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Because there has been recent advice to avoid going to large hospitals, I would like to ask the physician to help me explain this report.
Doppler Color Cardiac Blood Flow Imaging or Pathology Report Content:
M-MODE DATA:
- Aortic Valve Opening (mm): (15-26)
- Interventricular Septum (mm): 7 (6-10)
- Aortic Root (mm): 27 (20-39)
- Left Ventricular Posterior Wall (mm): 7 (6-10)
- Left Anterior Descending Artery (mm): 27 (19-40)
- Left Ventricular Internal Diameter at End-Diastole (LVIDd) (mm): 44 (35-57)
- Right Ventricular Diameter (mm): (7-23)
- Left Ventricular Internal Diameter at End-Systole (LVIDs) (mm): 22 (20-35)
Estimated Left Ventricular Ejection Fraction: 63%
Peak Systolic Pressure Gradient Across Tricuspid Valve: 27 mmHg
Estimated Pulmonary Artery Systolic Pressure (PASP): 32 mmHg
M-MODE & 2-D FINDINGS:
Normal left ventricular (LV) systolic function without cardiac chamber dilation.
DOPPLER/COLOR FLOW FINDINGS:
Trivial Mitral Regurgitation (MR), Mild Tricuspid Regurgitation (TR).
Thank you very much.
H, 20~29 year old female. Ask Date: 2020/03/29
Dr. He Dongjin reply Cardiology
Hello, don't worry, Ping An Changhua Hospital cares about you.
Reply Date: 2020/03/29
More Info
Understanding your heart report, particularly from an echocardiogram, can be quite daunting due to the technical jargon and numerous measurements involved. However, breaking down the findings can provide clarity and insight into your heart health.
Key Findings from Your Echocardiogram Report
1. Left Ventricular Function:
- Ejection Fraction (EF): Your report indicates an estimated left ventricular ejection fraction of 63%. This is a measure of how much blood the left ventricle pumps out with each contraction. A normal EF ranges from 55% to 70%, so your result is within the normal range, suggesting that your heart is functioning well in terms of pumping blood.
2. Chamber Size:
- Left Ventricular Internal Dimensions: The left ventricular internal dimensions (LVIDd and LVIDs) are reported as 44 mm and 22 mm, respectively. These measurements indicate that there is no significant dilation of the heart chambers, which is a positive sign. Normal ranges for these dimensions suggest that your heart chambers are not enlarged, which can be a sign of heart disease.
3. Wall Thickness:
- Interventricular Septum (IVS) and Left Ventricular Posterior Wall (LVPW): Both are measured at 7 mm, which falls within the normal range (6-10 mm). This indicates that the walls of your heart are of normal thickness, which is essential for effective heart function.
4. Valvular Function:
- Mitral Regurgitation (MR): The report states "trivial MR," which means there is a very small amount of blood leaking backward through the mitral valve. This is generally not a cause for concern unless it progresses.
- Tricuspid Regurgitation (TR): The report indicates "mild TR," suggesting a slight backflow of blood through the tricuspid valve. Mild TR is common and often does not require treatment unless symptoms develop.
5. Pulmonary Artery Pressure:
- Estimated Pulmonary Artery Systolic Pressure (PASP): Your PASP is reported at 32 mmHg. Normal PASP is typically less than 30 mmHg, so this indicates mild pulmonary hypertension. While this can be a concern, it is essential to discuss this finding with your healthcare provider to understand its implications in the context of your overall health.
6. Overall Assessment:
- The report concludes that there is normal left ventricular systolic function without any significant dilation of the cardiac chambers. This is a reassuring finding, indicating that your heart is functioning well overall.
Recommendations for Follow-Up
Given the findings, particularly the mild TR and elevated PASP, it is advisable to have a follow-up consultation with your healthcare provider. They may recommend further evaluation or monitoring to ensure that these findings do not progress. Lifestyle modifications, such as maintaining a healthy diet, regular exercise, and avoiding smoking, can also be beneficial for heart health.
Conclusion
In summary, your echocardiogram report shows that your heart is functioning well with normal ejection fraction and chamber sizes. The trivial mitral regurgitation and mild tricuspid regurgitation are common and usually not concerning. However, the mildly elevated pulmonary artery pressure warrants further discussion with your healthcare provider to ensure comprehensive management of your heart health. Always feel free to ask your doctor for clarification on any specific terms or findings in your report to ensure you have a complete understanding of your heart health.
Similar Q&A
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