Opinions on my Echocardiogram results.

[badreligion9265]

I recently had an Echocardiogram and I would like the communities opinions on my results. My doctor doesn't seem to be worried but I have noticed that the LVEDD seems too high and think it may be the cause of my symptoms. Here are the results:

Mitral Valve: Leaflet thickness and mobility are normal. No mitral
valve
prolapse is detected. Trace mitral regurgitation is
detected.
Aortic Valve: The aortic valve is trileaflet. Leaflet thickness and
mobility are normal. No significant aortic stenosis
is
detected. No aortic regurgitation is detected.
Tricuspid Leaflet thickness and mobility are normal. Trace
tricuspid
Valve: regurgitation is detected. The estimated pulmonary
artery
systolic pressure is normal.
Pulmonic Valve: The pulmonic valve is normal in structure and
function. No
pulmonic valve stenosis is detected. Trace pulmonic
regurgitation is detected.
Left Atrium: The left atrium is normal in size. The interatrial
septum
appears normal.
Left Ventricle: Mild LV dilation (LVEDD 5.94 cm) The estimated left
ventricular ejection fraction is 55%. No overt
regional
wall motion abnormalities are detected. Left
ventricular
diastolic function is normal.
Right Atrium: The right atrium is normal in size.
Right Normal right ventricular cavity size and systolic
Ventricle: function.
Pericardium: There is no pericardial effusion.
Pleura: No significant pleural effusion is detected.
Miscellaneous: The IVC is less than 2.1 cm and is > 50% collapsible
consistent with a right atrial pressure of
approximately 3
mmHg. The aortic root diameter is normal.
Conclusions
Summary
Mild LV dilation.
Estimated ejection fraction 55% with no overt regional wall motion
abnormalities.
Normal RV cavity size and systolic function.
Trace mitral and pulmonic regurgitation.
Signature
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Electronically signed by SALAMON JASON N MD(Interpreting physician)
on
04/09/2018 06:38 PM
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!Valves
!Structures !
!
! !
!Miscellaneous !
! !
! !
! !
!Aorta !
!Mitral Valve
!Left Atrium !
!
! !
!Aortic Root: 3.6 cm !
!Peak E-Wave: 93.8 cm/s !LA
Dimension: 3.4 cm !
!
!Deceleration Time: 141 msec !LA
Area: 24 cm\S\2 !
!
!E/A Ratio: 3.51 !LA
Index: 46ml/m\S\2 !
!
! !
! !
!Peak A-Wave: 26.7 cm/s !
! !
! !
! !
!E/E` (L):4.94 !
! !
!E/E` (S):7.44
!Left Ventricle !
!
! !
! !
! !EF
Estimated: 56% !
!
! !CI:
3.55 l/min*m\S\2 !
!
! !CO:
6.95 l/min !
!
! !LV
Mass: 198.7096 gFS: 28.79 % !
!
!Tissue Doppler
!Systolic Dimension: 4.23 cm !
!
!E' Velocity (L): 19 cm/s
!Diastolic Volume: 151 ml !
!
!E' Velocity (S): 12.6 cm/s !PW
Diastolic: 0.84 cm !
!
!
!Septum Systolic: 1.16 cm !
!
! !LV
EDV/LV EDV Index: 151 ml/77 m\S\2 !
!
! !LV
Mass Index: 101 g/m\S\2 !
!
!
!Diastolic Dimension: 5.94 cm !
!
!
!Systolic Volume: 65 ml !
!
! !PW
Systolic: 1.22 cm !
!
!Aortic Valve
!Septum Diastolic: 0.87 cm !
!
! !LV
ESV/LV ESV Index: 65 ml/33 m\S\2 !
!
!Peak Velocity: 139 cm/s !
! !
!Mean Gradient: 4 mmHg !
! !
! !
! !
!AV VTI: 32.4 cm !-
EF Calculated based on average of 2 and 4 chamber !
!
!Peak Gradient: 7.73 mmHg
!measurements. !
!
!Area (continuity): 3.57 cm\S\2 !
! !
! !
! !
! !
! !
! !
! !
! !
! !
!
!Right Atrium !
!
! !
! !
!Tricuspid Valve
!Estimated RAP:10 mmHg !
!
! !
! !
!TR Velocity: 173 cm/s !
! !
! !
! !
!RV Systolic Pressure: 21.97 mmHg !
! !
!TR Gradient: 11.9716 mmHg
!Right Ventricle !
!
! !
! !
!Estimated PASP: 21.97 mmHg !
! !
!Estimated RVSP: 22 mmHg !
! !
!Estimated RAP: 10 mmHg !
! !
! !
! !
! !
! !
! !
! !
! !
! !
!Pulmonic Valve !
! !
! !
! !
!Peak Velocity: 68.1 cm/s !
! !
! !
! !
!Peak Gradient: 1.86 mmHg !
! !
!Estimated PASP: 21.97 mmHg !
! !
! !
! !
!PR ED Velocity: 90.9 cm/s !
! !
! !
! !
! !
! !
! !
! !
! !
! !
! !
! !
! !
! !
!LVOT !
! !
! !
! !
!Peak Velocity: 117 cm/s !
! !
!Peak Gradient: 5.48 mmHg !
! !
!LVOT VTI: 23.6 cm !
! !
!Mean Gradient: 1.94 mmHg !
! !
!LVOT Diameter: 2.5 cm !
! !
!Mean Velocity: 69.7 cm/s !
! !
! !
! !
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Indications for Study:Hypertension and Chest pain.
Technical Quality: Good visualization