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Heart Disease (Expert Forum)
Echocardiogram Results
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Echocardiogram Results
by bob_sixsix, Jul 22, 2003 12:00AM
I have recently undergone a few tests to "rule out" Marfan's Syndrome.
35 years old,6'6" tall, 240lbs,blood pressure 130/82,no known family history of heart disease.
First echocardiogram impression:
1)Upper normal limits for size to mildly dilated LV (End Diastole 5.65cm) with preserved systolic function.
2)Normal appearing mitral,aortic and tricuspid valves.
3)No left atrial dilatation (3.8cm).
4)Upper normal limits for size to mildly dilated aortic root(3.1cm)
5)Doppler color flow exam revealed trace to mild mitral and mild tricuspid regurgitation.
6)Ejection Fraction=65%
A delayed relaxation left ventricular inflow pattern was observed suggesting possible diastolic dysfunction.
Second opinion at Montefiore Medical Center:
1)Aortic Root Diameter=3.7cm
2)Left Atrium Internal Diameter Systole=3.7cm
3)Left Ventricle Diastolic=5.3cm
4)Left Ventricle Systolic=3.4cm
Blood pressure went from 130/82 to 220/0.
Results from Chest Scan With Contrast:
Descending aorta is normal.Ascending aorta at the level of pulmonary artery bifurcation 3.7cm(normal=3.2cm +/- .5cm).Ascending aorta at the level of the takeoff of the left coronary artery measures 3.68cm and the sinotubular junction measures 4.45cm (normal=3.7cm +/- .3cm). The aortic valve sinus is rather prominent.
(1)Do these values appear to be "normal" for my age,height & weight?
(2)Should I be concerned about elevated BP during stress test?
(3)I have been lightheaded with pain in chest for months now, would any of these results contribute to that?
(4)What is delayed relaxation left ventricular inflow pattern?
35 years old,6'6" tall, 240lbs,blood pressure 130/82,no known family history of heart disease.
First echocardiogram impression:
1)Upper normal limits for size to mildly dilated LV (End Diastole 5.65cm) with preserved systolic function.
2)Normal appearing mitral,aortic and tricuspid valves.
3)No left atrial dilatation (3.8cm).
4)Upper normal limits for size to mildly dilated aortic root(3.1cm)
5)Doppler color flow exam revealed trace to mild mitral and mild tricuspid regurgitation.
6)Ejection Fraction=65%
A delayed relaxation left ventricular inflow pattern was observed suggesting possible diastolic dysfunction.
Second opinion at Montefiore Medical Center:
1)Aortic Root Diameter=3.7cm
2)Left Atrium Internal Diameter Systole=3.7cm
3)Left Ventricle Diastolic=5.3cm
4)Left Ventricle Systolic=3.4cm
Blood pressure went from 130/82 to 220/0.
Results from Chest Scan With Contrast:
Descending aorta is normal.Ascending aorta at the level of pulmonary artery bifurcation 3.7cm(normal=3.2cm +/- .5cm).Ascending aorta at the level of the takeoff of the left coronary artery measures 3.68cm and the sinotubular junction measures 4.45cm (normal=3.7cm +/- .3cm). The aortic valve sinus is rather prominent.
(1)Do these values appear to be "normal" for my age,height & weight?
(2)Should I be concerned about elevated BP during stress test?
(3)I have been lightheaded with pain in chest for months now, would any of these results contribute to that?
(4)What is delayed relaxation left ventricular inflow pattern?
Doctor's Answer
by CCF-M.D.-RCJ, Jul 22, 2003 12:00AM
Bob,
Thanks for the post.
(1) Probably. Tests need to be interpreted in light of why the tests were done. If there was a clinical reason to suspect Marfan's, it would be helpful to know what was that clinical reason.
(2) The prognostic importance of exercise-induced hypertension has been evaluated at the Cleveland Clinic in 3000 patients with suspected or known coronary disease referred for exercise testing. Patients who had exercise-induced hypertension, defined as a peak systolic blood pressure 210 mmHg in men and 190 mmHg were less likely to have perfusion abnormalities on a thallium scan or to have extensive abnormalities, and there was no increase in mortality at six year follow-up.
(3) Nothing that you provided gives an explanation for chest pain.
(4) Delayed relaxation is a common finding in patients with high blood pressure. Other reasons exist for this finding as well, including normal aging and uncommon disorders.
Hope that helps.
Thanks for the post.
(1) Probably. Tests need to be interpreted in light of why the tests were done. If there was a clinical reason to suspect Marfan's, it would be helpful to know what was that clinical reason.
(2) The prognostic importance of exercise-induced hypertension has been evaluated at the Cleveland Clinic in 3000 patients with suspected or known coronary disease referred for exercise testing. Patients who had exercise-induced hypertension, defined as a peak systolic blood pressure 210 mmHg in men and 190 mmHg were less likely to have perfusion abnormalities on a thallium scan or to have extensive abnormalities, and there was no increase in mortality at six year follow-up.
(3) Nothing that you provided gives an explanation for chest pain.
(4) Delayed relaxation is a common finding in patients with high blood pressure. Other reasons exist for this finding as well, including normal aging and uncommon disorders.
Hope that helps.
