Your Cardiac Echo Results: A Simplified Guide - Cardiology

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I would like to inquire about the results of the echocardiogram?


The physician's explanation was generally understood at the time, but upon reflection, the numerous terms have caused some confusion.
I hope the physician can help interpret the report results, thank you!
CARDIAC ECHO: Transthoracic echocardiography M-mode (Normal data)
1.
Aorta/LA (23-37/18-38mm) 33 / 22
2.
IVS/LVPW (6-12/ 5-11mm) 6 / 8
3.
LV-Diameter Dias/Sys (36-52/20-36mm) 43 / 26
4.
LVEDD/LVESD Volume (46-108/10-54ml) 83 / 25
5.
LV SV/ EF (32-95ml/49-76%) 58 / 70
A) Dilated heart size: None; Thickening: None
B) Pericardial effusion: No, Tamponade: No
C) Intracardiac mass/thrombus: No
D) Mitral flow pattern: E > A
F) Valve lesion:
* AV: normal - AS: /4, AVA: cm², mean PG: mmHg, peak PG: mmHg
- AR: /4, VCW: mm, P1/2t: ms
* MV: prolapse - MS: /4, MVA: cm², mean PG: mmHg
- MR: 2/4, VCW: mm, jet:
* TV: normal - TS: /4, TVA: cm², mean PG: mmHg
- TR: 2/4, PG: mmHg, VCW: mm
* PV: normal - PS: /4, mean PG: mmHg, peak PG: mmHg
- PR: /4 (1: trivial, 2: mild, 3: moderate, 4: severe, 5: massive, 6: torrential)
G) Congenital lesion: None
H) LV wall motion: Normal
I) Global LV performance: good
J) Global RV performance: adequate
#Conclusion: Anterior Mitral Valve Prolapse, Mild Mitral Regurgitation, Tricuspid Regurgitation (16 mmHg).
Ao = aortic root, AR = aortic regurgitation, AS = aortic stenosis, EF = ejection fraction, HCVD = hypertensive cardiovascular disease, IVC = inferior vena cava, IVS = interventricular septum, LA = left atrium, LV = left ventricle, LVPW = left ventricular posterior wall, MR = mitral regurgitation, MS = mitral stenosis, PR = pulmonary regurgitation, PS = pulmonary stenosis, PG = pressure gradient, RA = right atrium, RV = right ventricle, TR = tricuspid regurgitation, TS = tricuspid stenosis, TAPSE = Tricuspid annular plane systolic excursion, VCW = vena contracta width.

Xiao Ming, 20~29 year old female. Ask Date: 2022/12/15

Dr. Wu Xueming reply Cardiology


The report indicates the presence of mitral valve prolapse along with mild mitral regurgitation and tricuspid regurgitation.

Reply Date: 2022/12/15

More Info


Understanding your cardiac echo results can indeed be overwhelming due to the technical terminology and various measurements involved. Let’s break down the key components of your report in simpler terms, focusing on what each part means and its implications for your heart health.


Overview of the Cardiac Echo Report
1. Heart Size and Structure:
- Aorta/LA (Left Atrium): The measurements indicate that your aorta and left atrium are within normal ranges (33 mm for the aorta and 22 mm for the left atrium). This suggests that there is no enlargement of these chambers, which is a positive sign.

- IVS (Interventricular Septum) / LVPW (Left Ventricular Posterior Wall): Both measurements (6 mm for IVS and 8 mm for LVPW) are normal, indicating that the walls of your heart are of appropriate thickness.

2. Left Ventricular Function:
- LV Diameter (Diastolic/Systolic): The left ventricle's dimensions (43 mm diastolic and 26 mm systolic) are also normal, suggesting that your heart is functioning well during both filling and contraction phases.

- Ejection Fraction (EF): Your EF is 70%, which is within the normal range (49-76%). This percentage indicates how well your heart pumps blood; a normal EF suggests good heart function.

3. Valvular Function:
- Mitral Valve (MV): The report notes a prolapse of the anterior leaflet of the mitral valve, which is a common condition where the valve does not close properly. You have mild mitral regurgitation (MR), rated 2 out of 4, meaning there is a small amount of backflow of blood into the left atrium.

- Tricuspid Valve (TV): There is mild tricuspid regurgitation (TR) with a pressure gradient of 16 mmHg. This indicates a slight backflow of blood into the right atrium, which is generally not concerning unless symptoms arise.

4. Overall Heart Function:
- Global LV and RV Performance: The report states that the left ventricular performance is good and the right ventricular performance is adequate. This means that both sides of your heart are functioning well.

5. Other Findings:
- No Pericardial Effusion: There is no fluid around the heart, which is a good sign.

- No Intracardiac Mass or Thrombus: This indicates that there are no abnormal growths or blood clots within the heart chambers.


Conclusion
The conclusion of your report highlights the presence of anterior mitral valve prolapse with mild mitral and tricuspid regurgitation. While these findings may sound alarming, they are relatively common and often do not require treatment unless they lead to significant symptoms or complications.


Recommendations
1. Regular Monitoring: It’s important to have regular follow-ups with your healthcare provider to monitor your heart function and any changes in your condition.

2. Lifestyle Modifications: Maintain a heart-healthy lifestyle, including a balanced diet, regular exercise, and avoiding smoking, which can help manage your heart health.

3. Symptom Awareness: Be aware of any new symptoms such as shortness of breath, fatigue, or palpitations, and report these to your doctor promptly.

In summary, your cardiac echo results indicate that your heart is functioning well overall, with some mild issues that are common and manageable. Always consult with your healthcare provider for personalized advice and to address any concerns you may have regarding your heart health.

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