Your Echocardiogram Report: Mitral Valve Insights - Cardiology

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Echocardiogram Report


Hello Director Li, this is my echocardiogram report.
I found online that I have 2.3 degrees of mitral regurgitation.
May I ask if this is currently classified as mild regurgitation, or has it worsened? Two years ago, I was diagnosed with mild mitral valve prolapse, but in recent years, my symptoms have become more severe and more frequent, which makes me a bit worried about my current condition.
Could you please help me analyze this? Thank you.
M-mode + Section Scan:
Aortic Root (20~37 mm): 25
LAD (19~40 mm): 34
LVIDd (35~51 mm): 38
LVIDs (28~35 mm): 21
VS (6~10 mm): 6
PW (6~10 mm): 6
Comment: (M-mode, 2-D, Doppler & Color Flow Mapping)
● Normal heart chamber size.
● Preserved left ventricular (LV) and right ventricular (RV) systolic function, LV ejection fraction (LVEF) = 77%.
● Preserved LV diastolic function: E/A = 1.8, Em = 16.8 cm/s, E/Em = 7.0.
● Mitral Regurgitation (MR): Minimal.
● Tricuspid Regurgitation (TR): Mild, RV systolic pressure (RVSP) = 26 mmHg.
● Pulmonary Regurgitation (PR): Mild.

Zhang Jie, 20~29 year old female. Ask Date: 2022/10/23

Dr. Li Han reply Cardiology


Hello, based on the report, the valve function appears to be generally normal and is similar to that of an average person.
Changhua Hospital, Ministry of Health and Welfare, cares about you.

Reply Date: 2022/10/23

More Info


Understanding your echocardiogram report, especially regarding mitral valve insights, is crucial for managing your heart health. Based on the report you provided, it appears that you have a minimal degree of mitral regurgitation (MR) and mild tricuspid regurgitation (TR). Let’s break down the findings and their implications.


Key Findings from Your Echocardiogram Report:
1. Heart Chamber Size: The report indicates that your heart chamber sizes are normal. This is a positive sign, as it suggests that there is no significant enlargement of the heart chambers, which can occur in various heart conditions.

2. Left Ventricular (LV) and Right Ventricular (RV) Function: Both your LV and RV systolic functions are preserved, with a left ventricular ejection fraction (LVEF) of 77%. This is well above the normal threshold of 50%, indicating that your heart is pumping effectively.

3. Diastolic Function: Your LV diastolic function is also preserved, as indicated by the E/A ratio of 1.8 and E/Em of 7.0. These values suggest that your heart is filling properly during the diastolic phase.

4. Mitral Regurgitation (MR): The report states that you have minimal MR. This means that a small amount of blood is leaking backward through the mitral valve when the left ventricle contracts. Minimal MR is generally not a cause for concern and often does not require treatment unless it progresses.

5. Tricuspid Regurgitation (TR): Mild TR is noted, with a right ventricular systolic pressure (RVSP) of 26 mmHg. Mild TR is common and can be seen in many individuals without significant health implications.

6. Pulmonic Regurgitation (PR): Mild PR is also mentioned, which is typically not a significant issue unless accompanied by other symptoms or findings.


Concerns About Progression:
You mentioned that you were diagnosed with mild mitral valve prolapse (MVP) two years ago and that your symptoms have been worsening. It’s important to understand that MVP can sometimes lead to MR, but the degree of regurgitation can vary. In your case, the report indicates that the MR is minimal, which is reassuring.


Recommendations:
1. Monitoring: Given that your MR is currently minimal, regular follow-up echocardiograms may be recommended to monitor for any changes. This is particularly important since you have a history of MVP and have noticed worsening symptoms.

2. Symptom Management: If you are experiencing symptoms such as palpitations, shortness of breath, or fatigue, it is essential to discuss these with your healthcare provider. They may consider further evaluation or adjustments to your management plan.

3. Lifestyle Considerations: Maintaining a heart-healthy lifestyle can be beneficial. This includes regular exercise, a balanced diet, managing stress, and avoiding smoking.

4. Consultation: It would be wise to have a detailed discussion with your cardiologist about your concerns regarding the progression of your condition. They can provide personalized advice based on your overall health and the specifics of your echocardiogram findings.


Conclusion:
In summary, your echocardiogram report indicates that you currently have minimal mitral regurgitation and mild tricuspid regurgitation, with preserved heart function. While it is understandable to be concerned about your symptoms and the potential for worsening valve issues, the current findings suggest that your condition is stable. Regular monitoring and open communication with your healthcare provider will be key in managing your heart health moving forward.

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