Your Echocardiogram Report: Key Insights for Heart Health

Interpretation of Echocardiogram Report

Hello, Dr.
Wu.
I would like to ask for your assistance in reviewing the report for any issues that need attention.
Thank you.
Examination Item: 2D Transthoracic Echocardiography
Report:
- AO (mm) = 32
- LA (mm) = 30
- IVS (mm) = 12
- LVPW (mm) = 7
- LVEDD (mm) = 45
- LVESD (mm) = 26
- LVEDV (ml) = 92
- LVESV (ml) = 24
- LV mass (gm) = 143
- RVEDD (mm) (mid-cavity) =
- TAPSE (mm) = 17
- LVEF (%) =
- M-mode (Teichholz) = 74
- 2D (M-Simpson) =
Diagnosis:
1.
Heart size: Normal; (LA volume: 30 ml, LA volume index: 17 ml/m²)
2.
Thickening: IVS
3.
Pericardial effusion: None
4.
LV systolic function: Normal
5.
RV systolic function: Normal
6.
LV wall motion: Normal
7.
MV prolapse: None; MS: None; MR: None; AS: None; Max AV velocity = 1.03 m/s; AR: None; TR: None; TS: None; PR: None; PS: None
8.
Mitral E/A = 58 / 88 cm/s (E/A ratio = 0.66); Deceleration time = 211 ms; Heart rate = 90 bpm
9.
Septal MA e', a' = 11 / 8.7 cm/s; Septal E/e' = 5.2; Lateral MA e', a' = 12 / 10.9 cm/s; Lateral E/e' = 4.8
10.
Intracardiac thrombus: None
11.
Vegetation: None
12.
Congenital lesion: None
13.
Calcified lesions: None
14.
IVC size 12 mm with inspiratory collapse >50%
Conclusion:
1.
Mild septal hypertrophy with Grade I LV diastolic dysfunction and impaired RV relaxation.
2.
Normal LV and RV systolic function.

Tide E, 50~59 year old female. Ask Date: 2022/08/17

Dr. Wu Xueming reply Cardiology

The report indicates mild ventricular septal hypertrophy with no other abnormalities.

Reply Date: 2022/08/17

More Info

Understanding your echocardiogram report is crucial for maintaining heart health and addressing any potential issues. Based on the provided echocardiogram report, here are some key insights and explanations regarding the findings.

Key Findings from the Report
1. Heart Size and Structure: The report indicates that the heart size is normal, with specific measurements for the left atrium (LA), left ventricle (LV), and right ventricle (RV). The left ventricular end-diastolic diameter (LVEDD) is within the normal range, which suggests that the heart chambers are not dilated.

2. Left Ventricular Function: The left ventricular ejection fraction (LVEF) is reported as 74%, which is considered normal (typically above 55% is deemed acceptable). This indicates that the left ventricle is effectively pumping blood out to the body.

3. Diastolic Function: The report notes mild septal hypertrophy and Grade I left ventricular diastolic dysfunction. Diastolic dysfunction means that the heart has difficulty relaxing and filling with blood. The E/A ratio (58/88 cm/s) is less than 1, which is indicative of impaired relaxation. The deceleration time of 211 ms is also a factor in assessing diastolic function.

4. Right Ventricular Function: The report states that the right ventricular systolic function is normal, which is a positive finding. However, it mentions impaired RV relaxation, which could be a concern if it progresses.

5. Valvular Assessment: The report indicates no significant issues with the mitral valve (MV), aortic valve (AV), tricuspid valve (TV), or pulmonary valve (PV). There is no evidence of significant regurgitation (backward flow of blood) or stenosis (narrowing of the valve openings).

6. Additional Findings: There are no signs of pericardial effusion (fluid around the heart), intracardiac thrombus (blood clots within the heart), or vegetations (which could indicate infection). The inferior vena cava (IVC) size is normal, with significant collapsibility during inspiration, which is a good sign of right atrial pressure.

Clinical Implications
- Mild Septal Hypertrophy: This condition can be associated with various factors, including hypertension or athletic training. It is essential to monitor this finding, as it can progress if the underlying cause is not addressed.

- Diastolic Dysfunction: While Grade I diastolic dysfunction is often manageable, it is crucial to monitor for any progression. Lifestyle modifications, such as maintaining a healthy diet, regular exercise, and managing blood pressure, can help improve diastolic function.

- Regular Follow-Up: Given the findings of impaired RV relaxation and mild septal hypertrophy, regular follow-up echocardiograms may be necessary to monitor any changes in heart function or structure.

Recommendations for Heart Health
1. Lifestyle Modifications: Adopting a heart-healthy lifestyle is paramount. This includes a balanced diet rich in fruits, vegetables, whole grains, and lean proteins, along with regular physical activity.

2. Blood Pressure Management: If you have hypertension, it is crucial to manage it effectively, as high blood pressure can lead to further heart complications.

3. Regular Check-Ups: Keep up with regular check-ups with your healthcare provider to monitor your heart health and address any emerging issues promptly.

4. Medication Compliance: If prescribed medications for heart health, ensure adherence to the treatment plan.

5. Education: Understanding your heart health and being aware of symptoms such as shortness of breath, fatigue, or chest discomfort can help in early detection of potential issues.

In conclusion, while your echocardiogram report shows some areas of concern, particularly with diastolic function and mild septal hypertrophy, the overall heart function appears to be normal. Regular monitoring and proactive management of your heart health are essential steps to ensure long-term well-being. Always consult your healthcare provider for personalized advice and treatment options based on your specific health needs.

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