Your Echocardiogram: Key Insights on Heart Health - Cardiology

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Echocardiography, Doppler ultrasound of the heart?


Hello, doctor.
I would like to ask about my recent examination report.
The electrocardiogram report is normal, and the doctor did not mention anything specific at that time.
However, I noticed that the echocardiogram indicates some abnormalities.
I would like to inquire about the current health of my heart and whether there are any potential issues.
It seems that pulmonary hypertension is also slightly elevated.

Echocardiogram findings:
Diagnosis and purpose of examination: Q67.6 Pectus excavatum, M95.4 Acquired deformity of chest and rib.

M-Mode, TWO DIMENSIONAL & DOPPLER STUDIES
RVD 2.01 (0.7-2.3)
Mitral valve structure REGURG VELOCITY STENOSIS
LVDD 4.24 (3.5-5.5)
EF slope (80-370mm/s)
Grading m/sec Gradient mmHg
LVSD 2.11 (1.9-3.9)
Excursion (15-30mm)
Max/Mean Peak/Mean
IVS 1.12 (0.5-1.2)
Ao 3.14 (1.7-4.0)
□ MV /3 / /
LVPW 0.812 (0.5-1.1)
LA 3.12 (2.0-4.0)
□ AV /3 / /
Pericardial □ TV /4 / / effusion(-)
□ PV /4 / / N ABN
Description of Regional Wall Motion:
□ ■ IVS, apex
Mitral Valve □ ■ MR+
Aortic Valve ■ □
Tricuspid Valve □ ■ TR+, RVSP=35.8 mmHg
Pulmonary Valve □ □
Left Ventricular Function: Dias.
vol Syst.
vol.
EF.
56% (50-70)
Others: LAD lesion
Interpretation:
1.
Normal chamber dimensions.

2.
Mild mitral regurgitation (MR).

3.
Mild pulmonary hypertension with functional tricuspid regurgitation (TR) with estimated RVSP: 35.8 mmHg.

4.
Hypokinesia of the left ventricular anterior septal and anterior apical region.

5.
Mildly impaired left ventricular diastolic and systolic performance.

Hanbao, 30~39 year old female. Ask Date: 2022/11/21

Dr. He Dongjin reply Cardiology


Hello, I believe the outpatient physician's opinion should be prioritized, as they can view the actual imaging.
Relying solely on the report may lead to misinterpretation.
It is advisable to return to the outpatient clinic to discuss the report with the attending physician.
Changhua Hospital cares about your well-being.

Reply Date: 2022/11/21

More Info


Understanding your echocardiogram report is crucial for assessing your heart health. Based on the information you've provided, let's break down the key findings and their implications.


Key Findings from Your Echocardiogram:
1. Chamber Dimensions: Your report indicates that the dimensions of the heart chambers are normal. This is a positive sign, as it suggests that there is no significant enlargement of the heart chambers, which can be a sign of heart disease.

2. Mitral Regurgitation (MR): The report notes "mild MR." Mitral regurgitation occurs when the mitral valve does not close tightly, allowing blood to flow backward into the left atrium when the left ventricle contracts. Mild MR is often not a cause for concern, especially if there are no symptoms or significant effects on heart function.

3. Pulmonary Hypertension: The estimated right ventricular systolic pressure (RVSP) is 35.8 mmHg, which indicates mild pulmonary hypertension. This condition means that the pressure in the pulmonary arteries is higher than normal. Mild pulmonary hypertension can be caused by various factors, including lung diseases, heart conditions, or even obesity. It is essential to monitor this condition, as it can progress if left untreated.

4. Left Ventricular Function: The left ventricular ejection fraction (EF) is reported at 56%. While this is within the lower range of normal (50-70%), it indicates that the heart's pumping ability is mildly impaired. This could be due to various factors, including the hypokinesia (reduced movement) of the left ventricular anterior septal and anterior apical regions noted in your report. This finding suggests that certain areas of the heart muscle are not contracting as effectively as they should.

5. Regional Wall Motion Abnormalities: The report mentions hypokinesia of the left ventricular anterior septal and anterior apical regions. This could indicate that there is a problem with blood flow to these areas, possibly due to coronary artery disease or other cardiac conditions. Further evaluation may be necessary to determine the underlying cause.


Recommendations for Monitoring Your Heart Health:
1. Follow-Up with Your Doctor: It is essential to discuss these findings with your healthcare provider. They can provide a more comprehensive interpretation of your results in the context of your overall health, symptoms, and medical history.

2. Lifestyle Modifications: If you have not already, consider adopting heart-healthy lifestyle changes. This includes a balanced diet low in saturated fats and high in fruits and vegetables, regular physical activity, maintaining a healthy weight, and managing stress.

3. Monitor Symptoms: Pay attention to any symptoms such as shortness of breath, chest pain, or palpitations. If you experience any of these, seek medical attention promptly.

4. Consider Additional Testing: Depending on your doctor's assessment, they may recommend further tests, such as a stress test or coronary angiography, to evaluate the blood flow to your heart and rule out any significant coronary artery disease.

5. Regular Check-Ups: Regular follow-ups with your cardiologist can help monitor your heart health and catch any changes early.


Conclusion:
While your echocardiogram shows some mild abnormalities, it is essential to remember that many individuals live healthy lives with similar findings. The key is to stay informed, maintain regular communication with your healthcare provider, and make lifestyle choices that support heart health. Your proactive approach to understanding your heart health is commendable, and with appropriate management, you can continue to lead a healthy life.

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