I am 57 years old. More than 2 years ago, in an echocardiograph examination, I found features of impaired diastolic function of the left ventricle, of the relaxation disorder type. / E / A-0.79 DT-290ms. Half a year ago, in the same study, the E / A-1.25 DT-198 parameters. It makes me wonder that the first result indicates diastolic dysfunction, and the second - a significant improvement. Is it possible? Let me mention that I often have arrhythmias where my diastolic blood pressure rises during an attack>100 and my pulse>152 Does it have any effect? Why is my diastolic blood pressure rising? Hello, all binding opinions and the interpretation of the echocardiographic result can only be presented by a doctor after examination in the office and reading the original examination. However, as for theoretical information, the left ventricular diastolic function in a person with paroxysmal arrhythmias (you do not mention what type of disorder it is, but the most common arrhythmia is atrial fibrillation) can change. For example, immediately after an attack of arrhythmias, it may be worse during the period of poor adherence to medication and lifestyle recommendations. During a period of calm and careful adherence, including on a sodium-restricted diet, function will be improved. However, as for the behavior of blood pressure - the standard measurement with an electronic device is unreliable, there is an "artificial" overestimation of the diastolic pressure value. This phenomenon is related to the fact that the principle of reading of this apparatus uses the phenomenon of undulations and movement of the blood vessel wall, which in the case of atrial fibrillation is irregular and of variable strength - some heart contractions cause waves too weak for the apparatus to be able to read them. There are specially adapted electronic devices for measuring pressure in people with arrhythmia, but it is quite expensive device and not every model is worth recommending. Accurate blood pressure measurement in a person with paroxysmal arrhythmia is provided only by the mercury apparatus, but the mercury should be slowly lowered, because lowering too quickly will result in a similarly false increase in the diastolic pressure value. You can find out more about the heart in hypertension on my patient education bloghttp://www.poradnikzdrowie.pl/blogi/blog/cywilizacja-soli/33/5/ Remember that our expert's answer is informative and will not replace a visit to the doctor. Internist, hypertensiologist, editor-in-chief of "Gazeta dla Lekarzy". More advice from this expert
