Echo Results

[Sunlover11]

40 year old health women, I work out and eat well.  My Echo says left atrium is moderate to serverly dilated by volume.  Mitrial valve appears normal. Small perforation of the anterior mitral valve leaflet measuring 38 mm in diameter.  No vegetation or abscess.  Trace valvular MR as well as through the perforation.  EF 66%  LVIDd  51.4 mm   LVIDs 32.6 mm.  LA Diam 35.2 mm  Ao Diam 32.0mm  LVd Mass  rvsd 8.1 mm  Ind 91.20 g/m.  Is this bad?  Can I still exercise?  I see a cardiologist next week but I am so worried.  Normal blood presuure, I do not take medication.  5 feet 4 1/2 inches weight 122.  No smoke no drink.  No kids.

[Sunlover11]

Thank you.  The cardiologist I saw was no help.  He did an ECG and it was fine and he said to cut back on the gym and that maybe my echo was not that bad.  He did not review it and told me he would later  I am going to have another echo done Monday  somewhere else and see another dr.  He seemed like he had not idea what was going on, not very helpful.  I miss the gym like crazy.  Thank you for your help.

[Ger57]

I have learned not to trust the dimension measurements from the echo doppler. In my experience there are often quite far off, depending very much on the examiner.
Your LA diameter seems to be in the normal range.
I do not see the measurement for the LA volume.

If your LA really is enlarged there must be a cause for it. In most cases it is the mitral valve that causes the (overload) problem. Although your mitralis is not completely normal, I can not imagine that with the minimal leakage and no stenosis would cause the LA to enlarge.

I expect that your cardiologist will not be too worried and will not restrict your exercising.