Heart Information Center
 
Ask a Heart Doctor
  Back to previous page

 

Help us improve this service.

Your feedback will help guide us in developing this site.

Ask a Texas Heart Institute Doctor 
Informed patients make better patients.

Question:

How is left ventricular diastolic dysfunction (LVDD) treated? 

I have been recently diagnosed with trivial/mild mitral valve regurgitation (due to annular calcification) and left ventricular diastolic dysfunction (stage 1). I am currently taking Crestor 20 mg, Coversyl 2 mg, and Aspirin 325 mg. I have impaired glucose and taking 500 mg Metformin twice a day. I would greatly appreciate if you could advise me on how LVDD is aggressively treated.  Can the LVDD be reversed?  Any additional info would be appreciated.  Thanks very much in advance. 

submitted by William from Toronto, Ontario, Canada on 7/23/2013

Answer:

by Texas Heart Institute cardiologist, Patrick J. Cook, MD  

Patrick J. Cook, MD I'm not sure what Coversyl is. Diastolic dysfunction, or as it is more commonly called "heart failure with preserved ejection fraction", is difficult to treat. There are certain echo parameters that are often seen with it. It can be seen with CAD [coronary artery disease] or with HTN [hypertension]. It  is commonly seen in elderly women. It is important to make sure the patient stays in sinus rhythm if possible, or, if they can't be kept out of afib [atrial fibrillation], at least control the rate. ACE inhibitors or ARBs are often given, but there is little evidence of efficacy. If fluid overload is a problem, diuretics are used, but BP can plummet if a patient is over-diuresed. If there is no "reversible cause" like CAD, therapeutic options are limited. .

See also on this site:   

Has your question or a similar one already been answered?
Search all the Heart Doctor questions and answers.

To search for a doctor or access St. Luke's physician referral service, use the "Find a Doctor" link at the top of this page.


Updated July 2013
Top  

If you need information about keeping your heart healthy, e-mail the
Heart Information Center or call 1-800-292-2221.
 (Outside the U.S., call 1-832-355-6536.)

Texas Heart Institute Heart Information Center
Through this community outreach program, staff members of the Texas Heart Institute (THI) provide educational information related to the prevention, diagnosis, and treatment of cardiovascular disease. It is not the intention of THI to provide specific medical advice, but rather to provide users with information to better understand their health and their diagnosed disorders. Specific medical advice will not be provided and THI urges you to visit a qualified physician for diagnosis and for answers to your questions.
Like us on Facebook Follow us on Twitter Subscribe to us on YouTube Find Us on Flicikr Follow Us on Pinterest Add us on Google+

Please contact our Webmaster with questions or comments.
Terms of Use and Privacy Policy
© Copyright 1996-2014 Texas Heart Institute.
All rights reserved.
This website is accredited by Health On the Net Foundation. Click to verify. U.S. NEWS America's Best Hospitals 2013-14