Cardiac issues
Echocardiogram: Diagnostic Procedure: Doppler Color Flow Mapping, Echocardiography (including single and dual-sided)
Report Content: Diagnosis and Examination Purpose: M-mode Echo Requested by Physician:
Ao (2.0-3.7 cm): 2.31
LA (2.0-3.6 cm): 2.58
RVIDd (0.7-2.3 cm): 2.2
LVIDd (3.5-5.5 cm): 1.22
LVIDs (1.9-3.0 cm): 3.77
IVSd (0.5-1.2 cm): 2.52
LVPWd (0.5-1.1 cm): 0.952
LVEF: 62.8%
Doppler Echo:
Valves REGURG VELOCITY STENOSIS Grading m/sec Gradient mmHg Max/Mean Peak/Mean
MV -/3
TV -/3
AV -/4
PV -/4
E/A ratio: 1.26
E/E’: 14.3
Comments:
1.
Normal four-chamber size
2.
The aortic root is normal in size.
3.
The left ventricle has normal systolic function with an estimated EF of 62.85%.
4.
The left ventricle is impaired in diastolic function.
5.
The right ventricle has normal systolic function.
6.
Mild mitral valve prolapse.
7.
No IVC dilation.
8.
No evidence of pericardial effusion.
9.
No valvular vegetations or intra-cardiac thrombi were found.
Reporter:
Electrocardiogram: Sinus tachycardia........................................................rate > 99
Right atrial enlargement........................P > 0.25 mV 2 leads or < -0.24 mV aVR/aVL
Right ventricular hypertrophy.....................prominent R or R’ with RAD or RAE
Borderline ST elevation, anterior leads.......................ST > 0.15 mV in V1-V4
Baseline wander in lead(s) II, III, aVL, aVF, V4, V5, V6
apple, 10~19 year old female. Ask Date: 2023/05/05
Dr. He Dongjin reply Cardiology
Hello, overall there is nothing to worry about.
Changhua Hospital cares about you.
Reply Date: 2023/05/05
More Info
Understanding echocardiogram results is crucial for assessing heart health, as these tests provide valuable insights into the structure and function of the heart. Based on the report you provided, several key findings can be highlighted, along with their implications for heart health.
Key Findings from the Echocardiogram Report:
1. Chamber Sizes: The report indicates that the sizes of the four heart chambers are normal. This is a positive sign, as enlarged chambers can indicate conditions such as heart failure or volume overload.
2. Left Ventricular Function: The left ventricle (LV) shows normal systolic function with an ejection fraction (EF) of 62.8%. An EF above 55% is generally considered normal, indicating that the heart is effectively pumping blood. However, the report notes impaired diastolic function, which means that while the heart can contract well, it may struggle to relax and fill properly. This can lead to symptoms of heart failure, particularly in older adults.
3. Diastolic Dysfunction: The mention of impaired diastolic function suggests that the heart muscle may be stiff or less compliant, which can lead to increased pressures in the heart and lungs. This is often assessed using the E/E' ratio, which in this case is 14.3. Elevated values can indicate worsening diastolic function and may require further evaluation or management.
4. Valvular Assessment: The report mentions mild mitral valve prolapse, which is a common condition where the valve does not close properly, potentially leading to mild mitral regurgitation (MR). While this is often benign, it should be monitored, especially if symptoms develop.
5. No Significant Abnormalities: The report indicates no evidence of pericardial effusion (fluid around the heart), valvular vegetations (which could indicate infection), or intracardiac thrombi (blood clots within the heart). These findings are reassuring.
6. Electrocardiogram (ECG) Findings: The ECG shows sinus tachycardia (an elevated heart rate), right atrial enlargement, and signs of right ventricular hypertrophy. These findings may suggest underlying conditions such as pulmonary hypertension or other cardiac stressors. The borderline ST elevation in the anterior leads could indicate ischemia or other cardiac issues that may require further investigation.
Implications for Heart Health:
- Monitoring and Follow-Up: Given the findings of diastolic dysfunction and mild mitral valve prolapse, regular follow-up with a cardiologist is advisable. They may recommend lifestyle modifications, medications, or further testing to monitor heart function and manage any potential symptoms.
- Lifestyle Modifications: Maintaining a heart-healthy lifestyle is crucial. This includes a balanced diet low in saturated fats and sodium, regular physical activity, and avoiding smoking. These changes can help improve overall cardiovascular health and potentially mitigate the effects of diastolic dysfunction.
- Symptom Awareness: Patients should be aware of symptoms such as shortness of breath, fatigue, or palpitations, which may indicate worsening heart function. Prompt reporting of these symptoms to a healthcare provider is essential.
- Management of Risk Factors: If there are risk factors for heart disease, such as hypertension, diabetes, or high cholesterol, these should be managed effectively. Regular check-ups and adherence to prescribed medications can help reduce the risk of cardiovascular events.
In conclusion, while the echocardiogram shows some areas of concern, particularly regarding diastolic function, the overall findings are relatively stable. Continuous monitoring and proactive management of heart health can help maintain function and prevent complications. Always consult with your healthcare provider for personalized advice and treatment options based on your specific health status.
Similar Q&A
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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...
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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. ...[Read More] Understanding Your Echocardiogram: Key Insights on Heart Health
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