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Heart Disease (Expert Forum)
Echo
This forum is for questions and support regarding heart issues such as: Angina, Angioplasty, Arrhythmia, Bypass Surgery, Cardiomyopathy, Coronary Artery Disease, Defibrillator, Heart Attack, Heart Disease, High Blood Pressure, Mitral Valve Prolapse, Pacemaker, PAD, Stenosis, Stress Tests.
Echo
by jan, Oct 07, 1999 12:00AM
I just had a 2 D echo my ep ordered to check my MR and see if I required antibiotic proph. The tech told me ( and a tech he was training) that the dr. was also looking for MVP ( on my last echo it was stated no evidence of MVP, but there was thicken'g of the anterior leaflet) and anything structural that would cause syncope. My questions are: 1. Is there a difference between an echo and a 2 d echo? 2. What would be structural that would cause syncope? 3. The tech pointed out TR, that's Tricuspid regurg., isn't it? 4. He measured the T Wave (8) and the A Wave (6). What are they and what is the significance of the measurements? Thank you so much for your time and help.
Doctor's Answer
by CCF CARDIO MD JMF, Oct 08, 1999 12:00AM
Dear jan,
In response to your questions.
1. Is there a difference between an echo and a 2 d echo? No this is just a difference in terminology. To be correct there is an M mode echo ( 1 dimensional), 2-D and 3D echos. For clinical purposes we use a combination of M mode and 2d.
2. What would be structural that would
cause syncope? Almost any valve disease or a decrease in heart function may cause this.
3. The tech pointed out TR, that's Tricuspid regurg., isn't it? Yes that is a leak of blood from the right ventricle to the right atrium through the TV. mild TR is very common.
4. He measured the T Wave (8) and
the A Wave (6). What are they and what is the significance of the measurements? These are measures of right sided pressure and are essentially normal.
In response to your questions.
1. Is there a difference between an echo and a 2 d echo? No this is just a difference in terminology. To be correct there is an M mode echo ( 1 dimensional), 2-D and 3D echos. For clinical purposes we use a combination of M mode and 2d.
2. What would be structural that would
cause syncope? Almost any valve disease or a decrease in heart function may cause this.
3. The tech pointed out TR, that's Tricuspid regurg., isn't it? Yes that is a leak of blood from the right ventricle to the right atrium through the TV. mild TR is very common.
4. He measured the T Wave (8) and
the A Wave (6). What are they and what is the significance of the measurements? These are measures of right sided pressure and are essentially normal.
This mild regurgitation is unlikely to cause syncope and would be considered Heart disease.
You should lead a normal life with this mildly leaky valve. It is important to control your blood pressure and weight and with any luck this will not progress.
I wish you the best of luck. Please keep track of this leaky valve over the years, probably every couple of years or so. So if there is any change it can be addressed early rather than late.