Cardiac Examination Report
Hello, Director.
A few days ago, I underwent a transthoracic echocardiogram and Doppler color flow study.
I would like to ask you to review the report for any abnormalities (I have diabetes).
Examination items:
2D Transthoracic Echocardiography
Report:
AO (mm) = 32
LA (mm) = 22
IVS (mm) = 11
LVPW (mm) = 7
LVEDD (mm) = 40
LVESD (mm) = 25
LVEDV (ml) = 68
LVESV (ml) = 23
LV mass (gm) = 114
RVEDD (mm) (mid-cavity) =
TAPSE (mm) = 16
LVEF (%) =
M-mode (Teichholz) = 66
2D (M-Simpson) =
Diagnosis:
1.
Heart size: Normal (LA volume: 24 ml, LA volume index: 15 ml/m²)
2.
Thickening: None
3.
Pericardial effusion: None
4.
LV systolic function: Normal
5.
RV systolic function: Normal
6.
LV wall motion: Normal
7.
MV prolapse: None; MS: None; MR: None; AS: None; Max AV velocity = 0.76 m/s; AR: None; TR: None; TS: None; PR: None; PS: None;
8.
Mitral E/A = 48 / 69 cm/s (E/A ratio = 0.70); Dec.
time = 259 ms; Heart rate = 86 bpm
9.
Septal MA e', a' = 4.8 / 9 cm/s; Septal E/e' = 9.8; Lateral MA e', a' = 10.3 / 9.2 cm/s; Lateral E/e' = 4.6;
10.
Intracardiac thrombus: None
11.
Vegetation: None
12.
Congenital lesion: None
13.
Calcified lesions: None
15.
IVC size 10 mm with inspiratory collapse >50%
Conclusion:
1.
Normal LV filling pressure.
2.
Normal LV and RV systolic function.
Thank you for your assistance.
Wu, 40~49 year old female. Ask Date: 2023/09/13
Dr. Wu Xueming reply Cardiology
The report indicates that there are no abnormalities in the structure and function of the heart.
Reply Date: 2023/09/13
More Info
Understanding your heart ultrasound report is crucial, especially for diabetic patients who may be at a higher risk for cardiovascular complications. Based on the echocardiography report you provided, let's break down the key findings and their implications for your heart health.
Key Findings from Your Report:
1. Heart Size and Structure:
- The report indicates that your heart size is normal, with no signs of chamber dilation or thickening. This is a positive sign, as it suggests that your heart is functioning well structurally.
2. Systolic Function:
- Both the left ventricle (LV) and right ventricle (RV) systolic functions are reported as normal, with an LV ejection fraction (LVEF) of 66%. This means that your heart is effectively pumping blood, which is essential for maintaining adequate circulation.
3. Diastolic Function:
- The report shows normal LV filling pressure, which is important for ensuring that the heart can fill adequately with blood between beats. The E/A ratio (a measure of diastolic function) is 0.70, which is slightly below the normal range (typically >1), indicating that there might be some mild diastolic dysfunction. This can be common in patients with diabetes.
4. Valvular Function:
- There are no significant valvular abnormalities noted, such as mitral valve prolapse (MVP), mitral stenosis (MS), or aortic stenosis (AS). This is reassuring, as valvular heart disease can complicate the management of heart health in diabetic patients.
5. No Intracardiac Thrombus or Vegetation:
- The absence of thrombus (blood clots) or vegetations (infective growths) is a positive finding, reducing the risk of complications such as stroke or endocarditis.
6. Other Observations:
- The report notes that there is no pericardial effusion (fluid around the heart), which is another favorable finding.
Implications for Diabetic Patients:
As a diabetic patient, it is essential to monitor your heart health closely. Diabetes can lead to various cardiovascular issues, including coronary artery disease, heart failure, and increased risk of heart attacks. Here are some recommendations based on your report:
1. Regular Monitoring:
- Continue to have regular echocardiograms and other cardiovascular assessments to monitor any changes in heart function or structure, especially since diabetes can lead to progressive heart disease.
2. Blood Sugar Control:
- Maintain good glycemic control to minimize the risk of diabetes-related complications. Elevated blood sugar levels can damage blood vessels and nerves, increasing the risk of cardiovascular issues.
3. Lifestyle Modifications:
- Engage in regular physical activity, maintain a healthy diet, and manage your weight. These lifestyle changes can significantly improve heart health and overall well-being.
4. Medication Adherence:
- If prescribed medications for diabetes or cardiovascular health, ensure you take them as directed. This may include medications to control blood pressure, cholesterol, or blood sugar levels.
5. Consult Your Healthcare Provider:
- Discuss your echocardiogram results with your healthcare provider. They can provide personalized recommendations based on your overall health status and any other risk factors you may have.
6. Awareness of Symptoms:
- Be vigilant about any new symptoms such as chest pain, shortness of breath, or unusual fatigue, and report these to your healthcare provider promptly.
In conclusion, your echocardiogram results are largely reassuring, indicating normal heart function and structure. However, as a diabetic patient, it is crucial to remain proactive about your heart health through regular monitoring, lifestyle changes, and effective management of your diabetes. Always consult with your healthcare provider for tailored advice and treatment options.
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