Trivial MR and TR in Echocardiograms: What You Need to Know - Cardiology

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Echocardiogram


Hello, Director He.
I apologize for the inconvenience, but I would like to ask about the trivial MR (Mitral Regurgitation) and TR (Tricuspid Regurgitation) noted in the echocardiogram.
What grade does "trivial" refer to, and does this indicate any regurgitation or prolapse? Is it possible that this could be caused by panic, anxiety, or autonomic nervous system dysregulation? Below are my echocardiogram results, and I hope you can help me determine if there are any abnormalities, as I am feeling quite anxious after reviewing them:
Report:
Indications:
Echo machine: Philips IE33
Patient source: OPD
[Atrium and Aortic Root]
AO (mm) = 29
LA (mm) = 36
[Left Ventricle]
IVS (mm) = 10
PW (mm) = 10
EDD (mm) = 48
ESD (mm) = 29
EDV (ml) = 106
ESV (ml) = 32
LV mass (g) = 176
LVEF: by M-mode measurement: 69.6%
LV Wall motion: Normal wall motion
[Right Ventricle]
TAPSE = 30 mm
[Diastolic function]
Mitral inflow E/A: 81/54 (E/A ratio = 1.5)
Septal E/e: 5.9; Lateral E/e: 5.0;
[Valve]
MS: nil; MR: Mild; AS: nil; AR: nil; TS: nil; TR: Mild; Vmax = 2.29 m/s = 21 mmHg
PS: nil; PR: nil;
[Other findings]
IVC diameter: mm with sniff collapse > 50%
Pericardial effusion: None
Intracardiac thrombus: No
Congenital lesions: None
Abbreviations
LA: Left Atrium, LV: Left Ventricle, RV: Right Ventricle.

Ao: Aortic Root, IVS: Interventricular Septum, PW: Posterior Wall,
MS: Mitral Stenosis, MR: Mitral Regurgitation.

AS: Aortic Stenosis, AR: Aortic Regurgitation.

TR: Tricuspid Regurgitation, TS: Tricuspid Stenosis.

PR: Pulmonary Regurgitation, PS: Pulmonary Stenosis
[Conclusion]
1.
No cardiac chamber dilatation
2.
Normal LV thickness
3.
Normal LV systolic function with normal wall motion
4.
Normal RV systolic function with normal wall motion
5.
Normal diastolic function.

6.
Trivial MR and TR.

Thank you, Director He, and I wish you peace.

Xiao Yi, 20~29 year old female. Ask Date: 2023/02/17

Dr. He Dongjin reply Cardiology


Hello, trivial means that the heart is in better condition than mild.
There's no need to worry; Changhua Hospital cares about you.

Reply Date: 2023/02/17

More Info


Understanding the terms "Trivial MR" (Mitral Regurgitation) and "Trivial TR" (Tricuspid Regurgitation) in echocardiograms is crucial for interpreting heart health. In your report, the term "trivial" indicates that the regurgitation is minimal and generally considered insignificant. This means that there is a very small amount of blood that flows backward through the mitral and tricuspid valves during the heart's contraction phase, but it is not enough to cause any clinical symptoms or significant impact on heart function.


What Does "Trivial" Mean?
In the context of echocardiography, "trivial" is a classification used to describe the severity of valve regurgitation. The grading system typically includes:
- None: No regurgitation.

- Trivial: Very minimal regurgitation that is not clinically significant.

- Mild: Slight regurgitation that may not cause symptoms.

- Moderate: Noticeable regurgitation that may lead to symptoms or require monitoring.

- Severe: Significant regurgitation that often necessitates intervention, such as surgery.

In your case, "trivial MR and TR" suggests that both the mitral and tricuspid valves are functioning well, with only a negligible amount of blood leaking back. This is generally not a cause for concern and does not typically require treatment.


Is There Valve Prolapse?
Valve prolapse refers to a condition where the leaflets of the heart valves bulge or collapse backward into the heart chamber. Your report does not indicate any significant prolapse of the mitral or tricuspid valves, as it specifically mentions "trivial" regurgitation without any mention of prolapse. However, it is essential to note that some individuals may have mild valve prolapse without significant regurgitation.


Can Anxiety or Autonomic Nervous System Disorders Cause These Findings?
While anxiety and autonomic nervous system disorders can lead to various symptoms, including palpitations or chest discomfort, they do not directly cause trivial MR or TR. These conditions are typically structural or functional issues related to the heart's anatomy or the function of the heart valves. However, anxiety can exacerbate the perception of symptoms related to existing heart conditions, leading to increased worry about heart health.


Conclusion
Your echocardiogram results indicate that your heart's structure and function are normal, with trivial regurgitation in both the mitral and tricuspid valves. This finding is generally benign and does not require any specific treatment. It is essential to maintain regular follow-ups with your healthcare provider to monitor your heart health, especially if you have a history of heart conditions or experience new symptoms.

If you are feeling anxious about your heart health, consider discussing your concerns with your doctor. They can provide reassurance, further explanations, and possibly recommend strategies to manage anxiety. Remember, trivial MR and TR are common findings and are usually not a cause for concern.

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