Thank you very much for using our website and welcome.
Using fen/phen combination was found to be associated with problems with the heart valves in the form of aortic, mitral and tricuspid involvement (less than aortic and mitral valve though).
In most of the patients, it was found that the lesions of the valves become stable and even regress.
Your echocardiogram shows that you have aortic regurge, pulmonary hypertension and tricuspid regurge.
The cause of aortic regurge could very well be caused by the fen/phen combination. In aortic regurge the ejection fraction is affected very late. The important things on the echo (in addition to the ejection fraction that they mentionned) are quantification of the regurge (and i assume that they did that based on the degree of regurge that they mentionned on the report) and the second thing is the size of the left ventricle which you did not mention in your message but that i am sure is present in your report. If the size is bigger than normal then most probably unless you have another disease that could affect the heart like coronary disease or others then this means that the aortic regurge is affecting your heart.
The tricuspid regurge could be because of the pulmonary hypertension
Pulmonary hypertension in itself can be caused by many causes.
My advice to you is to be under medical supervision. If you have any sypmtoms, you should be seeing a doctor the sooner the better because aortic regurge has to be treated by medications. These symptoms actually you might already have some of them like shortness of breath on exertion, some swelling of your ankles, some headaches and low energy levels.
In addition, if you are about to have any invasive medical procedure including but not limited to dental procedures, you have to take antibiotics before any of these procedures to protect posible infection of the valve if bacteria reaches the blood by any chance. In addition you have to have follow-up of your aortic regurge by echocardiogram every 6-12 months to make sure it is not progressing. Also, the cause of pulmonary hypertension has to be investigated and found and treated if possible to decrease the chance of progression of the pulmonary hypertension.
Once more, thank you very much for using our website http://doctorslounge.com
and i hope you find this information helpful and waiting for your update.
Yasser Mokhtar, M.D.