Help with echo results please....

[judy13]

O.K the copy I have is a liitle blurred but I give the best results I can. Also three pages of stuff so I'll just give you what I can with out having to type it all.

LVD 4.4 RV
LVS 2.2 FS 50
VSD 1.0 EF 70
PWD 1.0 BSA 1.48
AOR 3.4 x 3.1
LA 3.6 x 4.8

LV- Non dialated,non hypertrophied LV Symmetric systolic contraction of all LV segments. Normal systolic LV function and EF
RV- Normal systolic RV
LA- Mild dialation
RA- Normal RA
MV- Thickening and/or increased echo density of anterior mitral leaflet with mild prolapse. Thickening and/or increased echo density of posterior mitral leaflet.
Thickening of chordae tendinae
Moderate subvalvular mitral disease
Mild mitral valve regurgitation
AV- Calcified aortic valve and good systolic opening
TV- Normal appearance of tricuspid valve
PV- Normal appearance of pulmonary valve
Pericardium- No significant pericardial effusion

TEE- No known rheumatic fever. Recurrent tonsillitis in childhood. First admission 10/08 for chest pain (GERD) and 6/20/10 for tingling in both hans/arms. Negative CT/MRI of head.
No LVH EF 70%
Thickened MV decrease mobility of posterior leaflets, subvalve diease, mild rheumatic mitral stenosis (MG 3 mmHg) and mild MR
Moderate thickening of left and posterior aortic cusp (fibrosis of nodule of Arantii) and moderate AR
(2-3) from center direct to right.
Mild diffuse thickening of aorta and patchy calcification.

Doppler Measurements
MV- E (m/s) 1.70 A (m/s) 1.0 E/A 1.70 Diastolic MG (MMHg) 3.00 MR- 1
TV- TR (m/s) 2.40 RV syst. pressure 30 mmHg
PV- V1 (m/s) 0.70 V2 (m/s) 1.00 V2/V1 1.40 PR 1
AV- V1 (m/s) 1.10 V2 (m/s) 1.70 V2/V1 1.50 AR 2-3 Arch 0 TVI of V! (cm) 29.00

Whewwww. that took forever. hope I did not make any mistakes.

 

[ALCapshaw2]

I'm curious as to what your Cardio's final impression was.
I'm guessing he wants to "wait and watch" which is my impression from your report
(without checking the chamber dimensions).

One measurement did catch my eye. The EF (Ejection Fraction) of 70% is at the High End of Normal which can be a sign of the heart pushing against a stenotic (reduced opening) valve (or being a Highly Conditioned Athlete). I would want to know the Effective Areas of both your Mitral Valve and Aortic Valve in sq cm..

 

[judy13]

I am scheduled for surgery Aug 11th. Which the two cardios and GP want to postpone, and monitor. However my surgeon was on vacation and returns tomorrow. (not a highly conditioned athlete). Also just found out on friday I have celiacs. If I remember correctly Penny's valve choice for tissue had to do with having celiac. I was going mechanical but may have to go tissue.