Your Doppler Echocardiogram and Cardiac Ultrasound Report

I would like to inquire about the reports of Doppler color flow imaging and echocardiography?

1.
Doppler Color Echocardiogram BSA: 1.56 m² Sinus Rhythm ● M-mode Measurements: Ao Diameter: 25.53 mm, LA Diameter: 29.05 mm, LA/Ao: 1.14 IVSd: 5.62 mm, LVIDd: 43.46 mm, LVPWd: 6.27 mm IVSs: 8.86 mm, LVIDs: 22.92 mm, LVPWs: 11.68 mm EF (Qui,U): 72.2%, LV Mass (ASE): 73.39 g, LV Mass Index (ASE): 46.98 g/m² ● Auto EF (4C): EF: 71.99%, ESV: 15.7 ml, EDV: 56.05 ml ● 2D Measurements: LVOT Diameter: 19.94 mm LALdA4C: 4.82 cm, LAAdA4C: 16.06 cm² LALdA2C: 4.34 cm, LAAdA2C: 12.06 cm² LA Volume: 37.93 cm³, LAVI: 24.28 cm³/m² ● LVOT: LVOT Max Velocity: 1.02 m/s, LVOT Mean Velocity: 0.75 m/s, LVOT Max Pressure Gradient: 4.16 mmHg, LVOT Mean Pressure Gradient: 2.44 mmHg, LVOT VTI: 20.61 cm, HR: 97.31 BPM LVSV (Doppler): 64.33 ml, LVSI (Doppler): 41.18 ml/m² LVCO (Doppler): 6.26 l/min, LVCI (Doppler): 4.01 l/min/m² ● Aortic Valve: Normal Valve ● Mitral Valve: MV PHT: 37.49 ms Mitral Regurgitation jet at risk Stage A MV E Velocity: 0.86 m/s, MV A Velocity: 0.59 m/s MV Deceleration Time: 129.28 ms, MV E/A Ratio: 1.46 MV E Velocity (Val): 0.73 m/s, MV A Velocity (Val): 0.66 m/s MV Deceleration Time (Val): 147.83 ms, MV E/A Ratio (Val): 1.11 S’ Septal: 11.41 cm/s, E’ Septal: 10.88 cm/s, A’ Septal: 8.85 cm/s, E/E’ Average (2016): 6.6 MV PHT: 37.49 ms, MVA By PHT: 5.87 cm² P Vein S: 65.04 cm/s, P Vein D: 53.44 cm/s, P Vein A: 29.61 cm/s, E’ Lateral: 15.35 cm/s Diastolic function: Normal, ASE 2016 ● Tricuspid Valve: Tricuspid Regurgitation jet at risk Stage A TR Max Velocity: 1.48 m/s, TR Max Pressure Gradient: 8.76 mmHg IVC: 5-10 mmHg, RVSP: 18.76 mmHg ● Pulmonary Valve: Normal Valve PA Max Velocity: 1 m/s, PA Max Pressure Gradient: 4 mmHg PA Max Velocity: 1 m/s PA Max Pressure Gradient: 4 mmHg ● Pericardial Disease: ● LV Wall Motion: A= apical, B= basal, M= middle, a= anterior, i= inferior, l= lateral, s= septum 2015 ASE Bas = 1, Ba = 1, Bal = 1, Bil = 1, Bi = 1, Bis = 1 Mas = 1, Ma = 1, Mal = 1, Mil = 1, Mi = 1, Mis = 1 As = 1, Aa = 1, Al = 1, Ai = 1, A = 1, WMSI = 1 ● Right Ventricle: TAPSE: 22.97 mm ● Summary: 1.
Preserved LV systolic function without regional wall motion abnormality 2.
Trace MR/TR ● Suggestion: Follow-up in case of clinically significant change.

