Your Echocardiogram Results: Do You Need Further Testing? - Cardiology

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Echocardiogram


Hello Doctor, I would like to ask if there are any issues with my ultrasound report.
This examination was conducted at the end of 2022, and do I need to go to the hospital for another check-up? Recently, the changes in weather have made me feel more anxious...
Please help me review the following measurements:
[Aortic root measurement:]
- Aortic annulus diameter: 21.70 mm
- Sinus valsalva diameter: 36.30 mm
- Sinotubular junction diameter: 24.00 mm
- Ascending aorta diameter: 32.00 mm
- Abdominal aorta diameter: 20.70 mm
[Left ventricle measurement:]
- IVSd: 8.00 mm
- LVPWd: 8.00 mm
- IVSd/LVPWd ratio: 1.00
- LVEDD: 46.00 mm
- LVESD: 28.00 mm
- LVEDV (Teich): 97.00 ml
- LVESV (Teich): 30.00 ml
- EF (Teich): 69.00 %
- SV (Teich): 67.00 ml
- SVI (Teich): 31.50 ml/m²
- LVEDV (MOD): ml
- LVESV (MOD): ml
- EF (MOD): %
- SV (MOD): ml
- SVI (MOD): ml/m²
- LV mass index (Teich): 55.40 g/m²
- LV mass index (2D): g/m²
- RWT: 0.30 %
[Right ventricle and tricuspid valve measurement:]
- RV S’: 16.30 cm/s
- TAPSE: 20.00 mm
- RV area change: %
- TR peak velocity: 204.10 cm/s
- TRPG: 17.00 mmHg
- RVSP: 20.00 mmHg
- IVC: 13.00 mm
- Basal RV diameter: mm
- Mid RV diameter: mm
- Base-to-apex length diameter: mm
- Above aortic valve diameter: mm
- Above pulmonary valve diameter: mm
- Below pulmonary valve diameter: mm
[Mitral measurement:]
- MV E point: 78.50 cm/s
- MV A point: 63.70 cm/s
- MV E/A ratio: 1.20
- MV Average E/E’: 5.97
- MV E’(S) / MV E’(L): 10.60 / 15.70 cm/s
- MV peak velocity: cm/s
- MV mean PG: mmHg
- MVA (Doppler): cm²
- MVA (2D): cm²
[Aortic measurement:]
- EOA: cm²
- LVOT peak velocity: cm/s
- AV peak velocity: 123.00 cm/s
- AV mean PG: 3.00 mmHg
- AVA (Doppler): cm²
- AVA (2D): cm²
- LVOT diameter: 2.17 cm
- LVOT area: 3.70 cm²
- AR pressure half time: ms
- AR peak velocity: cm/s
[Pulmonary measurement:]
- MPA diameter: mm
- PV peak velocity: 112.00 cm/s
- PV mean PG: 2.00 mmHg
- Qp/Qs
[Left atrium measurement:]
- LA diameter: 28.80 mm
- LA volume index: ml/m²
[Right atrium measurement:]
- RA diameter: 33.40 mm
- RA volume index: ml/m²

ps, 30~39 year old female. Ask Date: 2024/01/31

Dr. Wu Xueming reply Cardiology


The report indicates that both the structure and function of the heart are normal, so there is no need for concern.

Reply Date: 2024/01/31

More Info


Based on your echocardiogram results, it appears that your heart function is generally within normal limits, but there are some specific measurements and parameters that warrant further discussion. Let's break down your results and determine whether further testing is necessary.


Key Findings from Your Echocardiogram:
1. Left Ventricular Function:
- Your left ventricular ejection fraction (EF) is reported at 69%, which is considered normal (normal range is typically 55-70%). This indicates that your heart is effectively pumping blood.

- The left ventricular dimensions (LVEDD and LVESD) are also within normal ranges, suggesting that the size of your heart chambers is appropriate.

2. Right Ventricular Function:
- The right ventricular systolic pressure (RVSP) is measured at 20 mmHg, which is within normal limits. This suggests that there is no significant pressure overload in the right ventricle.

3. Mitral Valve Function:
- The E/A ratio of 1.20 indicates a normal diastolic function, which means the left ventricle is filling adequately during diastole.

- There are no significant mitral valve abnormalities reported, which is a positive sign.

4. Aortic Measurements:
- The aortic dimensions are within normal ranges, and the aortic valve function appears to be normal with a mean pressure gradient of 3 mmHg.

5. Right Atrial and Left Atrial Measurements:
- The left atrial diameter and volume index are also within normal limits, which is important as enlargement of the left atrium can be associated with various cardiac conditions.


Recommendations:
Given the overall normal findings in your echocardiogram, it does not appear that there is an immediate need for further invasive testing such as cardiac catheterization. However, there are a few considerations to keep in mind:
- Symptoms: If you are experiencing symptoms such as chest pain, shortness of breath, or palpitations, it is crucial to discuss these with your healthcare provider. They may recommend additional tests based on your clinical presentation.


- Follow-Up: Regular follow-up with your cardiologist is essential, especially if you have risk factors for heart disease (such as hypertension, diabetes, or a family history of heart disease). They may suggest periodic echocardiograms to monitor any changes in heart function over time.

- Lifestyle Factors: Maintaining a healthy lifestyle, including a balanced diet, regular exercise, and avoiding smoking, can significantly impact your heart health. If you have concerns about anxiety related to your health, consider discussing this with your doctor as well.


Conclusion:
In summary, your echocardiogram results indicate that your heart function is preserved, and there are no significant abnormalities that would necessitate immediate further testing. However, it is essential to maintain open communication with your healthcare provider regarding any symptoms or changes in your health status. Regular monitoring and a proactive approach to heart health can help ensure that any potential issues are addressed promptly. If you have further questions or concerns, do not hesitate to reach out to your cardiologist for personalized advice.

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