started04

Hi Kathy,

...NL LV indicates a normal left ventricle size; other chamber sizes normal as well.
...LV is pumping efficiently at 66% (50%-70 is normal).
...Slight leakage of the bicuspid and tricuspid valves.
...Peak RVSP is the pulmonary pressure. The 24 measurement is within the normal range.
...Doppler suggests there is some impairment in the heart's filling (relaxation) phase. That would be diastolic noncompliance.

The large vein carries blood from lower extremities (IVC) to the right RA, and (SVC) is the vein that carries blood from upper extremities, head and chest wall to the RA. There is an inference there may be problem from the location described.

Just based on your post information, if there is a problem, it may be due to the heart chamber not filling adequately. Although the heart is pumping out 66% (good EF!) there may be insufficient volume of blood pumped per beat. If the CO is compromised, one would have the symptoms you describe. Eventually, if not treated, the condition will cause fluids to back up into the extremities, heart chamber enlargement and heart failure with a drop of EF below 29%.

There isn't any information in the report that indicates pulmonary hypertension, but with right-side heart irregularities the problem may easily develop, and whether or not there are current pressure issues may require a heart cath.