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Thread: 2D echocardiogram results

  1. #1
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    2D echocardiogram results

    Does someone know what this means?? I think it is something bad when it says “severely “.
    Is “grossly normal”, good or bad??

    EXAM/PROCEDURE
    Complete 2D/M-mode, color Doppler, and spectral Doppler echocardiogram
    performed. The study was technically adequate. Prior exam was performed on
    3/3/20.

    Interpretation Summary
    Normal sinus rhythm. Since 3/3/20 LV size remains normal. Ejection fraction
    has improved from 46 to 54%. Left atrium remains severely dilated. Mitral
    regurgitation remains physiologic. Aortic regurgitation remains trace.
    Estimated PA pressure remains approximately 20mmHg. No other significant
    changes are noted.

    LEFT VENTRICLE
    The left ventricle is normal in size.LVED Volume indexed = 60.3 ml/m^2.
    There is increased left ventricular mass with increased relative wall
    thickness consistent with severe concentric hypertrophy. LV mass index =
    177.3 grams/m^2. Relative wall thickness= 0.46 (nl <0.42). The left
    ventricular wall motion is normal.The ejection fraction = 54.3 % by biplane
    Method of Discs.

    DIASTOLOGY/HEMODYNAMICS
    Pulmonary artery pressure is 21/7mmHg. Right atrial pressure is estimated
    as 3mmHg. The IVC measures 2.0 cm. Mean pulmonary artery pressure is
    estimated at 16.1 mmHg. (nl <25mmHg). Cardiac output is 6.3 l/min (nl 4-
    7l/min). Cardiac index is 2.9 l/min/m^2 (nl 2.5-4.5l/min/m2).

    RIGHT VENTRICLE
    RVDd1 = 4.5 cm. RVDd2 = 3.3 cm. The right ventricle is dilated at the base
    only which may be reflect RA enlargement/TV annulus dilatation. The right
    ventricular ejection fraction is normal.

    ATRIA
    The left atrium is severely dilated. Left atrial volume (bi-plane) = 56.5
    ml/m2 (nl < 35ml/m2). The right atrium is mildly dilated. The interatrial
    septum is intact with no evidence for an atrial septal defect.

    MITRAL VALVE
    There is mild mitral annular calcification. The mitral valve is normal in
    structure and function. Physiologic mitral regurgitation is noted.

    AORTIC VALVE
    The aortic valve is trileaflet. Mild aortic valve sclerosis with preserved
    opening. Trace aortic regurgitation.

    TRICUSPID VALVE
    The tricuspid valve is normal. Physiologic tricuspid regurgitation is
    noted.

    PULMONIC VALVE
    The pulmonic valve is grossly normal. Mild pulmonic valvular regurgitation.

    AORTA/PULMONARY ARTERY
    The aortic Sinus of Valsalva is normal in size. The Aortic Sinus(es) of
    Valsalva measures 3.9 cm. Indexed Aortic Sinus(es) of Valsalva are 1.7
    cm/m2. (normal <=2.1cm/m2). Borderline dilated ascending aorta. The
    ascending aorta measures 4.2 cm. Indexed ascending aorta is 1.9 cm/m2.
    (normal <=1.9cm/m2). The pulmonary artery is not well visualized.

    PERICARDIUM/PLEURAL
    There is no pericardial effusion.

    MMode/2D Measurements & Calculations
    RVDd1(nl <4.2cm): 4.5 cm LVIDd (3.8-5.8): 5.8 cm
    RVDd2(nl <3.6cm): 3.3 cm LVIDs (2.3-3.9): 4.0 cm
    IVSd (0.6-1.1): 1.5 cm LVPWd (0.6-1.1): 1.4 cm

    __________________________________________________ __________________________
    LV mass(C)d: 389.4 grams Ao sinus diam: 3.9 cm
    LV mass idx (F<96,M<116g/m2): 177.3 grams/m2 AO sinus indexed: 1.7 cm
    Relative Wall Thickness: 0.46 asc Aorta Diam: 4.2 cm
    asc AO indexed: 1.9 cm

    __________________________________________________ __________________________
    LVOT diam: 2.4 cm
    LA area AP2: 28.5 cm2
    LVOT area: 4.7 cm2 LA area AP4: 28.3 cm2
    LA shortest length: 5.5 cm
    LA VOLUME (indexed): 56.5


