Please help, doctor?
Normal left atrial (LA) and left ventricular (LV) size with good left ventricular contractility (LVEF: 67% by M-mode).
Mild mitral regurgitation (MR) and mild tricuspid regurgitation (TR).
M-mode LVEF: 67%
2D LVEF: %
LV mass: 78 g
Aorta: 26 mm (normal range: 20-37 mm)
Aortic valve: 19 mm (normal range: 16-26 mm)
LA: 27 mm (normal range: 19-40 mm)
Right ventricle (RV): mm (normal range: 5-20 mm)
Interventricular septum (IVS): 6 mm (normal range: 7-10 mm)
Left ventricular posterior wall (LVPW): 7 mm (normal range: 8-13 mm)
Left ventricular end-diastolic diameter (LVEDD): 41 mm (normal range: 35-53 mm)
Left ventricular end-systolic diameter (LVESD): 26 mm (normal range: 20-35 mm)
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Aorta and Aortic Valve: Tricuspid valve
Mitral Valve: Myxomatous change
Left Ventricle: No regional wall motion abnormality
Right Heart and Septum: Nothing particular
Other Findings: No pericardial effusion
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Color Flow Mapping:
MR: mild
TR: mild
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Doppler Flow Measurement:
Aortic valve [peak flow]: 133 cm/sec (peak pressure gradient: 7 mmHg)
Mitral valve [E wave]: 101 mm [A wave]: 66 mm [Deceleration time]: 165 msec
TR [peak flow]: 157 cm/sec (peak pressure gradient: 10 mmHg)
Recently, I have been experiencing headaches and eye pain for the past two months, along with chest tightness and shortness of breath.
I underwent an echocardiogram in the cardiology department.
Please help me review the report for any abnormalities.
Thank you.
Ting, 40~49 year old female. Ask Date: 2022/09/19
Dr. Wu Xueming reply Cardiology
The report indicates only mild mitral and tricuspid regurgitation, with all other findings normal.
Reply Date: 2022/09/19
More Info
Based on the echocardiogram report you provided, it appears that your heart health is generally stable, but there are a few points that warrant attention. Here’s a detailed breakdown of the findings and what they mean for your overall cardiovascular health.
Key Findings from the Echo Report:
1. Chamber Sizes:
- Your left atrium (LA) and left ventricle (LV) sizes are within normal limits, which is a positive sign. Normal chamber sizes suggest that there is no significant volume overload or structural heart disease.
2. Left Ventricular Function:
- The left ventricular ejection fraction (LVEF) is reported at 67%, which indicates good systolic function. An LVEF above 55% is generally considered normal, so your heart is effectively pumping blood.
3. Mitral Valve (MV) and Tricuspid Valve (TV):
- There is a mild degree of mitral regurgitation (MR) and tricuspid regurgitation (TR). Mild regurgitation is common and often does not require treatment unless symptoms are present or it progresses. The presence of myxomatous change in the mitral valve suggests a structural alteration, which can be benign but should be monitored.
4. Doppler Flow Measurements:
- The Doppler measurements indicate normal flow across the aortic and mitral valves, with peak gradients that are within acceptable ranges. This suggests that there is no significant obstruction to blood flow through these valves.
5. No Regional Wall Motion Abnormalities:
- The absence of regional wall motion abnormalities is a reassuring finding, indicating that the heart muscle is contracting uniformly and there are no areas of ischemia or infarction.
6. Other Findings:
- There is no pericardial effusion, which means there is no fluid accumulation around the heart that could compromise its function.
Symptoms and Their Possible Connection to the Echo Findings:
You mentioned experiencing headaches, eye pain, chest tightness, and shortness of breath. While the echocardiogram results are largely normal, these symptoms can sometimes be related to cardiovascular issues, but they can also stem from other causes such as anxiety, stress, or even migraines.
- Chest Tightness and Shortness of Breath: These symptoms can be concerning and may warrant further evaluation, especially if they are new or worsening. While your echocardiogram shows good heart function, it’s essential to consider other potential causes, including anxiety, respiratory issues, or even gastrointestinal problems.
- Headaches and Eye Pain: These symptoms may not be directly related to heart health but could indicate other underlying conditions such as migraines or tension headaches. It’s important to discuss these symptoms with your healthcare provider to determine if further investigation is needed.
Recommendations:
1. Follow-Up with Your Cardiologist: Given your symptoms, it would be prudent to have a follow-up appointment with your cardiologist. They may recommend additional tests, such as a stress test or Holter monitor, to further evaluate your heart's response to exertion and to rule out any arrhythmias.
2. Monitor Symptoms: Keep a diary of your symptoms, noting when they occur, their severity, and any potential triggers. This information can be valuable for your healthcare provider.
3. Lifestyle Modifications: Consider adopting heart-healthy lifestyle changes, such as a balanced diet, regular exercise, and stress management techniques. These can help improve overall cardiovascular health and may alleviate some of your symptoms.
4. Seek Immediate Care if Symptoms Worsen: If you experience severe chest pain, significant shortness of breath, or any other alarming symptoms, seek immediate medical attention.
In summary, while your echocardiogram results are largely reassuring, your symptoms should not be overlooked. A comprehensive approach that includes follow-up care and lifestyle modifications will be beneficial for your heart health and overall well-being.
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