How does ischemia present?

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Question
Yes hello doctor, I have a fast heart rate, heart rate 102/min. I had an ultrasound, the results showed that the heart had a 1⁄4 tricuspid regurgitation, left ventricular dilatation disorder, and a straight chest x-ray with normal results. So how does ischemia manifest? Thank you doctor for your advice, thank you doctor.
Truong Thi Hong Sang (1980)
Answer
Answered by Doctor Department of Medical Examination & Internal Medicine, Vinmec Hai Phong International General Hospital.
Hello,
With the question “How does ischemia manifest? ", the doctor would like to answer as follows:
You have echocardiography results of tricuspid valve regurgitation 1/4 is mild regurgitation, mild tricuspid regurgitation has not affected hemodynamics and the leaflets are not abnormal and you If you do not have clinical symptoms of right heart failure such as shortness of breath, edema, hepatomegaly, and distended neck veins, you should not worry.
Echocardiography with left ventricular dilatation is a disorder of the contractility of the left ventricle, this is an abnormality of the left ventricle on echocardiography. Your heart rate of 102 beats/min is abnormal, a normal heart rate is 65-75 cycles/min. The above tests are not enough to conclude that myocardial ischemia is
Therefore, you need to go to an intensive cardiologist to determine the cause of left ventricular dilatation disorder and tachycardia. You need to see a doctor in the nearest time to appoint a Doppler echocardiogram to re-evaluate the anatomical structure and function of the heart on ultrasound, Holter electrocardiogram and other necessary cardiovascular tests.
If you still have questions about how ischemia manifests, you can go to a hospital of Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!

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