Echocardiogram Interpretation
Hello, Director.
I would like to ask for your assistance in reviewing my echocardiogram report.
Thank you! The report is as follows:
Interpretation Summary
- Concentric left ventricular hypertrophy
- The left ventricle is grossly normal in size and shape.
- The left ventricular (LV) systolic function is normal.
- Mild tricuspid regurgitation.
- Mild mitral regurgitation.
MMode/2D Measurements & Calculations
- IVSd: 1.2 cm
- LVIDd: 5.2 cm
- Fractional Shortening (FS): 38.8%
- LV mass (calculated): 248.0 grams
- LVIDd Index (normal range 2.2-3.0): 2.7
- End-Diastolic Volume (EDV, Teich): 131.4 ml
- LV mass index: 128.9 grams/m²
- LVIDs: 3.2 cm
- End-Systolic Volume (ESV, Teich): 41.1 ml
- LVIDs Index (normal range 1.3-2.1): 1.7
- Ejection Fraction (EF, M52% F54%): 68.7%
- LVPWd: 1.2 cm
- Relative Wall Thickness (RWT): 0.46
- Aortic Cusp Separation (ACS): 2.2 cm
- Left atrial dimension: 3.3 cm
Doppler Measurements & Calculations
- Mitral Valve E max velocity: 95.2 cm/sec
- Mitral Valve deceleration time: 0.16 sec
- Aortic Valve V2 max: 147.7 cm/sec
- LV V1 max pressure gradient: 4.6 mmHg
- Mitral Valve A max velocity: 86.4 cm/sec
- Aortic max pressure gradient: 8.7 mmHg
- LV V1 mean pressure gradient: 2.5 mmHg
- Mitral Valve E/A ratio: 1.1
- Aortic V2 mean: 99.7 cm/sec
- LV V1 max: 106.7 cm/sec
- Aortic mean pressure gradient: 4.6 mmHg
- LV V1 mean: 73.5 cm/sec
- Aortic V2 VTI: 32.3 cm
- LV V1 VTI: 23.6 cm
- Dimensionless index: 0.73
- Pulmonary Artery V2 max: 94.6 cm/sec
- Tricuspid regurgitation max velocity: 153.8 cm/sec
- Pulmonary Artery max pressure gradient: 3.6 mmHg
- Tricuspid regurgitation max pressure gradient: 9.5 mmHg
- Pulmonary Artery acceleration time: 0.12 sec
Left Ventricle
- Concentric left ventricular hypertrophy.
- The left ventricle is grossly normal in size and shape.
- The LV systolic function is normal.
- No regional wall motion abnormalities were noted.
Left Atrium
- The left atrial size is normal.
Aortic Valve
- Thickened aortic valve.
Mitral Valve
- Myxomatous changes noted.
- Mild mitral regurgitation.
Right Heart
- Mild tricuspid regurgitation.
Great Vessel
- The aortic root is of normal size.
Pericardial Effusion
- There is no pericardial effusion.
Mode
- 2D + Doppler.
Jingjing, 40~49 year old female. Ask Date: 2023/06/05
Dr. Wu Xueming reply Cardiology
The report indicates mild left ventricular hypertrophy; mild mitral and tricuspid regurgitation.
There are no significant abnormalities in cardiac contractile function or other structures.
Reply Date: 2023/06/05
More Info
Understanding your echocardiogram report is crucial for assessing your heart health. Based on the report you provided, several key insights can be drawn regarding your cardiac condition.
Summary of Findings
1. Concentric Left Ventricular Hypertrophy (LVH): This indicates that the walls of your left ventricle are thicker than normal. LVH can be a response to increased workload on the heart, often due to high blood pressure or other conditions. However, your left ventricle is described as "grossly normal in size and shape," which suggests that while the muscle is thicker, it is functioning well.
2. Normal LV Systolic Function: Your left ventricle's ability to pump blood is normal, as indicated by an ejection fraction (EF) of 68.7%. This is a good sign, as it means your heart is effectively pumping blood to the rest of your body.
3. Mild Mitral and Tricuspid Regurgitation: Both valves show mild regurgitation, meaning that a small amount of blood is leaking backward through the valves. This is relatively common and often does not cause significant problems, especially if it is mild and you are asymptomatic.
4. Normal Left Atrial Size: The left atrium is within normal limits, which is a positive finding as enlargement of this chamber can indicate issues such as heart failure or atrial fibrillation.
5. Normal Aortic Root Size: The aortic root, which is the section of the aorta closest to the heart, is normal in size, indicating no immediate concerns regarding aortic dilation.
6. No Pericardial Effusion: The absence of fluid around the heart is a good sign, as pericardial effusion can lead to complications if significant.
Measurements and Calculations
- Left Ventricular Mass: Your LV mass is reported at 248.0 grams, which, when indexed to body surface area, is 128.9 grams/m². This suggests that while you have LVH, it may not be excessively high depending on your body size.
- Ejection Fraction (EF): At 68.7%, your EF is above the normal range (typically 55-70%), indicating good systolic function.
- Doppler Measurements: The velocities and gradients across the mitral and aortic valves are within acceptable ranges, suggesting that blood flow through these valves is not significantly obstructed.
Recommendations
1. Monitoring: Given the mild regurgitation and LVH, regular follow-up echocardiograms may be beneficial to monitor any changes in your heart's structure and function over time.
2. Lifestyle Modifications: If you have not already, consider lifestyle changes that can help manage blood pressure and reduce the workload on your heart. This includes maintaining a healthy diet, regular exercise, and managing stress.
3. Consultation with a Cardiologist: It is advisable to discuss these findings with your cardiologist, especially if you experience symptoms such as chest pain, shortness of breath, or palpitations. They may recommend further testing or lifestyle changes based on your overall health and risk factors.
4. Awareness of Symptoms: Be vigilant about any new or worsening symptoms. If you experience significant changes in your health, such as increased fatigue, swelling in your legs, or changes in your exercise tolerance, seek medical advice promptly.
Conclusion
Your echocardiogram report indicates that while there are some mild abnormalities, your heart function remains largely normal. Regular monitoring and a proactive approach to heart health can help you manage your condition effectively. Always consult with your healthcare provider for personalized advice and treatment options tailored to your specific health needs.
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