I'm a 54yo female, non-smoker, normal weight, exercise 1hr daily w/ no problems. A pre-op echo showed the following results. I'm wondering what the significance is and whether I should be followed by a cardiologist:
AOV 1.4 cm. Small medium size pericardial effusion. Some rt. atrial collapse at diastole. Mild L. ventricular enlargement. Systolic doming of the aortic valve with fusion of the R and L coronary cusps consistent w/ bicuspid aortic valve. Mitral annular calcification. Concentric thickening of the L ventricle during systole with normal left ventricle EF of 55-69%
Mild mitral, mild tricuspid, mild aortic, and trace pulmonic insufficiency. Velocities across aortic valve elevated, reaching 3.3 meters/sec correlated w/ a peak pressure gradient of 44 mgHg, a mean pressure gradient of 26 mgHg, and aortic valve area of 1.2 cm-sq. E/A reversal on the mitral inflow pattern w E/E' prime tissue velocity ratio of 16 consistent w/ grade 1 diastolic dysfunction. Mild pulmonary arterial hypertension w/ RVSP of 36/10.
The results of your echo should be addressed by the physician who ordered the test. However, a cursory review show that there are items that should not only be addressed sooner rather than later, but also require regular follow up. Fluid collections around the heart (especially when medium or large) are never normal and especially with findings that suggest that it is causing some collapse of the chambers.
Your bicuspid aortic valve should be followed by serial echocardiograms and follow up of any symptoms of heart failure to assist in dictating if you should ever require replacement of your valve in the future.
Please speak with your physician as soon as possible about these findings.
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