I would like to inquire about the results of the ultrasound report?
Hello Doctor, I had a cardiac ultrasound on March 15 and reviewed the report on March 25.
However, I translated some parts using the health insurance app and felt a bit concerned, so I am asking for clarification.
The report is as follows:
2 BSA: 2.0 m
Interpretation Summary:
- The left ventricle is grossly normal in size.
- Left ventricular (LV) systolic function is preserved.
- Trace pulmonic regurgitation.
- Atrial septal (IAS) aneurysm.
- Trace mitral regurgitation.
- Normal diastolic function.
- Trace aortic regurgitation.
- Mild tricuspid regurgitation.
- Estimated right atrial (RA) pressure: 3 mm Hg (normal range: 0-5 mm Hg).
M-Mode/2D Measurements & Calculations:
- IVSd: 0.97 cm
- LVIDd: 5.1 cm
- Fractional shortening (FS): 38.2%
- LV mass (C)d: 186.6 grams
- LVIDd Index (normal range: 2.2-3.0): 2.6
- End-diastolic volume (EDV, Teich): 126.5 ml
- LV mass (C)dI: 95.1 grams/m²
- LVIDs: 3.2 cm
- End-systolic volume (ESV, Teich): 40.4 ml
- LVIDs Index (normal range: 1.3-2.1): 1.6
- Ejection fraction (EF, M52% F54%): 68.1%
- LVPWd: 1.0 cm
- Relative wall thickness (RWT): 0.39
- Stroke volume (SV, Teich): 86.1 ml
- Aortic root diameter: 2.8 cm
- IVC diameter (expansion, mm): 1.6 cm
- Aortic root area: 6.1 cm²
- Left atrial (LA) dimension: 3.3 cm
Doppler Measurements & Calculations:
- Mitral valve (MV) E max velocity: 67.5 cm/sec
- MV deceleration time: 0.14 sec
- Aortic valve (Ao) V2 max: 131.2 cm/sec
- LV V1 max pressure gradient (PG): 2.5 mmHg
- MV A max velocity: 60.9 cm/sec
- Ao max PG: 6.9 mmHg
- LV V1 mean PG: 1.5 mmHg
- MV E/A ratio: 1.1
- Ao V2 mean: 89.8 cm/sec
- LV V1 max: 79.4 cm/sec
- Ao mean PG: 3.7 mmHg
- LV V1 mean: 57.8 cm/sec
- Ao V2 VTI: 24.0 cm
- LV V1 VTI: 15.1 cm
- Dimensionless index: 0.63
- Pulmonary artery (PA) V2 max: 80.2 cm/sec
- Tricuspid regurgitation (TR) max velocity: 233.5 cm/sec
- PA max PG: 2.6 mmHg
- TR max PG: 21.8 mmHg
- PA acceleration slope: 451.2 cm/sec
- PA acceleration time: 0.18 sec
Left Ventricle:
- The left ventricle is grossly normal in size.
- LV systolic function is preserved.
- Normal diastolic function.
Aortic Valve:
- Fibrocalcific degeneration with satisfactory opening.
- Trace aortic regurgitation.
Mitral Valve:
- Trace mitral regurgitation.
Right Heart:
- Mild tricuspid regurgitation.
- Estimated RA pressure: 3 mm Hg (normal range: 0-5 mm Hg).
- Trace pulmonic regurgitation.
Mode: 2D + Doppler.
Thank you.
Xiao Li, 40~49 year old female. Ask Date: 2024/03/18
Dr. Wu Xueming reply Cardiology
The report indicates that, aside from mild tricuspid regurgitation, there is very mild aortic regurgitation and mitral regurgitation; all other cardiac structures and functions are normal.
Reply Date: 2024/03/18
More Info
Understanding your echocardiogram results is crucial for maintaining heart health, and it's great that you're taking the time to review and comprehend your report. Based on the information you've provided, let's break down the key findings and their implications for your heart health.
Summary of Findings
1. Left Ventricle (LV) Size and Function:
- The report indicates that the left ventricle is "grossly normal in size" and that the LV systolic function is preserved, with an ejection fraction (EF) of 68.1%. This is a positive sign, as a normal EF (typically above 55% for both men and women) indicates that your heart is effectively pumping blood.
2. Diastolic Function:
- The report states that diastolic function is normal. This means that your heart is able to relax and fill properly between beats, which is essential for overall cardiac health.
3. Valvular Function:
- Mitral Regurgitation: The report notes "trace" mitral regurgitation, which is a minimal leakage of blood backward through the mitral valve. This is generally not a cause for concern unless it progresses to moderate or severe levels.
- Tricuspid Regurgitation: Mild tricuspid regurgitation is also noted. Similar to mitral regurgitation, mild cases are often benign and do not require treatment unless symptoms develop or the condition worsens.
- Aortic Regurgitation: The report mentions "trace" aortic regurgitation, indicating minimal backflow of blood through the aortic valve, which is typically not clinically significant.
4. Pulmonic Regurgitation:
- Trace pulmonic regurgitation is also reported, which is generally not a concern unless it is associated with other significant heart issues.
5. Right Atrial Pressure:
- The estimated right atrial (RA) pressure is 3 mmHg, which falls within the normal range (0-5 mmHg). This suggests that there is no significant pressure overload in the right atrium.
6. Other Measurements:
- The left ventricular mass is reported at 186.6 grams, which is within normal limits. The relative wall thickness (RWT) of 0.39 is also normal, indicating that the walls of the heart are not excessively thickened, which can occur in conditions like hypertension.
Implications for Heart Health
- Normal Functionality: The preserved systolic and diastolic functions, along with normal chamber sizes, suggest that your heart is functioning well. This is a positive indicator of cardiovascular health.
- Mild Regurgitation: The trace levels of mitral, tricuspid, and aortic regurgitation are common findings in many individuals and often do not lead to any significant health issues. Regular monitoring may be recommended, but immediate intervention is typically unnecessary.
- Lifestyle Considerations: Maintaining a heart-healthy lifestyle is crucial. This includes a balanced diet, regular physical activity, managing stress, and avoiding smoking. If you have risk factors such as high cholesterol or hypertension, it’s important to manage these with the help of your healthcare provider.
Follow-Up
Given the overall positive findings in your echocardiogram, it is advisable to continue regular check-ups with your healthcare provider. They may recommend periodic echocardiograms to monitor your heart's function and any changes in the regurgitation levels. If you experience any new symptoms, such as shortness of breath, chest pain, or palpitations, you should seek medical attention promptly.
In conclusion, your echocardiogram results appear reassuring, indicating that your heart is functioning well with only mild and trace regurgitation noted. Continue to engage in healthy lifestyle practices and maintain regular follow-ups with your healthcare provider to ensure ongoing heart health.
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