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Echo Report
Hi,
yesterday had done echo and pro bnp the results are.....

Structural Interpretation
Akinetic lateral wall.
Severely hypokinetic inferior wall.
IVS, anterior wall and LV apex are showing normal contraction.
Overall mildly large LV with moderate dysfunction.
Structurally normal mitral and aortic valve.
Mildly large RV with hypokinetic posterior wall.
Normal RV function. No Ps.
No Pericardial effusion or clot seen.

Final Echo Dx  

Mildly large LV with moderate systolic dysfunction.
App EF 35% segmental wall motion abnormality.
Diastolic dysfunction (grade II).
RV wall Severe Hypokinesia.
Mildly Large RV with Normal Function.

and My Pro BNP result is 164.4 pg/mL.

is these diagnosis are dangerous i am so worried plz help.
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8 Answers
8 Answers
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M.Mode / 2D / Doppler / Imaging :
Measurement in mm            Figures bracket indicatesnormal values in mm

                   Systolic                   (<40) 44
Left Ventricle    Diastolic                  (<55) 53
                   Septal Thickness      (11)          8

Left Arteium                                         (25)      25
EPSS (<7)
EF                                                       (<55) 35
Post Wall Thickness                              (<11)   7
Aorta                                                    (<40) 30
Aortic Valve
Pulmonary Artery

Structural Interpretation:

Akinetic lateral wall.
Severely hypokinetic inferior wall.
IVS, anterior wall and LV apex are showing normal contraction.
Overall mildly large LV with moderate dysfunction.
Structurally normal mitral and aortic valve.
Mildly large RV with hypokinetic posterior wall.
Normal RV function. No Ps.
No Pericardial effusion or clot seen.
Doppler:
MR (Mild) – TR (Mild).

Pressure Gradient (mm Hg):
Diastolic flow velocity Across Mitral valve Ewave=0.68
                                                                           Awave=0.44 E/A reversal with valsalva maneuver.

Estimated RV / MPA Pressure (mm Hg):
35

Final Echo Dx:  

Mildly large LV with moderate systolic dysfunction.
App EF 35% segmental wall motion abnormality.
Diastolic dysfunction (grade II).
RV wall Severe Hypokinesia.
Mildly Large RV with Normal Function.
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1124887 tn?1313758491
You need to discuss the report with a physician.

Your heart seems damaged by something (possibly a heart attack, but that's fairly uncommon at age 30?). Some of the walls have impaired movement and both systolic function (pumping power) and diastolic function (heart filling) are reduced. Your heart also seems to increase in size (dilate) which is not good and it's extremely important that you stay in close touch with your physician regarding symptoms (arrhythmias, fainting, dizziness, shortness of breath) and recovery from this (medications, surgery, exercise, etc).

I'm really sorry this happened to you at your low age, if you really are 30 years old..

Take care.
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2 months Before this echo also had done Angiography ......................... results are:

Indications for Study

The Patient was referred because of Ischemic heart disease Presented by unstable Angina. The Procedure was explained in detail to the patients. Risks, Complications and alternative treatnebts were reviewed. Written consent was obtained.

Procedure:
The patient was taken into the Cardiac Catherization Laboratory and Prepared in the usual Sterile fashion. Arterial access was obtained using the right femoral artery. A left heart cath was performed. Selective Left and Right Coronary angiography was performed.

Equipment:     JL 4, JR4, GW

Access:       Right Femoral

Contrast:   Ultravest                                                           Volume: 100

Hemodynamic Data: (mmHg)

                     Aorta                                                                   LV
                 S  /  D  /  M                                                        S   /  EDP

Pre – Angio
Post – Angio


Coronary Anatomy Findings

Dominance:         RCA.

LM:                     Normal LM

RAMUS:

LAD:                   Normal

LCX:                    Normal

RCA:                   Dominent Vessel. Normal

LVEF:                  40%

LV Function:     Inferior apical akinesia

Graft Study:

Conclusion:
Normal Coronary Vessel. Mild to Moderate LV Dysfunction.

Recommendation:
Medical Follow Up

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and before Angiography Echo Reports is:

Echo Report


Interpretation:
Cardiac chambers are of normal size
There is no left ventricular hypertrophy.
Left ventricular systolic function is moderately reduced.
Visually estimated ejection fraction is approximately 35-40%.
Inferioposterior wall and lateral segments are kinetic, inferior IVS hypo kinetic, Rest are contracting normal.
Right ventricular systolic function is normal.
Mitral valve thickened, with no stenosis. Moderate mitral regurgitation is noted with vena contracta 0.6 mm, ERO 0.3 cmsq and regurgitation fraction 42%
Tricuspid valve normal with no stenosis. Moderate tricuspid regurgitation, peak pressure gradient of 40 mm Hg.
Rest of the valves is normal in morphology with no stenosis and no regurgitation.
Estimated pulmonary artery systolic pressure is approximately 50 mmHg.
Normal transmitral inflow pattern. Normal pulmonary vein Doppler.
E/E’ is 7, suggestive of normal LV filling pressure.
No obvious thrombus, vegetation, pericardial effusion or intracardiac shunt.

Conclusion:
Cardiac chambers are of normal size.
Moderately reduced left ventricular systolic function.
Moderate mitral regurgitation.
Moderate tricuspid regurgitation.
Moderate pulmonary artery hypertension.





What u think ...............is it gng any changes ..........and dear i am 31 years old Male.
is it bcz of Smoking.
Thanx for ur Reply it is really appreciating.
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Plz Bro Answer.................:)
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1807132 tn?1318747197
You should definitely follow up with your doctor.  There is also a forum section to ask experts.  When you go to the forums list on the right side is all the forums with the experts.  You might want to try the heart forum in that part of this site.

That being said, I mostly see the words mild to moderate as opposed to severe.  Sometimes reports can sound a lot worse than they are.  I would try to refrain from getting super upset until you have had your report looked at by a doctor.  He will explain the best course of action for you.
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this is the new Echo Report.................

Ultrasound Findings
M- Mode Measurements
LVEDD :: 51 mm                                                        PWT :: 8 mm
LVESD :: 38 mm                                                         AO ::  30 mm
EF  :: 45 – 50%                                                            LA ::  30 mm
IVS :: 8 mm                                                                 RV :: 14 mm
Structural Interpretation:
• Akinetic / thin inferior wall, Posterior wall and basal Lateral wall.
• Remaining Segments are showing Contractility.
• Normal mitral and aortic valves.
• Normal Sized RV.
• Normal Pulmonic and tricuspid Valves.
Color Flow :
• TR : Mild
P/W Doppler:
• Flow Velocity across MV (D) E: 0.70    and   A: 0.51
Estimated PA Pressure: 30 mm of HG.
Final Echo Diagnosis:
• Normal Sized LV with mild Dysfunction.
• Normal Valves.
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hi all am a 23 male i play gym and a week ago i was going to fall down and felt so dazy then i went to cheak my blood pressure it was very low about 52 so i went to the doctor and did Angiography and it was normal results but he asked me to do echo and i did it and here is the results:
*normal LV internal dimensions with normal global LV systolic function EF=64%
*normal LV diastolic function
*mildly hypokinetic lateral and anterior walls
*normal LV wall thickness
*normal MV. No MR
*normal AV. normal systolic flow.No AR.
*normal TV. trivial TR. normal RVSP
*normal LA.
*normal right sided structures
*normal pericardium. No pericardial effusion
*there is mild SEC in LV cavity
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