Echocardiography
Hello Dr.
Li, could you please help me understand the contents of the echocardiogram? Are there any issues? Thank you very much, doctor.
112/6/7 ECHO: Transthoracic echocardiography M-mode (Normal data)
1️⃣ Aorta/LA (23-37/18-38mm) 26 / 32
2️⃣ IVS/LVPW (6-12/5-11mm) 8 / 8
3️⃣ LV-Diameter Dias/Sys (36-52/20-36mm) 48 / 30
4️⃣ LVEDD/LVESD Volume (46-108/10-54ml) 108 / 35
5️⃣ LV SV/EF (32-95ml/49-76%) 73 / 68
6️⃣ LVEF Simpson’s method (4-chamber view): %, study parameters (TSOC_HF): No
A) Dilated heart size: None; Thickening: None
B) Pericardial effusion: No, Tamponade: No
C) Intracardiac mass/thrombus: No
D) Mitral flow pattern: E < A, E:, A:, DT:
E) Tissue Doppler Velocity: Sep e’:, E/e’:, Lat e’:, E/e’:
F) Valve lesion:
*AV: normal - AS: -/4, AVA: cm², mean PG: mmHg, peak PG: mmHg
- AR: -/4, VCW: mm, P1/2t: ms
*MV: normal - MS: -/4, MVA: cm², mean PG: mmHg
- MR: 1/4, VCW: mm, jet:
*TV: normal - TS: -/4, TVA: cm², mean PG: mmHg
- TR: 1/4, PG: 19 mmHg, VCW: mm
*PV: normal - PS: -/4, mean PG: mmHg, peak PG: mmHg
- PR: -/4 (1: trivial, 2: mild, 3: moderate, 4: severe, 5: massive, 6: torrential)
G) Congenital lesion: None
H) LV wall motion: Normal
I) Global LV performance: good
J) Global RV performance: adequate, TAPSE: mm
K) LV diastolic function: abnormal, Grade III, criteria:
L) Other findings:
M) 2D-Echo Machine: Philips EPIC 7
N) Inpatient ISBAR handover: No
===============
#Conclusion: Good LVP and adequate RVP Trivial MR, TR
===============
Ao = aortic root, AR = aortic regurgitation, AS = aortic stenosis, EF = ejection fraction, HCVD = hypertensive cardiovascular disease, IVC = inferior vena cava, IVS = interventricular septum, LA = left atrium, LV = left ventricle, LVPW = left ventricular posterior wall, MR = mitral regurgitation, MS = mitral stenosis, PR = pulmonary regurgitation, PS = pulmonary stenosis, PG = pressure gradient, RA = right atrium, RV = right ventricle, TR = tricuspid regurgitation, TS = tricuspid stenosis, TAPSE = Tricuspid annular plane systolic excursion, VCW = vena contracta width.
Ke Ke, 40~49 year old female. Ask Date: 2023/06/08
Dr. Li Shengkai reply Cardiology
According to your echocardiogram report, there are no major issues with your heart; at most, there is diastolic dysfunction, which may be a change related to aging and does not require excessive concern.
However, since I have not examined you directly, it would be more appropriate for your treating physician to explain any related questions.
Reply Date: 2023/06/08
More Info
Understanding echocardiogram results is crucial for assessing heart health, especially when there are concerns about heart function or symptoms like chest pain. Based on the echocardiogram report you provided, let's break down the key findings and their implications for your heart health.
Key Findings from Your Echocardiogram:
1. Chamber Sizes:
- The dimensions of the aorta and left atrium (LA) are within normal ranges (Aorta: 26 mm, LA: 32 mm). Normal chamber sizes suggest that there is no significant dilation, which is a positive sign.
- The left ventricle (LV) dimensions during diastole (LVEDD: 108 mm) and systole (LVESD: 35 mm) are also within acceptable limits, indicating that the heart is not enlarged.
2. Wall Thickness:
- The interventricular septum (IVS) and left ventricular posterior wall (LVPW) thickness are normal (IVS: 8 mm, LVPW: 8 mm). This suggests that there is no hypertrophy, which can occur in conditions like hypertension or heart disease.
3. Ejection Fraction (EF):
- Your left ventricular ejection fraction (LVEF) is reported as 68%, which is above the normal threshold (typically >50%). This indicates that your heart is effectively pumping blood, which is a good sign of cardiac function.
4. Diastolic Function:
- The report indicates that there is abnormal diastolic function, graded as Grade III. This means that while the heart can pump well during systole, it may have difficulty relaxing and filling properly during diastole. This can lead to symptoms of heart failure, particularly in older adults or those with risk factors like hypertension or diabetes.
5. Valvular Function:
- There is trivial mitral regurgitation (MR) and tricuspid regurgitation (TR), which are not uncommon and often do not require treatment unless they become more severe. The pressure gradient (PG) for TR is 19 mmHg, which is mild and typically not concerning.
6. Global Function:
- The report states that global left ventricular performance is good, and right ventricular performance is adequate. This means that both sides of your heart are functioning well overall.
Implications for Your Heart Health:
- Normal Functioning: The overall assessment indicates that your heart chambers are of normal size, and the heart is functioning well in terms of pumping efficiency (ejection fraction).
- Diastolic Dysfunction: The abnormal diastolic function is something to monitor. It may not cause immediate symptoms but can lead to heart failure symptoms over time. It's essential to manage risk factors such as blood pressure, cholesterol levels, and lifestyle factors (diet, exercise).
- Regular Monitoring: Given the findings, especially the diastolic dysfunction, regular follow-up with your healthcare provider is advisable. They may recommend lifestyle modifications, medications, or further testing based on your overall health and any symptoms you may experience.
- Cholesterol Management: Your cholesterol levels have improved significantly, which is excellent. Maintaining a healthy diet, regular exercise, and possibly continuing medication as advised by your doctor will be crucial in managing your cardiovascular risk.
Conclusion:
In summary, your echocardiogram results are largely reassuring, with normal chamber sizes and good ejection fraction. However, the abnormal diastolic function should be monitored closely. It is essential to maintain regular check-ups with your healthcare provider to manage any potential risks and ensure your heart health remains stable. Always discuss any new symptoms or concerns with your doctor, as they can provide personalized advice based on your overall health status.
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