DOB: 6/18/1982 Age: 31y.o. Sex: male
VITALS: BP 140/80 | Ht 6' 6" (1.981 m) | Wt 199 lb (90.266 kg) |
BMI 23 kg/m2
HISTORY: The patient has a past medical history of Pneumothorax;
Chest pain (2/12/2014); Dyspnea (2/12/2014); Fatigue (2/12/2014);
Active smoker (2/12/2014); and Family history of premature CAD,
uncle on his mother's side died in his mid 40', presumably with
an AMI. (2/12/2014).
INDICATION FOR STUDY: The primary encounter diagnosis was Chest
pain. Diagnoses of Dyspnea and Fatigue were also pertinent to
Structure Normal Observed Structure Normal Observed
RVIDd 1.7 LVOT 2.0 - 4.0 cm
IVSd 0.6 - 1.1 cm 1.0 LA Diameter 1.9 - 4.0 cm 3.3
LVIDd 3.5 - 5.7 cm 4.6 Aortic Root 2.0 - 3.7 cm 3.3
LVPWd 0.6 - 1.1 cm 0.8 Av Cusp 1.5 - 2.6 cm
LVIDs 2.1 - 4.0 cm 4.1 Delta D% 30-39% 11%
QUALITY OF STUDY: The study quality is sufficient.
DEFINITY CONTRAST USED: No
LEFT VENTRICLE: The left ventricle is not enlarged. The left
ventricular function is normal with estimated ejection fraction
of 50%. Interventricular septal motion is atypical. E/A ratio
is 1.26 with deceleration time of 191 ms and E/e' of 6.2.
PERICARDIUM: There is a trivial pericardial effusion anteriorly.
INFERIOR VENA CAVA: Is dilated. Measures 2.5 cm with > 50%
Possible pleural effusion.
1. Global systolic left ventricular contractility is low normal.
Ejection fraction estimated at 50%. Interventricular septal
motion is atypical, with septal bounce. Can not rule out
constrictive physiology with an E' greater than 10 cm/s.
2. Possible pleural effusion.
3. Dilated IVC
I removed everything that was normal to get under text limit. Waiting for Doctor to call which might now be today.
Interpreting an echo requires looking at the images and knowing the clinical history, so it's impossible to opine on the specifics of your case. Your report suggests that your left ventricular function is low normal and that your inferior vena cava is dilated, consistent perhaps with being volume overloaded. You're doing the right thing in exploring your situation, but you should discuss the specifics with your doctor.
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