Hello doctor, I would like to inquire about the echocardiogram report. Thank you?
LV-D: 41 (40-56) mm LA: 23 (25-40) mm PA systolic pressure: 35 mmHg LV-S: 24 (20-38) mm AO: 30 (22-40) mm Pericardial effusion: mm LVS: 9 (7-12) mm RV: 23 (21-27) mm Quality: 04 (21-27) mm LVPW: 8 (7-11) mm RVW: (5-8) mm Study Difficulty: (5-8) mm -------------------------------------------------------------------------------- LV Function: 01 RV Function: 01 -------------------------------------------------------------------------------- Structure: MV: N TV: A AV: N PV: Regurgitation grading: 0-1 /3 1 /3 0-1 /3 /3 -------------------------------------------------------------------------------- 0.
- The study image is poor due to inadequate window or echo penetration.
1.
- Normal chamber size is present.
2.
- Minimal mitral regurgitation is present.
3.
- Mild tricuspid regurgitation is present.
4.
- Minimal aortic regurgitation is present.
5.
- Normal left ventricular systolic and diastolic function.
6.
- The ejection fraction of the left ventricle is estimated at 72%.
7.
- E/MedE’ __7.9__
There is minimal mitral regurgitation present.
There is mild tricuspid regurgitation present.
There is minimal aortic regurgitation present.
I would like to ask if this is normal, as I have been quite anxious about it recently.
Due to work commitments, it will be some time before I can return for a follow-up appointment.
Thank you for your response, doctor.
yi, 20~29 year old female. Ask Date: 2024/01/30
Dr. Wu Xueming reply Cardiology
The report indicates that both the structure and function of the heart are normal, with mild valve regurgitation that does not affect cardiac function, so there is no need for concern.
Reply Date: 2024/01/30
More Info
Understanding your echocardiogram report can be daunting, especially when it comes to interpreting various measurements and findings. Let's break down the key insights from your report and clarify what the findings mean in the context of your heart health.
Key Measurements and Findings
1. Chamber Sizes:
- Left Ventricle (LV): The LV diameter (LV-D) is 41 mm, which falls within the normal range (40-56 mm). This indicates that your left ventricle is of normal size.
- Left Atrium (LA): Your LA size is 23 mm, which is slightly below the normal range (25-40 mm). A smaller left atrium is generally a good sign, as enlargement can be associated with various heart conditions.
- Right Ventricle (RV): The RV size is 23 mm, also within the normal range (21-27 mm).
- Aorta (AO): The aortic diameter is 30 mm, which is normal (22-40 mm).
2. Functionality:
- Left Ventricular Function: The report indicates normal left ventricular systolic and diastolic function, with an ejection fraction (EF) of 72%. An EF above 55% is considered normal, so your heart is pumping effectively.
- Right Ventricular Function: The report also notes normal right ventricular function.
3. Regurgitation:
- Mitral Valve (MV): There is minimal mitral regurgitation (MR), which means a small amount of blood is leaking backward through the mitral valve. This is often considered normal, especially if it is minimal.
- Tricuspid Valve (TV): Mild tricuspid regurgitation (TR) is present. Similar to MR, mild TR can be common and is usually not a cause for concern unless accompanied by symptoms or significant heart dysfunction.
- Aortic Valve (AV): Minimal aortic regurgitation is noted. Again, this is often benign if it is minimal.
4. Pressure Measurements:
- Pulmonary Artery Systolic Pressure: At 35 mmHg, this is within normal limits. Elevated pulmonary artery pressure can indicate heart or lung issues, but your reading suggests no immediate concerns.
5. E/MedE’ Ratio: The E/MedE’ ratio of 7.9 is a measure used to assess diastolic function. Values below 15 typically indicate normal diastolic function, so your result is reassuring.
Conclusion and Recommendations
Overall, your echocardiogram report indicates that your heart structure is normal, with only minimal regurgitation noted in the mitral, tricuspid, and aortic valves. These findings are common and often do not require treatment unless they are associated with symptoms or significant heart dysfunction.
It is understandable to feel anxious about these findings, especially if you have a history of heart issues. However, the report suggests that your heart is functioning well, and the minor regurgitations are not unusual.
Next Steps
Since you mentioned that it might take some time to follow up with your doctor, consider the following:
- Monitor Symptoms: Pay attention to any new symptoms such as shortness of breath, fatigue, or palpitations. If you experience any concerning symptoms, seek medical attention sooner.
- Lifestyle Considerations: Maintain a heart-healthy lifestyle, including a balanced diet, regular exercise, and avoiding smoking. These can help support your heart health.
- Follow-Up: When you do have the opportunity to discuss your results with your doctor, bring up any concerns you have, especially regarding the regurgitation findings. They can provide personalized insights based on your overall health and history.
In summary, while it’s natural to feel concerned about your heart health, the findings in your echocardiogram report appear to be largely normal and manageable. Regular follow-ups and a healthy lifestyle will be key in maintaining your heart health.
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