Please assist in explaining the echocardiogram report?
Hello Doctor, I recently underwent a health check-up and was informed by the physician that I have a heart murmur, possibly due to valve insufficiency.
Consequently, I had an echocardiogram done, and I would like your assistance in reviewing the results to see if there are any concerns I should be aware of.
Additionally, I would like to know under what circumstances I should seek medical attention.
I occasionally experience chest tightness, but my exercise, diet, and daily routine are normal.
I am unsure if this is related to recent stress or fatigue.
Examination items:
18007C - Doppler Color Echocardiography
Clinical Diagnosis: M-mode + Section Scan:
Aortic Root (20-37mm): 24
LAD (19-40mm): 27
LVIDs (28-35mm): 28
PW (6-10mm): 8
LVIDd (35-51mm): VS (6-10mm): LVEF = 60%
Doppler Findings:
1.
MS: TMF-Vmax M/sec (0.6-1.3): Pmax mmHg; P1/2 time msec; MVA cm²
2.
MR: Mild, moderate, severe PG mmHg
3.
AS: Mild (<50), moderate (50-75), severe (>75), PG mmHg
4.
AR: Mild, moderate, severe PG mmHg
5.
TR: Mild, moderate, severe
6.
PR: Mild, moderate, severe PG 14 mmHg
Findings:
1.
Normal heart chamber size.
2.
Preserved left ventricular (LV) and right ventricular (RV) systolic function, LVEF = 60%.
3.
Preserved LV diastolic function.
E/A = 2.3, Em = 25.1 cm/s, E/Em = 3.5.
4.
Mitral Regurgitation (MR): Mild.
5.
Tricuspid Regurgitation (TR): Mild, RVSP = 24 mmHg.
6.
No spontaneous echo contrast (SEC).
7.
No pericardial effusion.
Jiang Xiaojie, 30~39 year old female. Ask Date: 2024/07/12
Dr. Cai Guiqin reply Cardiology
We recommend that you discuss the above situation further with your attending physician.
Thank you, and wishing you good health!
Reply Date: 2024/07/12
More Info
Understanding your echocardiogram report can be daunting, especially when it involves terms and measurements that may not be familiar. Based on the information you've provided, let's break down the key findings from your echocardiogram and discuss what they mean for your health.
Key Findings from Your Echocardiogram Report:
1. Heart Chamber Size: Your report indicates that the heart chamber sizes are normal. This is a positive sign, as it suggests that there is no enlargement or dilation of the heart chambers, which can be indicative of underlying heart disease.
2. Systolic Function: The left ventricular ejection fraction (LVEF) is reported at 60%. This value is within the normal range (typically 55-70% is considered normal), indicating that your heart is effectively pumping blood. The right ventricular function is also preserved, which is important for overall cardiovascular health.
3. Diastolic Function: Your report mentions preserved left ventricular diastolic function, with an E/A ratio of 2.3. This suggests that the heart is able to fill properly with blood during the diastolic phase (when the heart relaxes). The E/Em ratio of 3.5 is also within a normal range, indicating that there is no significant diastolic dysfunction.
4. Mitral Regurgitation (MR): The report indicates mild mitral regurgitation. This means that the mitral valve is not closing completely, allowing some blood to flow backward into the left atrium. Mild MR is common and often does not require treatment unless it progresses.
5. Tricuspid Regurgitation (TR): Similar to MR, your report shows mild tricuspid regurgitation. This condition is also relatively common and may not pose significant health risks at this level.
6. Pulmonary Hypertension: The report indicates a right ventricular systolic pressure (RVSP) of 24 mmHg, which is within normal limits. This is important as elevated pressures can indicate pulmonary hypertension, which can strain the heart.
7. No Significant Abnormalities: The report notes no signs of significant issues such as pericardial effusion (fluid around the heart) or intracardiac thrombus (blood clots within the heart).
Next Steps and When to Seek Medical Attention:
Given the findings of your echocardiogram, it appears that your heart function is largely normal, with only mild regurgitation noted. However, you mentioned experiencing occasional chest discomfort. Here are some considerations:
- Monitor Symptoms: If your chest discomfort persists, worsens, or is accompanied by other symptoms such as shortness of breath, palpitations, or dizziness, it is essential to seek medical attention promptly. These could be signs of a more serious condition.
- Regular Follow-Up: Since you have mild mitral and tricuspid regurgitation, it would be prudent to have regular follow-ups with your cardiologist. They may recommend periodic echocardiograms to monitor the condition of your heart valves and overall cardiac function.
- Lifestyle Modifications: Continue to maintain a healthy lifestyle, including regular exercise, a balanced diet, and stress management techniques. These can help support your heart health and overall well-being.
- Discuss with Your Doctor: It’s crucial to discuss your echocardiogram results with your healthcare provider. They can provide personalized advice based on your overall health, medical history, and any symptoms you may be experiencing.
Conclusion:
In summary, while your echocardiogram shows some mild abnormalities, your heart function appears to be preserved, and there are no significant concerns at this time. However, ongoing monitoring and communication with your healthcare provider are essential to ensure your heart health remains stable. If you have any further questions or concerns, do not hesitate to reach out to your doctor for clarification and guidance.
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