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    • Marcianne Williams
      Post count: 1

      Hi I’m new here and I need help deciphering this echocardiogram report. Doctors do not really explain them well. Any help is greatly appreciated.

      Age: 51 yrs History:Dyspnea on Exertion, Enlarged Cardia
      c Silhouette
      Gender:Female Referring Physician: DOLATOWSKI, JOHN E
      Height: 65 in Ordering Physician: DOLATOWSKI, JOHN
      Weight: 286 lb Performed By: Lisa M Johnson

      BSA: 2.3 m2

      Interpretation Summary
      Technically difficult, suboptimal study. Preserved left ventricular syst
      Visually estimated ejection fraction = 60-65 %.
      Grade 1 diastolic dysfunction. Impaired left ventricular relaxation.

      A complete 2-D Echocardiogram with doppler and color flow was performed
      Exam performed in department. Technically difficult study.

      Left Ventricle
      Preserved left ventricular systolic function. Visually estimated ejectio
      n fraction =
      60-65 %. The left ventricle is normal in size. There is normal left vent
      ricular wall

      Right Ventricle
      Normal right ventricular systolic function. The right ventricle is norma
      l size.

      Left Atrium
      Normal left atrial size. Normal left atrial volume index (16-34).

      Right Atrium
      Right atrium not well visualized.

      Atrial Septum
      The interatrial septum is intact with no evidence for an atrial septal d

      Aortic Valve
      The aortic valve is not well visualized, but probably trileaflet. No hem
      significant valvular aortic stenosis. No aortic regurgitation is present.

      Mitral Valve
      The mitral valve is not well visualized. There is no mitral valve stenos
      is. There is
      no mitral regurgitation noted.

      Tricuspid Valve
      The tricuspid valve is not well visualized. There is no tricuspid stenos
      is. There is
      trace tricuspid regurgitation. Unable to estimate right ventricular syst

      Pulmonic Valve
      The pulmonic valve is not well visualized. There is no pulmonic valvular
      regurgitation. There is no pulmonic valvular stenosis.

      Great Vessels
      The aortic root is normal size.

      Normal septal E/E’ ratio (<8). Grade 1 diastolic dysfunction. Impaired l
      ventricular relaxation.

      No pleural effusion. There is no pericardial effusion.

      (3.8- LA dimension:
      LVIDd: 4.7 cm 5.7) 3.7 cm (= 4.0)
      LVIDs: 3.0 cm 4.0)
      FS: 36.7 % (25-45)
      (0.7- Ao root diam: (1.4-
      IVSd: 1.1 cm 1.1) 2.6 cm 3.5) RVDd: 2.7 c
      m 3.0)
      LVPWd: 1.1 cm 1.1)

      2D/Doppler Findings:
      Ao V2 mean: Ao mean PG:
      Ao V2 max: 100.1 cm/sec 72.3 cm/sec 2.4 mmHg
      Ao max PG: 4.0 mmHg

      AVA(I,D): 3.2 cm2
      LVOT diam: 2.0 cm (= 2.5)
      MV E max vel: 82.9 cm/sec MV dec time:
      0.11 sec
      MV P1/2t: 36.4 msec
      MVA(P1/2t): 6.0 cm2
      MV dec slope:

      665.6 cm/sec2
      MV mean PG: 2.2 mmHg
      SV(LVOT): 54.7 ml
      EF(Teich): 66.5 %
      CI(LVOT): 2.4 l/min/m2
      CO(LVOT): 5.6 l/min

      Doppler Measurements & Calculations
      MV V2 VTI: 15.7 cm LV V1 max PG: 3.1 mmHg
      LV V1 mean PG: 1.8 mmHg
      LV V1 max: 88.3 cm/sec

      PA mean PG: 3.0 mmHg

    • Darla Stewart
      Post count: 7

      Most of it sounds good – But – I have a problem with anything that says “not well visualized” and then gives an absolute or guess about something. Example: the mitral valve “not well visualized.” “There is no mitral valve stenosis.” or about the aortic valve: “The aortic valve is not well visualized, but probably trileaflet.”

      I’d probably ask to have a second echo to try to get a clearer visualization.

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