Your Echocardiogram Report: Key Insights for Heart Health - Cardiology

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Hello, doctor. Could you please tell me if there are any abnormalities in my report?


M-Mode Doppler Waveform & Measurements AO: 26 (20-37mm) AO flow: 122cm/s PG: 6mmHg AV: 15 (16-26mm) MV E: 91cm/s, A: 64cm/s DT: 160ms LA: 32 (19-40mm) MV E/A: 1.42 E‘: 12cm/s E/E‘: 8 IVS: 11 (7-10mm) TR: 223cm/s PG: 20mmHg LVPW: 11 (8-13mm) PA peak V: 95cm/s PG: 4mmHg LVEDD: 45 (35-53mm) TAPSE: mm LVESD: 30 (20-35mm) EF: 62% Two-Dimensional Aorta and Aortic Valve: trileaflet Aortic Valve Mitral Valve: normal Mitral Valve Left Ventricle: no regional wall motion abnormalities Right Ventricle and Septum: normal Right Atrium/Right Ventricle Color Flow Mapping: Other Findings: no pericardial effusion Diagnosis and Suggestion: 1.
Adequate Left Ventricular contractility 2.
Normal Left Atrium/Left Ventricle size

Yu, 40~49 year old female. Ask Date: 2022/07/11

Dr. Wu Xueming reply Cardiology


The echocardiogram report shows normal findings.

Reply Date: 2022/07/11

More Info


Understanding your echocardiogram report is crucial for maintaining heart health, as it provides valuable insights into the structure and function of your heart. Based on the provided echocardiogram report, let's break down the key components and what they mean for your cardiovascular health.


Key Measurements and Their Implications
1. Aortic Measurements:
- Aortic Root (AO): 26 mm (normal range: 20-37 mm). This indicates that the aortic root is within normal limits, which is important for ensuring proper blood flow from the heart to the rest of the body.

- Aortic Valve (AV): 15 mm (normal range: 16-26 mm). The aortic valve is slightly below the normal range, which may warrant monitoring for any potential issues, such as aortic stenosis.

2. Mitral Valve Function:
- Mitral Valve E/A Ratio: 1.42. This ratio compares the early (E) and late (A) diastolic filling velocities of the left ventricle. A ratio above 1 indicates normal diastolic function, suggesting that the left ventricle is filling adequately.

- E’ (12 cm/s) and E/E’ (8): These values are used to assess left atrial pressure and diastolic function. An E/E’ ratio of less than 15 typically indicates normal left atrial pressure, which is a good sign.

3. Left Ventricle Function:
- Left Ventricular Ejection Fraction (EF): 62%. This percentage indicates the amount of blood the left ventricle pumps out with each contraction. A normal EF is typically between 55% and 70%, so your EF is within the normal range, indicating adequate left ventricular contractility.

- Left Ventricular Dimensions:
- LVEDD (Left Ventricular End-Diastolic Diameter): 45 mm (normal range: 35-53 mm).

- LVESD (Left Ventricular End-Systolic Diameter): 30 mm (normal range: 20-35 mm). Both measurements suggest that the left ventricle is of normal size and functioning well.

4. Right Ventricle and Septum:
- The report indicates that both the right ventricle and septum are normal, with no regional wall motion abnormalities. This is a positive finding, as it suggests that the heart is contracting effectively without any areas of weakness.

5. Tricuspid Regurgitation (TR):
- The report notes a TR velocity of 223 cm/s with a pressure gradient (PG) of 20 mmHg. Mild tricuspid regurgitation is common and often not a cause for concern unless it is severe. Monitoring may be necessary to ensure it does not progress.

6. Pulmonary Artery Pressure:
- The peak velocity of the pulmonary artery (PA) is 95 cm/s with a PG of 4 mmHg, indicating normal pulmonary artery pressure. This is important for assessing the right side of the heart and overall pulmonary circulation.


Conclusion and Recommendations
Overall, your echocardiogram report indicates that you have adequate left ventricular contractility, normal left atrial and ventricular sizes, and no significant abnormalities in the heart's structure or function. The mild tricuspid regurgitation and slightly low aortic valve measurement should be monitored, but they are not immediately concerning.


Key Takeaways for Heart Health
1. Regular Monitoring: Continue to have regular echocardiograms as recommended by your healthcare provider to monitor any changes in your heart's structure and function.

2. Lifestyle Choices: Maintain a heart-healthy lifestyle, including a balanced diet, regular exercise, and avoiding smoking. These factors can significantly impact your cardiovascular health.

3. Manage Risk Factors: Keep an eye on blood pressure, cholesterol levels, and other cardiovascular risk factors. Managing these can help prevent heart disease.

4. Consult Your Doctor: Discuss any concerns or symptoms you may have with your healthcare provider, especially if you experience shortness of breath, chest pain, or palpitations.

In summary, your echocardiogram results are largely positive, indicating good heart health. However, it is essential to remain vigilant and proactive in managing your cardiovascular health through regular check-ups and healthy lifestyle choices.

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