Echocardiogram Results: Key Insights for Heart Health - Cardiology

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Echocardiogram


Echocardiogram Report Summary:
1.
Chamber and Function:
- No chamber dilation
- Adequate global left ventricular (LV) systolic function, left ventricular ejection fraction (LVEF) = 57% by M-mode
- Impaired myocardial relaxation, normal left atrial (LA) filling pressure
- Normal right ventricular (RV) function
- Normal right atrial (RA) pressure
- No pulmonary hypertension, pulmonary artery (PA) systolic pressure = 28 mmHg
2.
Valves:
- Mild mitral regurgitation (MR)
- Mild tricuspid regurgitation (TR)
3.
Others:
- No pericardial effusion
- M-Mode Doppler measurements:
- Interventricular septal thickness in diastole (IVSd) = 0.6 cm
- Mitral valve E wave velocity (E Vel) = 0.8 m/s
- Left ventricular internal diameter in diastole (LVIDd) = 4.48 cm
- Left ventricular posterior wall thickness in diastole (LVPWd) = 0.54 cm
- Left ventricular internal diameter in systole (LVIDs) = 3.12 cm
- End-diastolic volume (EDV, Teichholz) = 91.26 ml
- End-systolic volume (ESV, Teichholz) = 38.63 ml
- Ejection fraction (EF, Teichholz) = 57.67%
- Percentage of fractional shortening (%FS) = 30.2%
- Stroke volume (SV, Teichholz) = 52.64 ml
- Left ventricular mass (ASE) = 73.45 g
- Left ventricular mass index (ASE) = 39.7 g/m²
- Aortic diameter = 3.66 cm
- Left atrial diameter = 3.85 cm
- LA/Ao ratio = 1.051
- 2D Doppler measurements:
- Maximum TR pressure gradient (maxPG) = 25.56 mmHg
- Average E' (mean) = 10.505 cm/s
- RV S' = 10.641 cm/s
- TR peak velocity (Vmax) = 2.53 m/s
- Aortic valve maximum pressure gradient (maxPG) = 10.64 mmHg
- E/E' (left ventricle wall) = 6.079
- E/E' (mean) = 7.623
- Peak gradient = 25.56 mmHg
- Inferior vena cava (IVC) inspiratory diameter = 0.410 cm
- E/E' (septal peak) = 10.219
- E' (septal peak) = 7.836 cm/s
- IVC expiratory diameter = 0.820 cm
- Aortic valve Vmax = 1.63 m/s
- IVC collapse = 50.0%
- E' (left ventricle wall) = 13.174 cm/s
- Relative wall thickness = 0.242
- Peak velocity = 2.53 m/s

ching, 70~79 year old female. Ask Date: 2024/05/25

Dr. Wu Xueming reply Cardiology


The report indicates that, aside from mild mitral and tricuspid regurgitation, both the structure and function of the heart are normal.

Reply Date: 2024/05/25

More Info


Understanding echocardiogram results is crucial for assessing heart health and function. Based on the provided echocardiogram report, let's break down the findings and their implications for your heart health.


Key Findings from the Echocardiogram Report:
1. Chamber Size and Function:
- No Chamber Dilatation: This indicates that the heart chambers (atria and ventricles) are of normal size, which is a positive sign as dilated chambers can indicate heart disease or volume overload.

- Adequate Global LV Systolic Function (LVEF = 57%): The left ventricular ejection fraction (LVEF) measures how well the heart pumps blood. A normal LVEF is typically above 55%, so a value of 57% suggests that your heart's pumping ability is adequate.

- Impaired Myocardial Relaxation: This suggests that while the heart can pump blood effectively, it may have difficulty relaxing between beats, which can lead to diastolic dysfunction. This can be a precursor to heart failure if not managed properly.

- Normal Right Ventricular (RV) Function: This indicates that the right side of your heart is functioning well, which is important for overall cardiovascular health.

- Normal Right Atrial (RA) Pressure: This is a good sign, as elevated RA pressure can indicate heart failure or fluid overload.

- No Pulmonary Hypertension (PA Systolic Pressure = 28 mmHg): Normal pulmonary artery pressure is essential for good heart function, and your reading is within the normal range.

2. Valvular Function:
- Mild Mitral Regurgitation (MR): This means that there is a small amount of backflow of blood from the left ventricle into the left atrium during contraction. Mild MR is common and often does not require treatment unless it progresses.

- Mild Tricuspid Regurgitation (TR): Similar to MR, mild TR indicates a small amount of backflow from the right ventricle to the right atrium. Again, this is often benign.

3. Other Findings:
- No Pericardial Effusion: This means there is no fluid accumulation around the heart, which is a positive finding.

- Doppler Measurements: The measurements of blood flow velocities and gradients across the valves (e.g., MV E Vel, TR max PG) provide insights into the hemodynamics of the heart. Your values suggest that there are no significant obstructions or abnormalities in blood flow.


Implications for Heart Health:
- Diastolic Dysfunction: The impaired myocardial relaxation noted in your report suggests that while your heart can pump blood effectively, it may struggle to fill properly. This can lead to symptoms like shortness of breath, especially during exertion. It's essential to monitor this condition and manage risk factors such as hypertension, diabetes, and obesity.

- Mild Regurgitation: Both mild MR and TR are common findings and typically do not require intervention unless symptoms develop or the regurgitation worsens. Regular follow-up with your healthcare provider is recommended to monitor these conditions.

- Lifestyle Modifications: To support heart health, consider adopting a heart-healthy lifestyle, including a balanced diet rich in fruits, vegetables, whole grains, and lean proteins, regular physical activity, maintaining a healthy weight, and avoiding smoking.

- Regular Monitoring: Given the findings, regular follow-up echocardiograms may be necessary to monitor any changes in heart function or structure. Additionally, managing any underlying conditions such as hypertension or diabetes is crucial.


Conclusion:
Overall, your echocardiogram results indicate that your heart is functioning adequately with some mild abnormalities that are not uncommon. It is essential to maintain regular check-ups with your healthcare provider to monitor your heart health and make any necessary lifestyle adjustments. If you experience any new symptoms, such as increased shortness of breath, fatigue, or palpitations, be sure to discuss these with your doctor promptly.

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