Should I be concerned

In the past several years I have had atrial fibrillation. I have had several carioversion's but still continue to revert back to atrial fibrillation. In April of 2006 I had an echo done. The only thing they told me at the time was that the left side of my heart was slighly enlarged. I went on longtime anticoagulation thearpy at this time. Since 2006 I have had trouble with fatique, chest pains, trouble sleeping, job related stress and in recent months atrial flutter.  The first echo showed the following results; Interpretation: Technically difficult study.
1. Left ventricle is small in cavity diameter with moderate concentric left ventricular hypertrophy and preserved overall systolic contractility with a visually estimated left ventricular ejection fraction in the 60% range.
2. Aortic root is midly dilated. The left atrium is normal in demension.
3. The aortic valve is trileaflet and morphologically normal.
4. The mitral and tricuspid valves are structrrally normal.
5. Right heart chambers appear to be upper normal to mildly dilated with preserve right ventricular systolic contractility.
6. No intracardiac mass or left ventricular thrombus was noted.
7. No pericardial effusion was identidied.
Color Flow Doppler Analysis;
1. Trivial mitral insuggiciency is noted.
2. Trivial-to-minimal tricuspid regurgitation is noted.
3. A 23 mm PA systolic pressure estimate was identified.
I have undergone two catherizations that shows no disease, but show overall small caliber coronary arteries.

I just recently undergone an ablation for my atrial flutter. During this time I had a TEE. This is the results;
1. Right atrial enlargement
2. Right ventricular enlargement
3. Mild left atrial enlargement. The left atrial appendage is small. No thrombus noted in the left atrium or the left atrial appendage.
4. Normal sized left ventricle with normal ventricular contractility. Left ventricular ejection fraction approximately 0.60 - 0.65.
5. Anatomically normal mitral valve. No mitral valve prolapse. No restriction of leaflet mobility. Mild to moderate (2+) mitral regurgitation (three jets).
6. Normal aortic valve. Trileaflet aortic valve. No restriction of cusp mobility. No aortic regurgitation noted by color flow echocardiography.
7. Intraatrial septum well visualized. No intratrial septal defect or patent foramen ovale noted with 2-D, color flow or bubble study.
8. Intraventricular septum well visualized. No ventricular septal defect noted by 2, color flow, or bubble study.
9. Anatomically normal pulmonic valve. No pulmonary insufficiency noted.
10.Anatomically normal tricuspid valve. Mild (+1) tricuspid regurgitation noted by color flow echocardiography.
11. Physiologic pericardial effusion.
12. No evidence of intracardiac masses or thrombi.

Do I have anything to worry about. Do you think that in the future I will have to have my valves repaired?

Thank-you for your time!


This discussion is related to Exercise-induced PH and high BP.

[kenkeith]

Mild or trivial terms related to valve leakage is considered medically insignificant.  It is not an uncommon condition and usually there is no progression.

Mild to moderate MVR is a condition that may be monitored from time to time, and may never progress nor an expectation of any symptoms.  There doesn't appear to be any conditions that would cause concern.

[twinbee]

Can I ask you a question. Since you have both a-fib and flutter, why did you have the ablation for flutter only? Has the flutter ablation stopped you a-fib also?