Inquire about echocardiogram issues?
Report: Echo machine: GE Vivid E9 Patient source: OPD
[Atrium and Aortic Root]
AO (mm) = 32
LA (mm) = 33
[Left Ventricle]
IVS (mm) = 8
PW (mm) = 6
EDD (mm) = 42
ESD (mm) = 28
EDV (ml) = 79
ESV (ml) = 31
LV mass (mg) =
LVEF: by M-mode measurement: 61%
LV Wall motion: Normal wall motion
[Right Ventricle]
TAPSE = 25 mm
[Diastolic function]
Mitral inflow E/A: 0.63?0.74 (E/A ratio: 0.84)
Septal e: 9.3 cm/s; Lateral e: 10.7 cm/s;
Septal E/e: 6.7; Lateral E/e: 5.9; Average E/e: 6.3;
[Valve lesion]
MS: nil;
MR: nil;
AS: nil; Vmax = 1.1 m/s = 4.88 mmHg
AR: nil;
TS: nil;
TR: Trivial; Vmax = m/s = mmHg
PS: nil; Vmax = 1.07 m/s = 4.57 mmHg
PR: Mild;
[Other findings]
IVC diameter: mm with sniff collapse > 50%
Pericardial effusion: None
Intracardiac thrombus: No
Congenital lesions: None
Conclusion:
1.
No cardiac chamber dilatation.
2.
Normal LV systolic function with normal wall motion.
3.
Normal RV systolic function.
4.
Normal diastolic function.
5.
Trivial TR.
6.
Sinus tachycardia during exam.
Is there any abnormality in this echocardiogram?
Li Junwei, 20~29 year old female. Ask Date: 2022/03/10
Dr. Chen Jili reply Cardiology
I recommend that you discuss the above situation with your attending physician to determine if further examinations are necessary.
Thank you, and wishing you good health!
Reply Date: 2022/03/10
More Info
Interpreting echocardiogram results can be daunting, especially when faced with medical jargon and numerical data. However, understanding the key components of your report can provide valuable insights into your heart health. Based on the echocardiogram report you provided, let's break down the findings and their implications.
Key Findings from Your Echocardiogram:
1. Chamber Sizes and Function:
- Aortic Root (AO): 32 mm
- Left Atrium (LA): 33 mm
- Left Ventricle (LV):
- Interventricular Septum (IVS): 8 mm
- Posterior Wall (PW): 6 mm
- End-Diastolic Diameter (EDD): 42 mm
- End-Systolic Diameter (ESD): 28 mm
- Left Ventricular Ejection Fraction (LVEF): 61%
- Right Ventricle (RV): TAPSE (Tricuspid Annular Plane Systolic Excursion): 25 mm
Interpretation: The dimensions of the heart chambers are within normal limits, and there is no evidence of chamber dilation. The LVEF of 61% indicates that your heart is functioning well in terms of pumping blood, as a normal LVEF is typically above 55%. The TAPSE measurement suggests that the right ventricle is also functioning normally.
2. Diastolic Function:
- Mitral inflow E/A ratio: 0.63 and 0.74 (average 0.84)
- Septal e': 9.3 cm/s; Lateral e': 10.7 cm/s
- Average E/e' ratio: 6.3
Interpretation: The E/A ratio is a measure of diastolic function, with values typically greater than 1 indicating normal relaxation of the heart. Your values suggest that there may be some degree of impaired relaxation, but the average E/e' ratio of 6.3 is within normal limits, indicating that left atrial pressure is not elevated.
3. Valvular Assessment:
- Mitral Stenosis (MS): Nil
- Mitral Regurgitation (MR): Nil
- Aortic Stenosis (AS): Nil
- Aortic Regurgitation (AR): Nil
- Tricuspid Stenosis (TS): Nil
- Tricuspid Regurgitation (TR): Trivial
- Pulmonary Stenosis (PS): Nil
- Pulmonary Regurgitation (PR): Mild
Interpretation: The absence of significant valvular disease is a positive finding. The trivial TR and mild PR are common and often not clinically significant, especially if there are no symptoms or other concerning findings.
4. Other Findings:
- IVC Diameter: Not specified, but with sniff collapse > 50%, this indicates normal right atrial pressure.
- Pericardial Effusion: None
- Intracardiac Thrombus: No
- Congenital Lesions: None
Interpretation: The absence of pericardial effusion and thrombus is reassuring. The IVC findings suggest that there is no significant fluid overload or heart failure.
Conclusion:
Overall, your echocardiogram results indicate that your heart is functioning normally, with no significant abnormalities detected. The findings suggest normal chamber sizes, good systolic function, and no significant valvular disease. The trivial tricuspid regurgitation and mild pulmonary regurgitation are not uncommon and typically do not require treatment unless accompanied by symptoms.
Recommendations:
- Follow-Up: It is advisable to discuss these results with your healthcare provider to understand their implications in the context of your overall health and any symptoms you may have.
- Lifestyle: Maintaining a heart-healthy lifestyle, including regular exercise, a balanced diet, and routine check-ups, can help ensure continued heart health.
In summary, your echocardiogram appears to show a healthy heart with normal function and structure. If you have any specific concerns or symptoms, be sure to address them with your physician for personalized advice and management.
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