Echocardiogram Results: Key Insights for Heart Health - Cardiology

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I would like to inquire about the interpretation of echocardiogram results. Thank you?


Hello Doctor, I would like your assistance in interpreting the echocardiogram results for any abnormalities or areas of concern.
Thank you.
Conclusion:
1.
No cardiac chamber dilation.
2.
Normal left ventricular (LV) systolic function with normal wall motion.
3.
Normal right ventricular (RV) systolic function with normal wall motion.
4.
Normal diastolic function.
5.
Mild tricuspid regurgitation (TR).
Data:
(1) Dimensions, thickness, and systolic function:
- Aortic root: 23 mm
- Left atrium (LA): 31 mm
- Interventricular septum (IVS): 8 mm
- Left ventricular posterior wall (LVpw): 10 mm
- Left ventricular mass index: 77 g/m²
- Relative wall thickness: 0.48
- Left ventricular end-diastolic diameter (LVEDD): 44 mm
- Left ventricular end-systolic diameter (LVESD): 19 mm
- Left ventricular ejection fraction (LVEF): 87% (M-mode), 2D (Simpson) = %
- Right ventricular (RV) tricuspid annular plane systolic excursion (TAPSE): 28 mm
(2) Wall motion abnormality: None.
(3) Diastolic function:
- Mitral E/A ratio: 1.4
- Deceleration time (DT): 143 ms
- Pulmonary vein S/D ratio: > 1
- Tricuspid E/A ratio: > 1
- Septal E' velocity: 9.84 cm/s
- Septal E/E' ratio: 7.8
(4) Valvular heart disease:
- Anatomy: Aortic valve (AV) normal, mitral valve (MV) normal, tricuspid valve (TV) normal, pulmonary valve (PV) normal.
- Aortic valve: No aortic stenosis (AS), jet velocity: 1.5 m/s; no aortic regurgitation (AR).
- Mitral valve: No mitral stenosis (MS), no mitral regurgitation (MR).
- Tricuspid valve: No tricuspid stenosis (TS), mild tricuspid regurgitation (TR), peak TR velocity: _ m/s, TR pressure gradient: _ mmHg.
- Pulmonary valve: No pulmonary stenosis (PS), no pulmonary regurgitation (PR), pulmonary artery systolic pressure: _ mmHg.
(5) Pericardium: Normal, no effusion.
(6) Congenital heart disease: None.
(7) Others: No mass or thrombus.
Inferior vena cava (IVC) diameter: < 2.1 cm with > 50% collapse.
Additionally, the static electrocardiogram results show:
1.
Regular sinus rhythm.
2.
RSR' wave in V2.

Could you please explain what this means? Thank you.

Niming, 40~49 year old female. Ask Date: 2023/05/09

Dr. Huang Yinghe reply Cardiology


Hello: Based on the echocardiogram results you provided, overall it appears to be a normal echocardiogram with no significant abnormalities or areas that require special attention.
The heart size, systolic and diastolic function, and valve function are all normal.
Mild tricuspid regurgitation is typically not a major concern.
The electrocardiogram shows a regular sinus rhythm, which is normal.
The RSR' wave in V2 can be normal, but it may sometimes be associated with certain cardiac conditions, such as coronary artery disease or cardiac hypertrophy.
Therefore, it is advisable to consult your physician to determine if further evaluation is necessary.

Reply Date: 2023/05/09

More Info


Understanding echocardiogram results is crucial for assessing heart health, and your report provides several important insights. Let's break down the findings and their implications for your cardiovascular health.


Key Findings from the Echocardiogram:
1. No Cardiac Chamber Dilatation: This indicates that the size of the heart chambers (atria and ventricles) is normal. Chamber enlargement can be a sign of various heart conditions, including heart failure or valvular disease, so this is a positive finding.

2. Normal Left Ventricular (LV) Systolic Function: The report states that the LV systolic function is normal with normal wall motion. The Left Ventricular Ejection Fraction (LVEF) is a critical measure of how well the heart pumps blood. An LVEF of 87% is excellent, indicating that your heart is effectively pumping blood to the body.

3. Normal Right Ventricular (RV) Systolic Function: Similar to the LV, the RV is functioning normally, which is important for overall heart health. The RV pumps blood to the lungs for oxygenation, and its proper function is essential.

4. Normal Diastolic Function: This means that the heart is able to fill properly with blood during the relaxation phase. Diastolic dysfunction can lead to heart failure with preserved ejection fraction (HFpEF), so this is another positive aspect of your report.

5. Mild Tricuspid Regurgitation (TR): Mild TR is a common finding and often does not require treatment unless it becomes more severe. It indicates that a small amount of blood is leaking backward through the tricuspid valve, but this is typically not a cause for concern unless accompanied by symptoms or significant changes in function.


Additional Measurements:
- Dimensions and Thickness: The measurements of the aortic root, left atrium, interventricular septum (IVS), and left ventricular posterior wall (LVPW) are all within normal ranges. The LV mass index is also normal, which suggests that the heart muscle is not thickened excessively, a condition that can lead to complications.

- Diastolic Function Parameters: The E/A ratio (1.4) indicates that the early filling of the heart is adequate, and the deceleration time (DT) of 143 ms is within normal limits. These findings suggest that the heart is filling properly during diastole.

- Valvular Heart Disease: The report indicates that all heart valves (aortic, mitral, tricuspid, and pulmonary) are normal, with only mild TR noted. This is reassuring as significant valvular disease can lead to serious complications.

- Pericardium: The absence of pericardial effusion (fluid around the heart) is a good sign, indicating that there is no inflammation or other issues affecting the pericardium.

- Congenital Heart Disease: The report notes no congenital heart defects, which is positive.


Electrocardiogram (ECG) Findings:
The static ECG results showing "regular sinus rhythm" indicate that your heart is beating normally. The presence of an RSR' wave in V2 may suggest a right bundle branch block or other conduction abnormalities, but in isolation, it is not necessarily indicative of a serious problem. It is essential to correlate these findings with clinical symptoms and possibly further evaluation if there are concerns.


Conclusion:
Overall, your echocardiogram results are quite favorable, showing normal heart function and structure with only mild tricuspid regurgitation. It is essential to maintain regular follow-ups with your healthcare provider to monitor your heart health, especially if you have risk factors for heart disease. Lifestyle modifications, such as a heart-healthy diet, regular exercise, and managing cholesterol levels, are crucial for maintaining cardiovascular health. If you have any symptoms or concerns, do not hesitate to discuss them with your doctor for personalized advice and management.

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