Echocardiogram
Hello Director Wu, I had a cardiac ultrasound last week, and I am quite concerned about the report.
Please take a look at my report:
Examination Item: Doppler Color Flow Mapping Echocardiogram (including single-sided and double-sided)
Report Content:
- LV Function: PLVSF (EPSS < 10)
- Estimated Ejection Fraction of LV: > 55% (Teichholz method)
- RV Function: PRVSF (TAPSE > 20)
- IVC: 13 mm (Normal < 20 mm)
Oscillating Vegetation: No
Thrombus: No
Mass/Tumor: No
- Mitral Regurgitation: Minimal
- Tricuspid Aortic Valve: Present
- Tricuspid Regurgitation: Minimal
- Pulmonary Regurgitation: Minimal
- Diastolic Function of LV: E/A > 1
- No Regional Wall Motion Abnormality
Cardiology Specialist License No.
0277 / (105) Center Specialist License No.
008 Dr.
Tseng Kuo-Hsiang
Fan Xiansheng, 30~39 year old female. Ask Date: 2023/02/13
Dr. Wu Xueming reply Cardiology
The report indicates that, aside from mild regurgitation of the mitral valve, tricuspid valve, and pulmonary valve, all other findings are normal.
Reply Date: 2023/02/13
More Info
Understanding your echocardiogram results can be daunting, especially with the medical jargon involved. However, breaking down the report into simpler terms can help clarify what the findings mean for your heart health.
Key Components of Your Echocardiogram Report
1. Left Ventricular (LV) Function:
- Ejection Fraction (EF): Your report indicates an estimated ejection fraction of greater than 55%. The ejection fraction is a measurement of how much blood the left ventricle pumps out with each contraction. A normal EF typically ranges from 55% to 70%. Your result suggests that your heart is functioning adequately in terms of pumping blood.
2. Right Ventricular (RV) Function:
- The report mentions that the right ventricular function is assessed using TAPSE (Tricuspid Annular Plane Systolic Excursion), which is greater than 20 mm. This indicates that the right ventricle is also functioning well.
3. Inferior Vena Cava (IVC):
- The IVC measurement is 13 mm, which is within the normal range (less than 20 mm). This suggests that there is no significant increase in central venous pressure, which is a good sign.
4. Valvular Assessment:
- Mitral Regurgitation: Your report states "minimal" mitral regurgitation. This means that a small amount of blood is leaking backward through the mitral valve when the left ventricle contracts. Minimal regurgitation is often not clinically significant and may not require treatment.
- Tricuspid Regurgitation: Similarly, the report indicates "minimal" tricuspid regurgitation, which is also generally not a cause for concern.
- Pulmonary Regurgitation: This is also noted as minimal, indicating that there is a slight backflow of blood through the pulmonary valve, but again, this is not significant.
5. Diastolic Function:
- The report mentions that the E/A ratio is greater than 1. This ratio compares the early (E) and late (A) diastolic filling velocities of the left ventricle. An E/A ratio greater than 1 typically indicates that the left ventricle is filling properly, suggesting good diastolic function.
6. Regional Wall Motion:
- The report states there are no regional wall motion abnormalities. This means that all areas of the heart are contracting normally, which is a positive finding.
7. Oscillating Vegetation, Thrombus, Mass/Tumor:
- The report indicates "N" (No) for these findings, which means there are no signs of abnormal growths or clots in the heart, further indicating good heart health.
Conclusion
Overall, your echocardiogram results suggest that your heart is functioning well. The left and right ventricular functions are adequate, with no significant valvular issues or abnormalities in wall motion. The minimal regurgitation noted in the mitral and tricuspid valves is common and often not a cause for concern.
It is important to follow up with your healthcare provider to discuss these results in the context of your overall health, especially considering any history of heart conditions or symptoms you may be experiencing. Regular monitoring and lifestyle adjustments can help maintain heart health. If you have any specific concerns or symptoms, be sure to address them with your doctor during your next visit.
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