Echo test

                                                           Hi                                                                                                                 Last week I had an echo done and these are the results.LADs 3.8 (n2.0-4.0);BSA 2.09m;LVIDd 5.8(n4.0-5.8);LVIDs 3.6; IVSd 1.1 (n0.8-1.2);LVPWd(n0.8-1.2);Ejection fraction 66.94% (n45.0-80.0);FS 37.63 (n20.0-40.0).Normal echocardiogram.Normal doppler.Normal blood pressure.On my echo before (this one) I had trivial mitral and tricuspid valve regurgitation.On the last there was none,it was normal.The doctor told me, although my LVIDd is 5.8cm it is still within normal limits.He also told me that after a year, it could be 5.5cm or less.Questions:How significant is trivial tricuspid  and mitral valve regurgitation and is it possible to have (1 echo) it and than not (2 echo)? Can LVIDd of 5.8cm be regresed (by decreasing FIT and weight) to 5.5 or 5.0cm?  What does FS mean and what are normal limits for IVSs; LVPWs; RVDd; AOd; ALS?I am 45 yrs old male who is into fitness.Thank you. Anthony

[CCF CARDIO MD APS]

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Dear Anthony,
Yes it is very usual for "trivial' leaks of the mitral and tricuspid valve to appear on one echo and not the other- MOST ESPECIALLY IN NORMAL INDIVIDUALS!!!
People who are in to fitness, athletes that is, often have heart sizes that are in the upper limits of normal. This concept is very well studied and it has never been shown to be a detriment to the athlete unless the measurements are way above normal.  I would consider your echo findings normal also and your doctor will need to give you the normal values that you ask for as they can vary from lab to lab and machine to machine.  Good Luck and great job staying in good health with regular exercise.  I hope that this information has been useful, please feel free to write back with any further questions.  
Information provided in the heart forum is intended for general medical informational purposes only, actual diagnosis and treatment can only be made by your physician(s).