can anyone decipher this..

edited for brevity!

left atrium not dilated
interatrial septu appears intact
MV leaflets normal no colour doppler evidence mitral regurg
mitral diastolic velocity shows normal E wave dominance
LV cavity not dilated systolic wall movement normal without septal reversal
estimated EF 77%
LV wall thickness normal
aortic root not dilated
aortic valve tricuspid and normal in appearance
no evid atrial regurg
aotic arch normal

MILD DILATION OF RIGHT HEART CHAMBERS AND POSSIBLY A MINOR REDUCTION IN RV SYSTOLIC WALL MOVEMENT. NO MEASUREMENTS WERE OBTAINED.

tricuspid valve normal with evidence of trivial tricuspid regurg.
IVC not dilated and collapses with inspiration

what does that all mean, esp parts in capitals (my addition)??

the echo was conducted on request for skipped beats and (infrequent) tachycardia

i am 36 yo female in otherwise good nick!

Pretty much it means your heart is healthy but not absolutely PERFECT;) ...nothing to worry about.

Hi iwanttobefree,

An echo SHOULD include chamber sizes. The right chambers (of interest with your report) has an expected value of 0.9-4.0 cm. My echo report indicates 1.0 cm.

A mild dilation would be something more than optimum (greater than 4.0 for the right ventricle). For a perspective, if moderate to severe it would/could cause an impediment of blood flow to the left chambers. The left side would compensate by dilating and as a consequence contractions (systolic) would have a diminishment (decompensation) and eventually heart failure would ensue. Your report idicates normal wall movement and LV not dilated so you are not there and no worry. Everything else is normal.

The echo should include all chamber dimensions for a reference point referred to a M-MODE VALUES. There is a LV end diastolic dimensions and LV end systolic dimension (determinant of degree of contraction), the same for the right side. Fractional shortening (helps determine efficiency) is LV diastolic dimension minus LV systolic dimension divided by LV diastolic dimension same for right side. The function of an echo is to take measurements and to determine if blood flow through the heat is normal (no valve problems or a hole in the wall between chambers, etc.).

hi again
measurements given were as follows
left atrium 3cm
LVEDD 4.6cm
LVESD 2.5cm
LV wall posterior 6mm
LV septum 7mm
aortic root 3.2cm
aortic systlolic gradient 3mm Hg

does that help?

also as a precaution doc ran BNP to check heart failure
in NZ reference ranges are:
Normal range in healthy subjects is < 30 pmol/L.
Values greater than 80 pmol/L strongly suggest heart failure in a newly symptomatic (breathless) patient.

i was a 7 so that was good

Quote:MILD DILATION OF RIGHT HEART CHAMBERS AND POSSIBLY A MINOR REDUCTION IN RV SYSTOLIC WALL MOVEMENT. NO MEASUREMENTS WERE OBTAINED.

The left ventricle end diastolic dimension (LVEDD) and LVESD is within aceptable range, But there isn't any RVESD and RVEDD values! It is true the doctor didn't take any measurement, or at least didn't record it!?

Your fractional shortening is a little high. Normal is 18 to 42% and may indicate a minor overcompensation at the time of the test. Chamber dimensions vary from minute to minute as does heart rate, blood pressure, etc. The compensation is meant to establish equilibrium between the right side and left side. Also, chamber dimensions are tech dependant and involve some subjectivity and interpretation by doc involves some subjectivity as well based on test results and patient history, etc.

BUN expected value is 6-25.