Your Echocardiogram Results: Key Insights for Heart Health - Cardiology

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Echocardiogram


Hello Doctor, Happy New Year! Recently, I experienced chest tightness for several days and went to the emergency department for evaluation.
An echocardiogram was performed, and the emergency physician indicated that there should not be any major issues.
The detailed report has not yet been written by the physician.
Today, I saw the record on my health passbook.
Could you please help me review it for any potential issues? Thank you.
Examination Date: 2021/02/08
Conclusion:
• Normal sizes of cardiac chambers
• Preserved global contractility of the left ventricle
• Left Ventricular Ejection Fraction (LVEF) by M-mode is 53.5%
• No significant regional wall motion abnormalities
• Normal diastolic function of the left ventricle
• Mild tricuspid regurgitation
• Mild mitral regurgitation
• Estimated systolic pulmonary artery pressure is 23.3 mmHg
• EKG: Sinus rhythm
M-Mode/2D Measurements & Calculations:
RWT: 0.40
Time Measurements:
MM R-R interval: 0.90 sec
M-Mode/2D Value References:
Aortic root diameter: 3.2 cm [2.0-3.8 cm]
Left Ventricular Internal Diameter at end-diastole (LVIDd): 4.6 cm [3.7-5.3 cm]
Aortic Cusp Separation (ACS): 2.0 cm [1.6-2.6 cm]
Left Ventricular Internal Diameter at end-systole (LVIDs): 3.3 cm [2.4-3.6 cm]
Left Atrium (LA) dimension: 2.6 cm [1.9-4.0 cm]
End-Diastolic Volume (EDV, Teich): 94.9 ml [80-180 ml]
End-Systolic Volume (ESV, Teich): 44.1 ml [16-83 ml]
Mitral Valve E-F slope: 9.5 cm/sec [8.0-15.0 cm/sec]
Ejection Fraction (EF, Teich): 53.5% [50-70%]
Interventricular Septal Thickness at end-diastole (IVSd): 0.90 cm [0.7-1.1 cm]
Fractional Shortening (FS): 27.5% [FS 34-44%]
Left Ventricular Posterior Wall Thickness at end-diastole (LVPWd): 1.1 cm [0.9-1.1 cm]
Heart Rate (HR): 67.0 BPM [60-100 BPM]
Cardiac Output (CO, Teich): 3.4 l/min [2.5-7.2 l/min]
Doppler Measurements & Calculations:
Aortic Valve V2 max: 89.6 cm/sec
Left Ventricular V1 max PG: 2.2 mmHg
Aortic max PG: 3.2 mmHg
Left Ventricular V1 max: 74.7 cm/sec
Tricuspid Regurgitation (TR) max velocity: 182.0 cm/sec
Systolic Pulmonary Artery Pressure (sPAP): 23.3 mmHg
TR max PG: 13.3 mmHg
Mitral Valve E max velocity: 73.4 cm/sec [≥50y, 62 ± 14; <50y, 72 ± 14]
Mitral Valve A max velocity: 46.6 cm/sec [≥50y, 59 ± 14; <50y, 40 ± 10]
Mitral Valve E/A: 1.6 [sPAP < 35 mmHg]
Mitral Valve deceleration time: 0.19 sec [DT 0.16-0.22 sec]
Left Ventricular Isovolumetric Relaxation Time (IVRT): 0.11 sec [0.07-0.09 sec]
Ventricles:
• Normal sizes of ventricular chambers
• LVEF by M-mode is 53.5%
• No significant regional wall motion abnormalities
• Mitral inflow: E/A ratio: 1.6
• E: 73.4 cm/sec
• A: 46.6 cm/sec
• Lateral E’: 9.9 cm/s
• Septal E’: 10.6 cm/s

Emma, 30~39 year old female. Ask Date: 2021/02/09

Dr. He Dongjin reply Cardiology


Hello, congratulations! Your echocardiogram results are normal, so there's no need to worry.
Changhua Hospital cares about you.

Reply Date: 2021/02/09

More Info


Based on the echocardiogram results you provided, it appears that your heart's structure and function are largely within normal limits, although there are some points that warrant further discussion.


Key Findings from Your Echocardiogram:
1. Cardiac Chamber Sizes: The report indicates that the sizes of your cardiac chambers are normal. This is a positive sign, as it suggests that there is no significant enlargement of the heart chambers, which can be a sign of heart disease.

2. Left Ventricular Function: Your left ventricular ejection fraction (LVEF) is reported at 53.5%. While this is on the lower end of the normal range (typically considered normal between 55% and 70%), it is important to note that it is not critically low. The preserved global contractility indicates that your heart is still able to pump blood effectively, albeit with some caution.

3. Regional Wall Motion: There are no significant regional wall motion abnormalities noted. This means that all areas of the left ventricle are contracting normally, which is a good indicator of heart health.

4. Diastolic Function: The report states that your left ventricular diastolic function is normal. This means that your heart is able to fill properly with blood during the relaxation phase, which is crucial for overall heart function.

5. Valvular Function: Mild tricuspid regurgitation and mild mitral regurgitation are noted. These conditions mean that there is a slight backflow of blood through the tricuspid and mitral valves, respectively. Mild regurgitation is often not a cause for concern, especially if there are no symptoms or significant impacts on heart function.

6. Pulmonary Artery Pressure: The estimated systolic pulmonary artery pressure is 23.3 mmHg, which is within normal limits (typically less than 25 mmHg at rest). This suggests that there is no significant pulmonary hypertension, which can be a serious condition.

7. Heart Rhythm: The report indicates a sinus rhythm, which is the normal rhythm of the heart. This is a positive finding as it suggests that your heart's electrical system is functioning properly.


Recommendations:
- Follow-Up: Given that your LVEF is slightly below the typical normal range, it would be wise to follow up with your healthcare provider. They may recommend further monitoring or lifestyle modifications to support heart health.

- Lifestyle Modifications: Maintaining a heart-healthy lifestyle is crucial. This includes a balanced diet low in saturated fats and high in fruits and vegetables, regular physical activity, and avoiding smoking. These changes can help improve heart function and overall cardiovascular health.

- Monitoring Symptoms: Since you mentioned experiencing chest tightness, it's important to monitor this symptom closely. If it recurs or worsens, you should seek medical attention promptly.
- Medication Review: If you are on any medications for heart health, ensure that you discuss with your doctor whether any adjustments are needed based on your echocardiogram results.


Conclusion:
Overall, while there are some mild findings in your echocardiogram, the majority of your heart function appears to be preserved and within normal limits. Regular follow-ups and a proactive approach to heart health can help manage any potential issues. Always consult with your healthcare provider for personalized advice and treatment options based on your specific health situation.

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