expert type icon EXPERT

Dr. George James, M.D.

Cardiologist

Dr. George James M.D. is a top Cardiologist in Fort Worth, . With a passion for the field and an unwavering commitment to their specialty, Dr. George James M.D. is an expert in changing the lives of their patients for the better. Through their designated cause and expertise in the field, Dr. George James M.D. is a prime example of a true leader in healthcare. As a leader and expert in their field, Dr. George James M.D. is passionate about enhancing patient quality of life. They embody the values of communication, safety, and trust when dealing directly with patients. In Fort Worth, TX, Dr. George James M.D. is a true asset to their field and dedicated to the profession of medicine.
30 years Experience
Dr. George James, M.D.
  • Fort Worth, TX
  • Christian Medical College
  • Accepting new patients

My mother is suffering from breathlessness but the 2-d echo shows normal. Why?

By "normal echo," you must mean that her ejection fraction as reported is normal and that no significant valvular heart disease was noted on the echocardiogram. Shortness of breath READ MORE
By "normal echo," you must mean that her ejection fraction as reported is normal and that no significant valvular heart disease was noted on the echocardiogram. Shortness of breath can be either due to her heart, her lungs, or a combination of both.

If we are to assume that she has no issues with her lungs, a "normal ejection fraction" does not rule out heart related causes of shortness of breath. One of the often missed or under recognized but very common causes of shortness of breath is what is referred to as diastolic dysfunction. Putting it simply, how "complaint" is the heart or how "stiff" has the heart become over time. As we age and with other risk factors, the heart becomes less complaint and it is the commonest cause of shortness of breath and cause of heart failure what we now refer to as Heart Failure With Preserved Ejection Fraction (HFPEF).

Secondly, severe coronary artery disease can often present just as shortness of breath with exertion in the presence of normal ejection fraction (although over time the ejection fraction will slowly decline).