    __________________________________________________ __________________________
    EDV(MOD-bp): 132.4 ml RA area AP4: 22.8 cm2
    RA length: 5.8 cm
    EDV(MOD-bp) indexed: 60.3 ml/m2 RA Volume Indexed: 39.6 ml/m2
    ESV(MOD-bp): 60.4 ml TAPSE(nl >=1.7cm): 2.4 cm
    EF(MOD-bp): 54.3 %
    SV(MOD-bp): 71.9 ml

    __________________________________________________ __________________________
    IVC diam adult: 2.0 cm

    Time Measurements
    Aortic R-R: 0.96 sec
    Aortic HR: 62.8 BPM

    Doppler Measurements & Calculations
    MV E max vel: 58.6 cm/sec Lat Peak E' Vel: 8.4 cm/sec
    MV A max vel: 73.4 cm/sec Med Peak E' Vel: 8.0 cm/sec
    MV E/A: 0.80 Lateral E/e' ratio: 7.0
    MV dec time: 0.19 sec Average E/e' ratio: 7.2

    __________________________________________________ __________________________
    LV V1 max PG: 5.0 mmHg CO(LVOT): 6.3 l/min
    LV V1 mean PG: 2.6 mmHg CI(LVOT): 2.9 l/min/m2
    LV V1 max: 112.0 cm/sec SV(LVOT): 99.9 ml
    LV V1 mean: 74.4 cm/sec SI(LVOT): 45.5 ml/m2
    LV V1 VTI: 21.4 cm
    LV dP/dt: 4039 mmHg/s

    __________________________________________________ __________________________
    RV S'(nl>=9.5cm/sec): 14.0 cm/sec TR max vel: 211.7 cm/sec
    TR max PG: 17.9 mmHg
    RVSP(TR): 20.9 mmHg
    RAP: 3.0 mmHg
    Mean PAP: 16.1

    __________________________________________________ __________________________
    Mean PAP (mmHg): 16.1 mmHg


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  2. #2
    charger69's Avatar
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    Quote Originally Posted by cylon357 View Post
    Grossly normal is good. Freaked me out when I saw it on mine but the doc kind of laughed and said "no, that is good. It means 'overall' or 'as a whole'"
    What about the rest?


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  3. #3
    beanpo1e is offline Junior Member
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    You have signs of chronic hypertension. Concentric hypertrophy in left ventricle is usually due to chronic hypertension as the ventricle is having to push harder against your arteries for a long period of time and is forced to get bigger. As a result, the pressure has backed up into your left atrium. The left atrium is more elastic than the left ventricle (kind of like a balloon). A "severely dilated left atrium" means its stretched out. This can lead to several different problems. The right side of your heart looks fine. Your valves look fine.

    If you have other specific questions, feel free to PM me.

  4. #4
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    Quote Originally Posted by beanpo1e View Post
    You have signs of chronic hypertension. Concentric hypertrophy in left ventricle is usually due to chronic hypertension as the ventricle is having to push harder against your arteries for a long period of time and is forced to get bigger. As a result, the pressure has backed up into your left atrium. The left atrium is more elastic than the left ventricle (kind of like a balloon). A "severely dilated left atrium" means its stretched out. This can lead to several different problems. The right side of your heart looks fine. Your valves look fine.

    If you have other specific questions, feel free to PM me.
    Could it have been the cycle I was on?


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  5. #5
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    Quote Originally Posted by cylon357 View Post
    @Charger69, did the doc review the results with you yet? I'm curious as to what they have to say. Results don't look bad to me but I am SO not a doctor.
    Actually, the Dr was positive on the results because heart pumping functions have improved.
    I was trying to get off the meds for afib but Dr says that it is a chronic condition and I should be monitored.
    This all started because of a condition- non related- while I was on cycle.
    First afib I was on clen , T3, ephedrine and cafeine one month out from a show- along with all of my cutting compounds and 700 mg of tren .
    Be cautious with the stims guys! Especially if your an old goat. LOL


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  6. #6
    beanpo1e is offline Junior Member
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    Glad to hear things are improving. Too much thyroid hormone can definitely instigate a fib by itself. In this case, with underlying structural cardiac issues, am guessing the stimulants exacerbated a problem that was just below the surface.

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