still having symptoms start MRA (Spironolactone). Need a cardiologist for follow up. If next echo shows EF<35% then need ICD. Need EKG to see if QRS >140 and if there is left bundle branch block, if so need Bi-V pacing.
如果不是贫血性心肌病，那就高血压好好控制，吃上些药物，very like yo recover.
血管造影是看冠状动脉有没有堵，堵了就要上支架搭桥。
血管造影没有多大危险， 从手臂大腿动脉伸入一根管子到心脏附近注射染色剂。
不放心做CT血管造影，没有创伤。
非常谢谢！
谢谢！！