2.
Echocardiogram BSA: 1.56 m² Sinus Rhythm ● M-mode Measurements: Ao Diameter: 25.53 mm, LA Diameter: 29.05 mm, LA/Ao: 1.14 IVSd: 5.62 mm, LVIDd: 43.46 mm, LVPWd: 6.27 mm IVSs: 8.86 mm, LVIDs: 22.92 mm, LVPWs: 11.68 mm EF (Qui,U): 72.2%, LV Mass (ASE): 73.39 g, LV Mass Index (ASE): 46.98 g/m² ● Auto EF (4C): EF: 71.99%, ESV: 15.7 ml, EDV: 56.05 ml ● 2D Measurements: LVOT Diameter: 19.94 mm LALdA4C: 4.82 cm, LAAdA4C: 16.06 cm² LALdA2C: 4.34 cm, LAAdA2C: 12.06 cm² LA Volume: 37.93 cm³, LAVI: 24.28 cm³/m² ● LVOT: LVOT Max Velocity: 1.02 m/s, LVOT Mean Velocity: 0.75 m/s, LVOT Max Pressure Gradient: 4.16 mmHg, LVOT Mean Pressure Gradient: 2.44 mmHg, LVOT VTI: 20.61 cm, HR: 97.31 BPM LVSV (Doppler): 64.33 ml, LVSI (Doppler): 41.18 ml/m² LVCO (Doppler): 6.26 l/min, LVCI (Doppler): 4.01 l/min/m² ● Aortic Valve: Normal Valve ● Mitral Valve: MV PHT: 37.49 ms Mitral Regurgitation jet at risk Stage A MV E Velocity: 0.86 m/s, MV A Velocity: 0.59 m/s MV Deceleration Time: 129.28 ms, MV E/A Ratio: 1.46 MV E Velocity (Val): 0.73 m/s, MV A Velocity (Val): 0.66 m/s MV Deceleration Time (Val): 147.83 ms, MV E/A Ratio (Val): 1.11 S’ Septal: 11.41 cm/s, E’ Septal: 10.88 cm/s, A’ Septal: 8.85 cm/s, E/E’ Average (2016): 6.6 MV PHT: 37.49 ms, MVA By PHT: 5.87 cm² P Vein S: 65.04 cm/s, P Vein D: 53.44 cm/s, P Vein A: 29.61 cm/s, E’ Lateral: 15.35 cm/s Diastolic function: Normal, ASE 2016 ● Tricuspid Valve: Tricuspid Regurgitation jet at risk Stage A TR Max Velocity: 1.48 m/s, TR Max Pressure Gradient: 8.76 mmHg IVC: 5-10 mmHg, RVSP: 18.76 mmHg ● Pulmonary Valve: Normal Valve PA Max Velocity: 1 m/s, PA Max Pressure Gradient: 4 mmHg PA Max Velocity: 1 m/s PA Max Pressure Gradient: 4 mmHg ● Pericardial Disease: ● LV Wall Motion: A= apical, B= basal, M= middle, a= anterior, i= inferior, l= lateral, s= septum 2015 ASE Bas = 1, Ba = 1, Bal = 1, Bil = 1, Bi = 1, Bis = 1 Mas = 1, Ma = 1, Mal = 1, Mil = 1, Mi = 1, Mis = 1 As = 1, Aa = 1, Al = 1, Ai = 1, A = 1, WMSI = 1 ● Right Ventricle: TAPSE: 22.97 mm ● Summary: 1.
Preserved LV systolic function without regional wall motion abnormality 2.
Trace MR/TR ● Suggestion: Follow-up in case of clinically significant change.

If you have concerns about your heart condition, including issues with three valves and arrhythmias (both tachycardia and bradycardia), it is important to discuss these findings with your physician for a comprehensive understanding and management plan.

Wenwen, 10~19 year old female. Ask Date: 2022/05/24

Dr. He Dongjin reply Cardiology

Hello, the echocardiogram shows no issues; there is only mild tricuspid regurgitation grade 2-3.
Everything is fine.
Changhua Hospital cares about you.

Reply Date: 2022/05/24

More Info

Understanding your Doppler echocardiogram and cardiac ultrasound report can be quite complex, especially if you are not familiar with the medical terminology used. Let’s break down the key components of your report and what they indicate about your heart health.

Key Measurements and Findings
1. Heart Structure and Function:
- Left Ventricular Ejection Fraction (LVEF): Your report indicates an LVEF of approximately 72%, which is within the normal range (typically above 55%). This suggests that your heart's pumping ability is preserved.

- Left Ventricular Dimensions: Measurements such as the left ventricular internal diameter in diastole (LVIDd) and systole (LVIDs) are important for assessing heart size and function. Your LVIDd is 43.46 mm, which is generally considered normal for adults.

- Left Atrial Size: The left atrial diameter (LA Diam) is 29.05 mm, which is also within normal limits. An enlarged left atrium can be a sign of heart disease, but yours appears normal.

2. Valve Function:
- Mitral Valve (MV): The report notes a "mitral regurgitation jet at risk Stage A," which indicates a mild degree of mitral regurgitation (MR). This means that some blood is leaking backward through the mitral valve when the left ventricle contracts, but it is not severe.

- Tricuspid Valve (TV): Similar to the mitral valve, there is a trace of tricuspid regurgitation (TR), which is also mild and typically not a cause for concern unless symptoms arise.

- Aortic Valve: The aortic valve is described as normal, which is a positive finding.

3. Doppler Measurements:
- E/A Ratio: The E/A ratio of 1.46 suggests normal diastolic function, indicating that the left ventricle is filling properly during diastole (the relaxation phase).

- E/E' Ratio: This ratio is used to assess left ventricular filling pressures. Your report indicates a normal value, which is reassuring.

4. Right Heart Function:
- Right Ventricular Systolic Pressure (RVSP): The estimated RVSP is 18.76 mmHg, which is within normal limits. This indicates that the right side of your heart is functioning well.

Summary of Findings
The overall summary of your echocardiogram indicates:
1. Preserved left ventricular systolic function: Your heart is effectively pumping blood.

2. Trace mitral and tricuspid regurgitation: Mild leakage is present but not significant enough to cause concern.

3. Normal diastolic function: Your heart is filling properly, which is crucial for overall cardiac health.

Recommendations
Given your history of valve issues and arrhythmias, it is essential to maintain regular follow-ups with your cardiologist. Here are some general recommendations:
- Monitor Symptoms: Keep track of any new or worsening symptoms, such as shortness of breath, palpitations, or fatigue.

- Lifestyle Modifications: Engage in regular physical activity as advised by your doctor, maintain a heart-healthy diet, and manage stress.

- Medication Compliance: If you are prescribed medications, ensure you take them as directed.

- Regular Check-ups: Schedule regular echocardiograms or other cardiac assessments as recommended by your healthcare provider to monitor your heart's condition.

Conclusion
While your report indicates some mild valve issues, the overall assessment suggests that your heart function is preserved. It’s crucial to continue working closely with your healthcare provider to manage your heart health effectively. If you have any specific concerns or symptoms, do not hesitate to discuss them with your doctor for tailored advice and treatment options.

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