Can some please tell me what this means? I've no clue, from my echo

[Bboop76]

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12/17/15
BETTY BROWN's Report Details
Discharge Summary

NORTH SURBURBAN MEDICAL CENTER (COCNB)
Discharge Summary
REPORT#:1213-0083  REPORT STATUS: Signed
DATE:12/13/15 TIME: 0857
  
PATIENT: BROWN,BETTY S                  UNIT #: F090529971
ACCOUNT#: F45004155079                 ROOM/BED: F.513-1
DOB: 01/02/76  AGE: 39      SEX: F      ATTEND: Martini,Kimberly Ruth  MD
ADM DT: 12/11/15                        AUTHOR: Gabel PA,Ron E
  
* ALL edits or amendments must be made on the electronic/computer document *

**See Addendum**
Med Rec

Med Rec
Discharge meds:
Continue taking these medications:
clonazePAM (KlonoPIN) (Unknown Strength) TAB
    0.5 MILLIGRAM ORAL THREE TIMES DAILY

CHOLECALCIFEROL (VITAMIN D3) 1,000 UNIT CAP
    1,000 UNITS ORAL DAILY

ASPIRIN (ASPIRIN) 81 MG TAB
    81 MILLIGRAM ORAL DAILY

Start taking the following new medications:
MIDODRINE HCL (MIDODRINE HCL) 2.5 MG TAB
    2.5 MILLIGRAM ORAL TWICE DAILY BEFORE MEALS
    Days = 30
    No Refills

FLUDROCORTISONE ACETATE (FLORINEF) 0.1 MG TAB
    0.1 MILLIGRAM ORAL TWICE DAILY
    Days = 30
    No Refills




General Information
Date of admission:
Date of admission:  12/11/15

Date of discharge: 12/13/15
Hospital course:
Admit note:
HPI:
Pt is a very pleasant 39 y/o female who states that she has chronic problems with tachycardia.  She states that this has worsened in the last month.  She denies any CP or nausea.  She has occasional SOB and occasional mild dizziness.  She denies any significant presyncopal or syncopal symptoms.  She presented to the ER last night and was discharged on klonopin and seen by Dr. Haffey with cardiology and was sent to the hospital today for arrangements of an echo and tilt table.  She is currently without complaints.


Hospital course:
1)sinus tachycardia- This has been an ongoing problem for years and has worsened in the last month.  Her symptoms are mostly palpitations and does not have significant dizziness.  She has been prescribed a benzo.  She had a normal ddimer in the ER.  She denies any substance abuse or stimulant supplements.  Her urine tox screen was positive for benzodiazepins. She does take klonipine.  Her TSH is WNL.  She had a TTE that is with a borderline low EF and mild AS.  She had a positive tilt table test reported (result not available for review) and POTS is suspected.  She was started on midodrine and florinef with significant improvement in her symptoms and tachycardia.  She is 24 hour urine vanillymadela acid and metamphrines pending.  She will need to follow up with cardiology in 1 week.  She will discharge home on the florinef and midodrine per cardiology.  

2)prediabetes- She is not on medications.  Her hemoglobin A1c 5.47.

3)Smoker- cessation was discussed


She denies any questions or concerns at this time

Discussed with Dr. Wang.


Transthoracic Echocardiogram
2D, Doppler, and Color Flow Doppler

SUMMARY
NOTE: Sinus tachycardia was underlying rhythm
LEFT VENTRICLE: Systolic function was mildly reduced. Ejection fraction was
estimated to be 53 % in the range of 48 % to 63 %. There were no regional wall
motion abnormalities.
  
FINDINGS
  
LEFT VENTRICLE: Size was normal. Systolic function was mildly reduced. Ejection
fraction was estimated to be 53 % in the range of 48 % to 63 %. There were no
regional wall motion abnormalities. Wall thickness was normal. DOPPLER: The
transmitral flow pattern was normal. The deceleration time of the early
transmitral flow velocity was normal. The pulmonary vein flow pattern was
normal. Doppler parameters were consistent with abnormal left ventricular
relaxation (grade 1 diastolic dysfunction).
  
RIGHT VENTRICLE: The size was normal. Systolic function was normal. Wall
thickness was normal. DOPPLER: Systolic pressure was within the normal range.
  
LEFT ATRIUM: Size was normal.
  
RIGHT ATRIUM: Size was normal.
  
MITRAL VALVE: Valve structure was normal. There was normal leaflet separation.
DOPPLER: The transmitral velocity was within the normal range. There was no
evidence for stenosis. There was no regurgitation.
  
AORTIC VALVE: The valve was trileaflet. Leaflets exhibited normal thickness and
normal cuspal separation. Aortic valve click noted. DOPPLER: Transaortic
velocity was within the normal range. There was mild stenosis. Aortic stenosis
with valve area calculaetd to be 1.89 cm2 to 2.18 cm2 There was no
regurgitation.
  
TRICUSPID VALVE: The valve structure was normal. There was normal leaflet
separation. DOPPLER: The transtricuspid velocity was within the normal range.
There was mild regurgitation. Regurgitation grade was 1+ on a scale of 0 to 4+.
The regurgitant jet was directed centrally.
  
PULMONIC VALVE: Pulmonic valve click noted. DOPPLER: The transpulmonic velocity
was within the normal range. There was no regurgitation. AORTA: The root
exhibited normal size.
  
PULMONARY ARTERY: The size was normal.
  
SYSTEMIC VEINS: IVC: The inferior vena cava was normal in size.
  
PERICARDIUM: A probable, small, free-flowing pericardial effusion was
identified anterior and posterior to the heart. The fluid had no internal
echoes. The pericardium was normal in appearance.
  

[Bboop76]

I don't understand the mild aortic stenosis,  and if anything is enlarged beyond normal. Dr said it was fine, don't seem fine to me

[Jerry_NJ]

The full repost is a bit heavy, do you have something specific that your doctor didn't answer to your satisfaction/understanding?  

I am a patient, not a cardiologist, as are most, if not all, who read your post

[Bboop76]

what's mild aortic stenosis and does it seem like every thing is of normal size?