Results results from an echocardiogram on my heart. Pls help

[tami7089]

Hello and thank you for letting me join this group. My background is I had a cohortation of the aorta when I was 9 years old. My aorta at that point was 95% blocked they took me in an emergency surgery to fix it. I haven't really had any problems since up until these last few years. Yesterday I had an echocardiogram done on my heart and I was just wondering if somebody could help me decipher the results as my appointment to follow up with the doctor is not until February 3rd. I currently experienced dizzy spells fatigue shortness of breath and have severe swelling of my feet and legs. Any insight to my test results will be very appreciative and helpful please see below; In reply

[tami7089]

Interpretation SummaryA complete two-dimensional transthoracic echocardiogram was performed (2D, M-mode,

Doppler and color flow Doppler).

Visually estimated ejection fraction is approximately 60-65%.

No regional wall motion abnormalities noted.

Trivial coarctation gradient

Ascending aorta measurement is 3.5 cm.

Right ventricular systolic pressure is estimated at 30-35 mmHg.

Trivial pericardial effusion.

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MMode/2D Measurements & Calculations

IVSd: 1.2 cm LVIDd: 4.4 cm FS: 29.9 %

LVIDs: 3.1 cm EF(Teich): 57.3 %

LVPWd: 1.2 cm

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Ao root diam: 2.9 cm asc Aorta Diam: 3.5 cm LVOT diam: 2.2 cm

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EDV(MOD-sp4): 129.3 ml EDV(MOD-sp2): 126.7 ml

ESV(MOD-sp4): 45.3 ml ESV(MOD-sp2): 52.8 ml EDV(MOD-bp): 128.1 ml

EF(MOD-sp4): 64.9 % EF(MOD-sp2): 58.3 % ESV(MOD-bp): 50.3 ml

EF(MOD-bp): 60.7 %

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SV(sp4-el): 88.0 ml EDV(A2ch)Index: 69.1 EDV(A4C)Index: 70.5

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LA area A2: 21.0 cm2 LA area A4: 19.7 cm2 LA length (vol): 5.7 cm

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LA vol: 62.2 ml LA vol index: 33.9 ml/m2 LVID'd Index: 2.4

Doppler Measurements & Calculations

MV A dur: 0.12 sec MV dec time: 0.16 sec Ao V2 max: 308.1 cm/sec

MV E max vel: 101.0 cm/sec Ao max PG: 38.0 mmHg

MV A max vel: 139.0 cm/sec Ao mean PG: 23.8 mmHg

MV E/A: 0.73 Ao V2 VTI: 65.5 cm

AVA(I,D): 1.4 cm2

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LV V1 max PG: 5.2 mmHg CO(LVOT): 8.7 l/min TR max vel: 272.8 cm/sec

LV V1 max: 113.7 cm/sec TR max PG: 29.8 mmHg

LV V1 VTI: 23.5 cm RVSP(TR): 32.8 mmHg

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RAP systole: 3.0 mmHg PA pr(Accel): 29.9 mmHg Pulm Sys Vel: 57.4 cm/sec

Pulm Dias Vel: 30.3 cm/sec

Pulm A Revs Vel: 45.0 cm/sec

Pulm A Revs Dur: 0.14 sec

Pulm S/D: 1.9

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Lateral MV E/e': 10.0 Medial MV E/e': 12.1

Procedure

A complete two-dimensional transthoracic echocardiogram was performed (2D, M-mode,

spectral and color flow Doppler). A contrast injection of Definity was performed to

improve assessment of LV function.

Left Ventricle

The left ventricle is normal in size. There is concentric left ventricular

hypertropy. Left ventricular systolic function is normal. The transmitral flow

pattern suggests impaired LV relaxation. Visually estimated ejection fraction is

approximately 60-65%. No regional wall motion abnormalities noted.

Right Ventricle

The right ventricle is grossly normal size. There is borderline right ventricular

hypertrophy. The right ventricular systolic function is normal. Right ventricular

systolic pressure is estimated at 30-35 mmHg.

Atria

The left atrium is mildly dilated. There is no Doppler evidence for an atrial septal

defect. Normal right atrial size.

Aorta/Pulmonary Arteries

Sinus of valsalva measurement is 2.9 cm. Ascending aorta measurement is 3.5 cm.

Trivial coarctation gradient. The pulmonary artery is normal size.

Aortic Valve

The aortic valve is bicuspid. Mild to moderate valvular aortic stenosis. The aortic

valve mean gradient is 24mmHg. The aortic valve peak gradient is 38 mmHg. Trivial

aortic regurgitation.

Mitral Valve

There is mild mitral annular calcification. No significant mitral valve stenosis.

There is trace mitral regurgitation.

Tricuspid Valve

The tricuspid valve is normal. There is trivial tricuspid regurgitation.

Pulmonic Valve

The pulmonic valve is normal. Trace pulmonic valvular regurgitation.

P Vein/IVC

The inferior vena cava is not dilated and collapses more than 50% with respirations

suggesting a CVP of 3 mmHg.

Pericardium/Pleura

Trivial pericardial effusion. No pleural effusion.

[jersey-jazz]

Dear tami7089 ---I have little knowledge of the heart as I have only recently become a patient awaiting an aortic valve replacement. I do want to step into the void to acknowledge you and give you good wishes for your meeting, tomorrow. Let us hope that at the meeting you will get answers to questions you never thought to ask and that you leave the meeting reassured. Good luck!