Your Echocardiogram Report: Key Insights and Analysis - Cardiology

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Echocardiogram Report


Hello Director Wu, please help me interpret this echocardiogram report.
Thank you.
IVSd: 9 mm (normal range: 6-11)
LVDd: 48 mm (normal range: 36-52)
AoRoot: 28 mm (normal range: 20-37)
LVDs: 30 mm (normal range: 20-36)
AV opening: 20 mm (normal range: 15-26)
LVPWD: 10 mm (normal range: 6-11)
LA: 32 mm (normal range: 19-40)
EF: 67.6%
LVEDV: 107 ml
LVESV: 35 ml
IVC Diameter: 1.24 mm
Pericardial effusion: No
2D Structure analysis:
MV: Leaflet prolapse
Trans-mitral inflow: E/A: 1.1, DT: 140 ms
Color Doppler:
1.
Mild mitral regurgitation
2.
Trans-mitral inflow: E/A: 1.1, DT: 140 msec
Comments:
Leaflet prolapse with mild mitral regurgitation
Mitral valve prolapse
Fair left ventricular contractility

Henry, 20~29 year old female. Ask Date: 2023/09/22

Dr. Wu Xueming reply Cardiology


The report indicates mild mitral regurgitation and mitral valve prolapse, while the other structures and functions of the heart are normal.

Reply Date: 2023/09/22

More Info


Understanding your echocardiogram report is crucial for assessing your heart health and determining any necessary follow-up actions. Based on the report you provided, here are the key insights and analyses:

Key Measurements and Findings
1. Left Ventricular Dimensions:
- IVSd (Interventricular Septal Thickness in Diastole): 9 mm (normal range: 6-11 mm)
- LVDd (Left Ventricular Dimension in Diastole): 48 mm (normal range: 36-52 mm)
- LVDs (Left Ventricular Dimension in Systole): 30 mm (normal range: 20-36 mm)
- LVPWd (Left Ventricular Posterior Wall Thickness in Diastole): 10 mm (normal range: 6-11 mm)
These measurements indicate that the left ventricle is within normal size limits, which is a positive sign for overall heart function.

2. Aortic Root and Mitral Valve:
- Ao Root (Aortic Root Diameter): 28 mm (normal range: 20-37 mm)
- AV Opening (Aortic Valve Opening): 20 mm (normal range: 15-26 mm)
- The aortic root and valve opening are also within normal limits, suggesting no significant aortic stenosis or dilation.

3. Left Atrial Size:
- LA (Left Atrial Diameter): 32 mm (normal range: 19-40 mm)
- A normal left atrial size is important as enlargement can indicate heart conditions such as atrial fibrillation or heart failure.

4. Ejection Fraction (EF):
- EF: 67.6%
- This is a measure of the percentage of blood that is pumped out of the left ventricle with each heartbeat. A normal EF is typically between 55% and 70%, indicating that your heart is functioning well in terms of pumping efficiency.

5. Left Ventricular Volumes:
- LVEDV (Left Ventricular End-Diastolic Volume): 107 ml
- LVESV (Left Ventricular End-Systolic Volume): 35 ml
- These volumes help assess the filling and emptying capacity of the left ventricle, and they appear to be within normal limits.

6. Inferior Vena Cava (IVC) Diameter:
- IVC Diameter: 1.24 mm
- This measurement can provide insight into right atrial pressure and fluid status, although the normal range is not specified here.

7. Pericardial Effusion:
- Pericardial Effusion: No
- The absence of fluid around the heart is a positive finding, indicating no acute pericarditis or other complications.


Mitral Valve Analysis
- Mitral Valve Findings:
- Leaflet Prolapse: This indicates that one or more leaflets of the mitral valve bulge (prolapse) back into the left atrium during contraction. This is a common condition and often benign, but it can lead to mitral regurgitation (MR).

- Mild MR: This means there is a small amount of blood leaking backward through the mitral valve. Mild regurgitation is often not clinically significant and may not require treatment unless symptoms develop.


Transmitral Inflow Analysis
- E/A Ratio: 1.1
- Deceleration Time (DT): 140 ms
- The E/A ratio is used to assess diastolic function. An E/A ratio of 1.1 suggests that the left ventricle is filling adequately, but the deceleration time indicates some degree of impaired relaxation, which may warrant monitoring.


Conclusion and Recommendations
Overall, your echocardiogram report suggests that your heart structure and function are largely normal, with the notable findings of mitral valve prolapse and mild mitral regurgitation. These conditions are common and often do not lead to significant health issues. However, it is essential to maintain regular follow-ups with your healthcare provider to monitor these findings, especially if you experience any symptoms such as shortness of breath, palpitations, or fatigue.

In summary, while your report shows some mild abnormalities, they are generally manageable and do not indicate severe heart disease. It is advisable to discuss these findings with your cardiologist, who can provide personalized recommendations based on your overall health and any symptoms you may be experiencing. Regular check-ups and echocardiograms can help ensure that any changes in your heart health are detected early.

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