Your Echocardiogram: Key Insights for Heart Failure Patients

Q: Your Echocardiogram: Key Insights for Heart Failure Patients

Hello, Mao Mao： The examination results show that your left ventricular ejection fraction (LVEF) is 50%, which is considered a borderline value. <br>There is moderate mitral regurgitation, and given your age, your cardiac function is slightly impaired. <br>You should be taking so

Cardiac Ultrasound Report

Hello, Doctor.
I am a heart failure patient and also have arrhythmia issues.
Yesterday, my doctor arranged for another echocardiogram, but they scheduled a follow-up appointment in three months to review the results.
I am very concerned that my heart condition may have worsened.
Could you please help me review the report? Thank you!
Echocardiogram report (including single and dual views) 120 2D, M-mode, and Doppler:
Cardiac chamber size/Wall thickness:
- Aortic root (20-37mm): 26
- Left anterior descending artery (LAD) (19-40mm): 45
- Right anterior descending artery (RAD) (mm): -
- Left ventricular internal diameter in diastole (LVIDd) (35-51mm): 57
- Left ventricular internal diameter in systole (LVIDs) (28-35mm): 45
- Right ventricular diameter (RVD1) (<42mm): -
- Ventricular septum (VS) (6-10mm): 7
- Posterior wall (PW) (6-10mm): 7
- Apex wall (6-10mm): -
Doppler/M-mode:
- Septal E’/A’: 0.8
- Septal E’: 7.0 cm/s
- E/Sep.
E’: 13.8
- Septal S’: 6.9 cm/s
Findings:
- Dilated left atrium (LA) and left ventricle (LV).
- Preserved left ventricular systolic function, left ventricular ejection fraction (LVEF): 50%.
- Preserved right ventricular (RV) systolic function.
- Mild left ventricular diastolic dysfunction.
- Wall motion: Akinesia of the septum.
Heart valves:
- Mitral regurgitation (MR): moderate.
- Tricuspid regurgitation (TR): mild.
- Right ventricular systolic pressure (RVSP): 30 mmHg.
- Pulmonary regurgitation (PR): mild.
Summary:
- Dilated LA and LV.
- Preserved LV systolic dysfunction, LVEF: 50% with septal akinesis.
- Preserved RV systolic function.
- Mild LV diastolic dysfunction.
- Valvular heart disease (VHD) with moderate MR.

Mao Mao, 30~39 year old female. Ask Date: 2023/11/29

Dr. Huang Yinghe reply Cardiology

Hello, Mao Mao: The examination results show that your left ventricular ejection fraction (LVEF) is 50%, which is considered a borderline value.
There is moderate mitral regurgitation, and given your age, your cardiac function is slightly impaired.
You should be taking some heart medications regularly, so please continue to follow up with your physician for treatment.
Generally, if you do not experience symptoms such as chest tightness, shortness of breath, or edema, it indicates that your condition is relatively well-controlled, and medication should suffice.
If you do experience any symptoms, it is advisable to schedule an earlier appointment to consult with your physician.

Reply Date: 2023/11/29

More Info

Understanding your echocardiogram results is crucial, especially when you have a history of heart failure and arrhythmias. Based on the details you've provided, let's break down the key findings and their implications for your heart health.

Key Findings from Your Echocardiogram
1. Dilated Left Atrium (LA) and Left Ventricle (LV): The report indicates that both your left atrium and left ventricle are dilated. This can be a sign of increased pressure or volume overload in the heart, often associated with heart failure. The dilation suggests that your heart is working harder than normal, which can lead to further complications if not managed properly.

2. Preserved Left Ventricular Systolic Function (LVEF: 50%): Your left ventricular ejection fraction (LVEF) is at 50%, which is on the lower end of the normal range (typically 55% to 70%). This indicates that while your heart is still able to pump blood effectively, it is not doing so as efficiently as it should. This can be a concern, especially in the context of heart failure.

3. Mild Left Ventricular Diastolic Dysfunction: This finding suggests that your heart may have difficulty relaxing and filling with blood. Diastolic dysfunction is common in patients with heart failure and can contribute to symptoms such as shortness of breath and fatigue.

4. Septal Akinesia: The report notes akinesia in the septal wall, meaning that this part of the heart muscle is not contracting effectively. This can be a result of previous heart damage, such as from a heart attack, and may contribute to your heart failure symptoms.

5. Moderate Mitral Regurgitation (MR): This means that the mitral valve is not closing properly, allowing blood to flow backward into the left atrium. Moderate MR can lead to increased volume in the left atrium and contribute to heart failure symptoms.

6. Mild Tricuspid Regurgitation (TR): Similar to MR, this indicates that the tricuspid valve is also leaking slightly, which can add to the workload of the heart.

7. Preserved Right Ventricular Systolic Function: This is a positive finding, indicating that your right ventricle is functioning well, which is important for overall heart health.

8. Estimated Right Ventricular Systolic Pressure (RVSP: 30 mmHg): This value is within a normal range, suggesting that there is no significant pressure overload in the right side of your heart.

Implications and Recommendations
Given these findings, it is essential to maintain regular follow-up with your healthcare provider. Here are some recommendations:
- Monitor Symptoms: Keep track of any changes in your symptoms, such as increased shortness of breath, fatigue, or swelling in your legs. Report these changes to your doctor promptly.

- Medication Adherence: Ensure that you are taking any prescribed medications as directed. Medications for heart failure, such as diuretics, ACE inhibitors, or beta-blockers, can help manage your condition.

- Lifestyle Modifications: Adopt a heart-healthy lifestyle, including a balanced diet low in sodium, regular physical activity as tolerated, and weight management. Avoid smoking and limit alcohol intake.

- Regular Check-ups: Since your doctor has scheduled a follow-up in three months, it is crucial to keep that appointment. Regular echocardiograms can help monitor the progression of your heart condition.

- Educate Yourself: Understanding your condition can empower you to make informed decisions about your health. Consider discussing your echocardiogram results in detail with your healthcare provider to clarify any uncertainties.

In conclusion, while your echocardiogram shows some concerning findings, particularly regarding the dilation of the heart chambers and the presence of mitral regurgitation, there are also aspects that indicate preserved function. Staying proactive in managing your heart health is key to preventing further deterioration. Always consult with your healthcare provider for personalized advice and treatment options.

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