Thank you very much for the update.
One reading during the day when you are at home and may be relaxed might not reflect your blood pressure readings over the whole 24 hours period. Discuss having a 24 hours blood pressure monitor with your doctor.
This could be a case of white coat hypertension.
If this diastolic dysfunction is not secondary to hypertension, and you had a stress test to rule out coronary disease (which is a cause for diastolic dysfunction), and you are found not to be a diabetic (have a fasting blood sugar test), then most probably, this is due to aging. It could be due to rare diseases in which some substances infiltrate the heart muscle, but this should have been picked up on the echocardiogram.
One more addition, some patients will have high blood pressure during night time because of sleep apnea. So, if you snore loudly during sleep or was noticed during sleep to stop breathing, i recommend that you have a sleep study.
Diastolic dysfunction usually takes a while to develop, your blood pressure being high only at the time of the echocardiogram will not cause the echocardiogram results to be different.
tdi refers to tissue doppler imaging which describes the tissues themselves. i am not sure why it was described as severely abnormal unless you had mitral annular calcification but it was mentioned that all the valves looked normal.
Thank you very much for using our website http://doctorslounge.com
and i hope that this information helped.
Yasser Mokhtar, M.D.