Echocardiogram Results: Key Insights for Heart Health - Cardiology

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About echocardiography?


I would like to ask if there are any issues or what should be noted regarding the following report:
Anatomy:
- Contractility: Relaxation
- Aortic root: 21 (20-37 mm)
- LVEF: MV E/A: 102 / 57 cm/s
- LA: 35 (19-40 mm)
- M-mode: 62% (>50%)
- E deceleration time: ms
- IVS: 10 (7-12 mm)
- 2D-Simpson: % (>50%)
- IRT: ms
- LVEDD: 52 (35-52 mm)
- RWMALVPW: 8 (8-12 mm)
- Nil
- Lateral E’/A’: / cm/s
- LVESD: 35 (20-35 mm)
- Nil
- Medial E’/A’: 10 / 8 cm/s
- RA: Normal
- Nil
- E/E’: 9.8
- RV: Normal
Mitral valve:
- Structure: MV Prolapse: Nil
- MR: Mild
- MRA: LAA: cm²
- PISA: cm
- MS: Nil
- MVA (2D): cm²
- Mean-PG: mmHg
- MVA (Doppler): cm²
Aortic valve:
- Structure: AR Nil
- Reverse flow: P1/2t: ms
- AS Nil
- AVA (2D): cm²
- Mean-PG: mmHg
- AVA (Continuity E.): cm²
- Max-PG: mmHg
Pulmonary valve:
- Structure: Pulmonary flow acceleration time: ms
- PR: Mild
- PS: Nil
- Max-PG: mmHg
Tricuspid valve:
- TR: Mild
- Max-PG: 23 mmHg
- TS: Nil
Other:
- Pericardial effusion: Nil
- Other1: Nil
- Other2: LA or LV thrombus: Nil
- Other3: Nil
Conclusion:
1.
Normal four chamber size
2.
Preserved LV systolic function
3.
Impaired LV diastolic function
4.
No regional wall motion abnormality
5.
Color Doppler: mild MR, TR, PR
6.
Estimated SPAP: 33 mmHg
Impression: Preserved LV systolic function, diastolic dysfunction, mild MR/TR/PR.
Thank you very much.

Han, 30~39 year old female. Ask Date: 2022/08/22

Dr. Wu Xueming reply Cardiology


The report indicates mild regurgitation of the mitral valve, tricuspid valve, and pulmonary valve, as well as mild diastolic dysfunction, while all other cardiac structures and functions are normal.

Reply Date: 2022/08/22

More Info


Based on the echocardiogram report you provided, there are several key insights regarding your heart health that are important to understand. Let's break down the findings and their implications.


Key Findings from the Echocardiogram:
1. Chamber Sizes: The report indicates that the sizes of the left atrium (LA) and left ventricle (LV) are within normal ranges, which is a positive sign. The left ventricular end-diastolic diameter (LVEDD) is reported at 52 mm, which is at the upper limit of normal (35-52 mm). This suggests that while the size is acceptable, it is important to monitor it over time to ensure it does not increase further.

2. Left Ventricular Ejection Fraction (LVEF): Your LVEF is reported at 62% by M-mode, which is above the normal threshold of 50%. This indicates that your heart's pumping ability is preserved, which is a good sign of cardiac function.

3. Diastolic Function: The report notes impaired left ventricular diastolic function. This is assessed using the E/E' ratio, which is 9.8 in your case. An elevated E/E' ratio can indicate increased filling pressures in the heart, often associated with conditions like hypertension or heart failure. Diastolic dysfunction means that the heart may not fill properly during the relaxation phase, which can lead to symptoms such as shortness of breath or fatigue.

4. Valvular Function: Mild mitral regurgitation (MR), tricuspid regurgitation (TR), and pulmonary regurgitation (PR) were noted. Mild regurgitation means that there is a small amount of backward flow of blood through the valves, which is often not clinically significant but should be monitored. The estimated systolic pulmonary artery pressure (SPAP) is 33 mmHg, which is slightly elevated and may indicate mild pulmonary hypertension.

5. Regional Wall Motion: The report states that there are no regional wall motion abnormalities, which is a positive finding. This means that all areas of the heart are contracting normally.


Implications for Heart Health:
- Monitoring: Given the mild diastolic dysfunction and the presence of mild regurgitation, it is important to have regular follow-ups with your healthcare provider. They may recommend periodic echocardiograms to monitor any changes in heart size, function, or valve status.

- Lifestyle Modifications: To support heart health, consider adopting a heart-healthy lifestyle. This includes a balanced diet rich in fruits, vegetables, whole grains, and lean proteins, regular physical activity, maintaining a healthy weight, and managing stress. If you smoke, quitting is one of the best things you can do for your heart.

- Blood Pressure and Cholesterol Management: If you have a history of hypertension or elevated cholesterol levels, it is crucial to manage these conditions effectively. Regular monitoring and adherence to prescribed medications can help prevent further complications.

- Symptom Awareness: Be vigilant about any new or worsening symptoms, such as shortness of breath, chest pain, or palpitations. If you experience these, seek medical attention promptly.


Conclusion:
In summary, while your echocardiogram shows preserved left ventricular systolic function and normal chamber sizes, the presence of diastolic dysfunction and mild regurgitation warrants attention. Regular follow-up with your healthcare provider, along with lifestyle modifications, can help maintain your heart health and prevent potential complications. Always feel free to discuss any concerns or questions with your doctor, as they can provide personalized advice based on your overall health status.

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