Could you please help me review the echocardiogram reports to see if there are any issues? There are two reports. Thank you?
--------------------------------------------- 09/23 Weight 45 kg, Height 156.00 cm Body surface area 1.41 m² [Clinical Impression:] Check-up [Aortic root measurement:] Aortic annulus diameter 21.80 mm Sinus valsalva diameter 25.50 mm Sinotubular junction diameter 21.70 mm Ascending aorta diameter 26.90 mm Abdominal aorta diameter 13.70 mm [Left ventricle measurement:] IVSd 6.00 mm LVPWd 4.92 mm IVSd/LVPWd ratio 1.22 LVEDD 41.50 mm LVESD 25.50 mm LVEDV (Teich) 76.40 ml LVESV (Teich) 23.40 ml EF (Teich) 69.40 % SV (Teich) 53.00 ml SVI (Teich) 37.60 ml/m² LVEDV (MOD) ml LVESV (MOD) ml EF (MOD) % SV (MOD) ml SVI (MOD) ml/m² LV mass index (Teich) 43.30 g/m² LV mass index (2D) g/m² RWT 0.20 % [Right ventricle and tricuspid valve measurement:] RV S’ 10.30 cm/s TAPSE 15.00 mm RV area change % TR peak velocity 201.00 cm/s TRPG 16.00 mmHg RVSP 19.00 mmHg IVC 8.00 mm Basal RV diameter mm mid RV diameter mm base-to-apex length diameter mm Above aortic valve diameter mm above pulmonary valve diameter mm below pulmonary valve diameter mm [Mitral measurement:] MV E point 42.80 cm/s MV A point 54.80 cm/s MV E/A ratio 0.80 MV Average E/E’ 3.49 MV E’(S) / MV E’(L) 10.70 / 13.80 cm/s MV peak velocity cm/s MV mean PG mmHg MVA (Doppler) cm² MVA (2D) cm² [Aortic measurement:] EOA cm² LVOT peak velocity cm/s AV peak velocity 106.00 cm/s AV mean PG 2.00 mmHg AVA (Doppler) cm² AVA (2D) cm² LVOT diameter 2.18 cm LVOT area 3.73 cm² AR pressure half time ms AR peak velocity cm/s [Pulmonary measurement:] MPA diameter mm PV peak velocity 104.00 cm/s PV mean PG 2.00 mmHg Qp/Qs [Left atrium measurement:] LA diameter 27.10 mm LA volume index ml/m² [Right atrium measurement:] RA diameter 22.90 mm RA volume index ml/m² Impression: Conclusion: 1.
Mild mitral regurgitation (MR) 2.
No chamber dilation, normal left ventricular (LV) and right ventricular (RV) contractility 3.
Mild tricuspid regurgitation (TR), pressure gradient: 16 mmHg, estimated RV systolic pressure (RVSP) about 19 mmHg ---------------------------------------------
Qi, 20~29 year old female. Ask Date: 2022/09/25
Dr. Wu Xueming reply Cardiology
The examination results indicate that the heart's function and structure are normal, with only mild mitral and tricuspid regurgitation.
Reply Date: 2022/09/25
More Info
Understanding your echocardiogram report is crucial for assessing your heart health. An echocardiogram, or cardiac ultrasound, provides valuable insights into the structure and function of your heart. Let's break down the key components of your report and what they mean for your overall cardiovascular health.
Key Measurements and Their Implications
1. Aortic Root Measurements:
- The aortic root measurements (such as the aortic annulus and sinus valsalva diameter) are essential for evaluating the aorta's size and function. Your measurements appear to be within normal limits, indicating no significant aortic dilation, which is a positive sign.
2. Left Ventricle Function:
- The left ventricle (LV) is responsible for pumping oxygenated blood to the body. Your report shows an ejection fraction (EF) of 69.4%, which is within the normal range (typically above 55%). This indicates that your heart is effectively pumping blood.
- The left ventricular dimensions (LVEDD and LVESD) and wall thickness (IVSd and LVPWd) are also within normal ranges, suggesting that there is no chamber dilation or hypertrophy, which is a good indicator of heart health.
3. Mitral Valve (MV) Function:
- Mild mitral regurgitation (MR) is noted in your report. This means that a small amount of blood is leaking backward through the mitral valve when the heart contracts. While mild MR is common and often not clinically significant, it should be monitored over time to ensure it does not worsen.
4. Right Ventricle and Tricuspid Valve:
- The right ventricle (RV) measurements indicate normal contractility and size. Mild tricuspid regurgitation (TR) is also reported, with a pressure gradient (PG) of 16 mmHg, which is relatively low. This suggests that the TR is not significant and is unlikely to cause symptoms or complications.
5. Left and Right Atrial Measurements:
- The left atrium (LA) and right atrium (RA) sizes are also important. Your LA diameter is 27.10 mm, which is within normal limits, indicating no enlargement that could suggest increased pressure or volume overload.
Clinical Implications
Given the findings in your echocardiogram report, the following points are noteworthy:
- Normal Functionality: The absence of chamber dilation and the normal contractility of both the left and right ventricles suggest that your heart is functioning well.
- Mild Regurgitation: While mild MR and TR are present, they are common and usually do not require treatment unless they progress. Regular follow-up with your healthcare provider is advisable to monitor these conditions.
- No Signs of Heart Disease: The report does not indicate any significant structural heart disease, such as hypertrophic cardiomyopathy or significant valvular disease, which is reassuring.
When to Seek Further Evaluation
While your echocardiogram results are largely positive, it’s essential to remain vigilant about your heart health. You should consider seeking further evaluation if you experience:
- New or Worsening Symptoms: Such as chest pain, shortness of breath, palpitations, or fatigue.
- Changes in Blood Pressure or Heart Rate: If you notice significant fluctuations or if your resting heart rate consistently exceeds 100 beats per minute.
- Family History of Heart Disease: If you have a family history of cardiovascular issues, regular check-ups may be warranted.
Conclusion
In summary, your echocardiogram report indicates that your heart is functioning well, with only mild regurgitation noted in the mitral and tricuspid valves. It is essential to maintain a healthy lifestyle, including a balanced diet, regular exercise, and routine medical check-ups to monitor your heart health. Always discuss your results with your healthcare provider to understand their implications fully and to develop a personalized health plan.
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