I just recently had another echo done ~ can someone please help me with understanding these results:
Measurement from echo 3/2012
L vent ~
End syst: 2.8
End diast: 4.1 (3.7-5.4cm)
L Atrium ~ 3.2 (2.0-4.0cm)
Aortic Root ~ 3.2 (2.0-3.7cm)
IV Septum ~ 1.0 (0.7-1.2cm)
LV Post Wall ~ 1.0 (0.5-1,1cm)
IVS Motion ~ 1.1 (0.3-0.8cm)
LVPW Motion ~ 1.1 (0.9-1.4cm)
EPSS - 0.4
Eject. fract - 0.60-0.65 (0.55-0.88%)
% Fractional Displacement ~ 31 (28-42%)
Simpsons Ef ~ 0.59
TR Gradient ~ 19mmHg
RA est. pressure ~ 10mmHg
RVSP - 29mmHg
2D echo & Doppler findings ~ technically adequate study. Patient in normal sinus rhythm
Normal left ventricular size & wall thickness with normal systolic wall motion, estimated ejection fraction of 60-65%. Normal diastolic function. Normal right ventricular size & function. Normal boat risk size. Triple agley aortic valve with no evidence of stenosis or insufficiency. Grossly normal aortic root size. Normal mitral valve with no mitral regurgitation. Grossly normal tricuspid valve with trace (physiologic) tricuspid regurgitation. Pulmonic valve is not well visualized. There is no evidence of pericardial effusion.
Normal left ventricular size & function, est. ejection fraction of 60-65%
Trace ( physiologic) tricuspid regurgitation
Echo from Feb ~ 2014
End syst: 3.2
End diast: 4.7 (3.7-5.4cm)
L Atrium ~ 3.0 (2.0-4.0cm)
Aortic Root ~ 2.8 (2.0-3.7cm)
IV Septum ~ 0.8 (0.7-1.2cm)
LV Post Wall ~ 0.8 (0.5-1.1cm)
IVS Motion ~ 0.9 (0.3-0.8cm)
LVPW Motion ~ 0.9 (0.9-1.4cm)
EPSS ~ 0.4
MVE Ratio ~ 5 (5.0-10.0)
M-mode data is significant for normal aortic root size, normal left atrial dimension & normal left ventricular end diastolic dimension.
2-D echo confirms the aortic root is normal in size. The aortic valve is grossly normal with normal color & spectral profile. The left atrium is normal in size. The mitral valve is grossly normal with color & spectral profile. The left ventricle is normal in size. & function. The right ventricle is normal in size & function. The right atrium is normal in size. The tricuspid valve is grossly normal with normal color. & spectral profile. The pulmonic valve is grossly normal with normal color & spectral profile. There is no evidence of pericardial effusion.
Normal left ventricular size & function
So my question is are theses reports good???
& on the second (current) echo the mitral E-F Slope is out of range????
What does this mean??? Very nervous, is this a sign of something serious like mitral stenois??? What is mitral E~F slope?? The doctor told me everything was great!!!!! Please help , I am 42 year old female.
Honey take a deep breathe as you are fine. The study concludes that everything is NORMAL. EF slope varies with the beat. Your ejection fraction is good on both at 59 and 60. Please try to relax. That is the best thing you can do right now for your heart.
I can't see how you can have severe mitral stenosis because the signs are all missing. Firstly your left atria is not dilated, which would certainly happen. Secondly the right ventricle is not thickened or enlarged which would be the next stage.The echo says there is absolutely no regurgitation of the mitral valve either. Your mitral valve is also opening/closing in great time which it wouldn't do if stiffened.
But isn't my mitral E~F slope number high at 240 - it's out of the normal range of 50-150 mm/sec ~ doesn't that mean stenois ~ you stated that my mitral valve was opening & closing with good timing - I am just so confused! Is mitral E~F slope different then the ejection fraction ?? My ejection fraction is 0.59 ~ I wish someone would explain this to me ~ my doctor told me everything was great ! Everything else looks great. & within normal range except this .... Just very scared because stenois is not joke!
Ok - but 50-150 mm/sec was the normal range ~ I am above normal at 240 ~ would that mean that the blood is slow to get out of my heart ~ as in stenosis??? Or faster ~ I am sorry ~ this just doesn't make sense to me & should I be this worried about this number being so high???
I just don't think it can be stenosis because if it really is that slow at closing, then it would be open still when the ventricles contracts, enlarging the left atrium. The report says no regurgitation at all which would be impossible if the close was really happening at 240. Blood would be gushing back through the mitral valve quicker than it came in. I would go by what your Doctor said and take it that the report is fine. I'm sure if he believed the 240, he would have you in for surgery by now.
I think, there is a misunderstanding here. Although I don't know much of the subject, it is clear to me however, that we are not talking about time here, but velocity and what for one is "door slamming" is for me 0.5 miles an hour at 240mm/sec - more like a snail crawling. Just because 50-150mm/sec is indicated as normal doesn't mean that 240mm/sec is bad, just that it is faster than the median (or average, depending on how that is being evaluated).
Me too ~ thanks for commenting on my post ~ I was very concerned about the number ~ it wasn't making any sense to me either! The doctor wasn't crazy I think about admitting it was an error but he said it was entered wrong in the paper ~ not sure who types up the reports doctor or sec. But they are only human ~ just glad that it's in the normal range!
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