### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Interpretation:-Dilated left ventricular dimensions with severe global hypokinesia except for the proximal half of the posterolateral half of left ventricular free wall which shows some degree of contractility with grade II diastolic dysfunction.-Dilated left atrium with left atrial volume index of 56ml/m2 and dilated right atrium-Dilated right ventricular dimensions with mildly hypokinetic right ventricular free wall-Thickened right coronary cusp and non-coronary cusp with no restriction of motions-Thickened mitral valve leaflets with mild to moderate mitral regurgitation with widened EPSS consistent with incomplete left venticular diastoic filling pressure-Structurally normal tricuspid valve and pulmonic valve with moderate tricuspid regurgitation and pulmonic regurgitation-No thrombus or pericardial effusion noted-Mild pulmonary hypertension (pulmonary artery pressure of 40 mmHg by pulmonic acceleration time)-Compared with previous study done February 13,2008:1. Increased LVED from 65 to 742. Dilated right ventricular with hypokinetic free wall3. Mild to moderate mitral regurgitation4. GradeII diastolic dysfunction5. Mild pulmonary hypertension

### output:

Thanks for your question on Chat Doctor. I can understand your concern. Your 2d echoed report is worsening as compare to previous report. Your current report is suggestive of developing right sided heart failure with pulmonary hypertension due to already failing left ventricle. So this is not good sign for prognosis and survival. You need to treat you left sided heart failure vigorously. You should restrict fluid intake to less than 1.5 liter/day. Strict salt restrictions in diet. Avoid oily and fatty food. Start diuretics (horsehide), beta blocker (metoprolol), cardiac isotropic (digoxin) etc. You should also start Chat Doctor.  So consult good cardiologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.