Your Echocardiogram Report: Key Insights for Heart Health - Cardiology

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Echocardiogram Report


Hello, Doctor.
Since my follow-up appointment is still three weeks away and the test results are already out, I am a bit worried about my condition, so I would like to ask for your help in reviewing them.
Thank you! 🙏
2D, M-mode, and Doppler Cardiac Chamber Size/Wall Thickness:
- Aortic Root (20-37mm): 22mm
- Left Anterior Descending (LAD) (19-40mm): 32mm
- Right Atrial Diameter (RAD) (mm): -
- Left Ventricular Internal Diameter at End-Diastole (LVIDd) (35-51mm): 41mm
- Left Ventricular Internal Diameter at End-Systole (LVIDs) (28-35mm): 26mm
- Right Ventricular Diameter 1 (RVD1) (<42mm): -
- Ventricular Septum (VS) (6-10mm): 8mm
- Posterior Wall (PW) (6-10mm): 8mm
- Apex Wall (6-10mm): -
Doppler/M-mode:
- Mitral E/A: 2.1
- Lateral E’/A’: 2.3
- Lateral E’: 13.8 cm/s
- E/Lateral E’: 7.1
- Normal heart chamber size.
- Preserved left ventricular (LV) and right ventricular (RV) systolic function, LV ejection fraction (LVEF): 68%.
- Preserved LV diastolic function.
Heart Valves:
- Mitral Regurgitation (MR): minimal.
- Tricuspid Regurgitation (TR): mild.
Right Ventricular Systolic Pressure (RVSP): 33mmHg.
- Pulmonary Regurgitation (PR): mild.

an, 20~29 year old female. Ask Date: 2024/05/17

Dr. Wu Xueming reply Cardiology


The echocardiogram report shows that the heart's structure and function are normal, with only mild tricuspid regurgitation and very mild mitral regurgitation.

Reply Date: 2024/05/17

More Info


Understanding your echocardiogram report is crucial for maintaining heart health, especially when you have concerns about your cardiovascular status. Based on the report you've provided, let's break down the key components and what they mean for your heart health.


Key Findings from Your Echocardiogram Report
1. Chamber Size and Wall Thickness:
- Aortic Root: 22 mm (normal range: 20-37 mm)
- Left Atrial Dimension (LAD): 32 mm (normal range: 19-40 mm)
- Left Ventricular Internal Diameter in Diastole (LVIDd): 41 mm (normal range: 35-51 mm)
- Left Ventricular Internal Diameter in Systole (LVIDs): 26 mm (normal range: 28-35 mm)
- Interventricular Septum (VS): 8 mm (normal range: 6-10 mm)
- Posterior Wall (PW): 8 mm (normal range: 6-10 mm)
These measurements indicate that your heart chambers are within normal size limits, which is a positive sign. The wall thickness is also normal, suggesting that there is no hypertrophy (thickening of the heart muscle), which can be a response to high blood pressure or other cardiac conditions.

2. Systolic Function:
- Left Ventricular Ejection Fraction (LVEF): 68% (normal is typically above 55%)
- Right Ventricular Systolic Function: Preserved
A preserved LVEF indicates that your heart is effectively pumping blood. An LVEF of 68% is well within the normal range, suggesting good cardiac function.

3. Diastolic Function:
- Mitral E/A Ratio: 2.1
- Lateral E’/A’ Ratio: 2.3
- Lateral E’ Velocity: 13.8 cm/s
The E/A ratio is a measure of how well the heart fills with blood. A ratio greater than 1 suggests that the heart is filling well during diastole, which is a sign of preserved diastolic function. This is a positive finding, indicating that your heart can relax and fill properly.

4. Heart Valves:
- Mitral Regurgitation (MR): Minimal
- Tricuspid Regurgitation (TR): Mild
- Pulmonary Regurgitation (PR): Mild
- Right Ventricular Systolic Pressure (RVSP): 33 mmHg
Minimal MR and mild TR and PR indicate that there is some backflow of blood through the valves, but it is not significant enough to cause concern at this time. The RVSP is within a normal range, suggesting that there is no significant pulmonary hypertension.


Implications for Your Heart Health
Overall, your echocardiogram report reflects a well-functioning heart with normal chamber sizes, preserved systolic and diastolic function, and only mild valve regurgitation. Here are some key points to consider:
- Regular Monitoring: While your current results are reassuring, it is important to continue regular check-ups with your healthcare provider to monitor any changes in your heart health.

- Lifestyle Factors: Maintaining a heart-healthy lifestyle is crucial. This includes a balanced diet, regular exercise, managing stress, and avoiding smoking. These factors can help prevent the progression of any potential heart issues.

- Awareness of Symptoms: Be aware of any new symptoms such as shortness of breath, chest pain, or palpitations, and report these to your doctor promptly.


Conclusion
Your echocardiogram results are largely positive, indicating that your heart is functioning well. However, it is always wise to discuss your results in detail with your healthcare provider, who can provide personalized advice based on your overall health and any other risk factors you may have. Staying proactive about your heart health is the best approach to ensuring long-term well-being.

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