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echocardiogram results

i'm confused about my echo report.  i hope i can get some clarification as the doctor wasn't very helpful. i have a history of lupus, migraines, ischemic colitis, hypothyroid..i am seeing the cardiologist for shortness of breath, palpitiations, chest pain, tachycardia:

Left  Ventircle:  The left ventricle is normal in size, thickness and function.  The left ventricle ejection fraction is normal.  The ejection fraction estimate is between 65-70%.  No regional wall motion abnormalities noted.  Spectral Doppler of the mitral valve is reversed, with an E/A wave ratio 10.  The pulmonary vein S/D ratio is abnormal at 1.9. Left ventricular flow propagation velocity was greater than 55cm/sec.

Right Ventricle:  The right ventricle is normal in size, thickness, and function.

Atria:  The left atrial size is normal.  The left and right atria are normal in size.  The right atrium is normal in size.  There is no Doppler evidence for an interatrial shunt.

Mitral Valve:  The mitral valve leaflets appear thickened,  but open well.  The mitral valve is grossly normal.  There is moderate mitral regurgitation.

Aortic Valve:  The aortic valve is not well visualized secondary to technical issues.  The peak pressure gradient is 9.2mmHg.  The mean pressure gradient is 6.0 mmHg.  There is trace aortic regurgitation.

Tricuspid valve:  The tricuspid valve is not well visualized, but is grossly normal.  There is mild tricuspid regurgitation.  Right ventricular systolic pressure is elevated at 25-30 mmHg.

Pulmonic Valve:  The pulmonic valve is not well visualized.  There is a trace or physiologic amount of pulmonic regurgitation.

Great Vessels:  The aortic root is normal size.  The pulmonary artery is not well visualized, but is probably normal size.  The inferior vena cava appeared normal and decreased >50% with respiration (RAP 5-10 mmHg).

Pericardium/Pleural:  There is no pericardial effusion.
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976897 tn?1379167602
Well your heart hasn't begun to adapt yet which means it still has a bit of a way to go. You may suffer some symptoms which can be eased with meds.
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Avatar universal
thank you for your input, ed34....i was told i had MVP when i was 16 or 17 but i don't know if i was misdiagnosed and i just had some abnormality with the mitral valve along and it has progressed.  i am 47 now...
Helpful - 0
976897 tn?1379167602
Your heart is ok but you need to watch for your mitral valve which has a moderate leak. They may wish to keep you on meds for this and I won't be shocked if you require surgery to repair it in the future.
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Avatar universal
and somehow deleted the part about:

the E/E' ratio between the mitral annulus is normal.  A valsavar maneuver doesn not change the mitral waveform profile  The E/E' ratio between the mitral E wave and the mitral annulus E' wave is abnormal, with a value of greater than >10.  

sorry about that!!  omg...grrrr
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Avatar universal
oops, i mistakenly wrote that the E/A wave ratio is 10 when it is actually <1.0...
Helpful - 0
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