Echocardiogram
I am a patient with mitral valve prolapse and underwent an echocardiogram.
Is this normal, doctor?
M-Mode:
RVD (7-25): 13 mm
IVSD (6-11): 8 mm
LVDd (37-56): 40 mm
AoRoot (20-37): 25 mm
IVS excursion (6-11): mm
LVDs (26-34): 27 mm
AV opening (15-26): 17 mm
LVPWD (6-11): 8 mm
EPSS (<5): mm
LA (9-40): 22 mm
LVPW excursion (9-14): mm
EF (>53%): 61%
Structural abnormality:
Pericardial effusion: ☉No ○Yes
Ant: cm, Post: cm, estimated amount cc
2D-Structure analysis:
MV: +; MVP
TV: +
AV: +
PV: +
Others: -
Wall motion analysis: normal LV wall motion
-EF: 55~%
Color Doppler:
E>A; mild MR, mild TR (PG: 22 mmHg), mild AR, mild PR (PG: 6 mmHg)
Comments:
1.
Normal LV wall motion with preserved LV systolic function
2.
Mitral valve prolapse
3.
Mild MR/TR/AR/PR
Chenchen, 20~29 year old female. Ask Date: 2023/06/03
Dr. Wu Xueming reply Cardiology
The report indicates mild mitral valve prolapse and mild mitral regurgitation, while the other structures and functions of the heart are normal, so there is no need for concern.
Reply Date: 2023/06/03
More Info
Understanding echocardiogram results can be quite daunting, especially for patients diagnosed with mitral valve prolapse (MVP). Based on the echocardiogram report you provided, let's break down the findings and their implications for your condition.
Key Findings from Your Echocardiogram:
1. Mitral Valve Prolapse (MVP): The report indicates that you have mitral valve prolapse, which is a condition where the mitral valve does not close properly, allowing some blood to flow backward into the left atrium. This is a common condition and can be benign, especially if the regurgitation (backward flow of blood) is mild.
2. Mild Mitral Regurgitation (MR): The report notes mild MR, which means that there is a small amount of blood leaking back into the left atrium during ventricular contraction. Mild MR is often asymptomatic and does not require treatment unless it progresses.
3. Mild Tricuspid Regurgitation (TR): Similar to MR, mild TR indicates a small amount of blood is leaking back into the right atrium. This is also common and typically does not pose significant health risks.
4. Mild Aortic Regurgitation (AR) and Mild Pulmonary Regurgitation (PR): These findings suggest that there is a slight backward flow of blood from the aorta and pulmonary artery into the left ventricle and right ventricle, respectively. Again, mild cases are often not concerning.
5. Normal Left Ventricular (LV) Wall Motion and Ejection Fraction (EF): Your report states that the LV wall motion is normal, and the EF is 61%, which is within the normal range (typically above 55% is considered normal). This indicates that your heart is pumping effectively.
6. No Pericardial Effusion: The absence of fluid around the heart is a positive sign, as pericardial effusion can lead to complications if significant.
Clinical Implications:
- Monitoring: Given that you have mild MR, TR, AR, and PR, regular follow-ups with your healthcare provider are essential to monitor these conditions. Most patients with mild regurgitation do not experience significant symptoms or complications, but it is important to keep an eye on any changes.
- Symptoms: If you experience symptoms such as shortness of breath, fatigue, or palpitations, it is crucial to report these to your doctor, as they may indicate a progression of the condition.
- Lifestyle Modifications: Maintaining a healthy lifestyle can help manage MVP and its associated conditions. This includes regular exercise, a balanced diet, and avoiding excessive caffeine and alcohol, which can exacerbate symptoms.
- Medication: If you have symptoms or if the regurgitation worsens, your doctor may discuss medication options or other interventions. However, many patients with mild MVP and regurgitation do not require any treatment.
Conclusion:
In summary, your echocardiogram results indicate that you have mitral valve prolapse with mild regurgitation, which is generally considered a benign condition, especially given your preserved left ventricular function and normal wall motion. Regular monitoring and communication with your healthcare provider will be key in managing your condition effectively. If you have any concerns or experience new symptoms, do not hesitate to reach out to your doctor for further evaluation and guidance.
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