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Interventional Cardiology (Expert Forum)
Echocardiogram reading help
Answered by
Truman Medical Center
MO
Questions in the Interventional Cardiology forum are answered by medical professionals affiliated with the Truman Medical Center. Topics covered include acute coronary syndrome, angina , atrial fibrillation , cardiac catheterization , cardiomyopathy , drug abuse & cardiac disease, echocardiography , heart failure , hypertension & heart disease , lipid management , minorities and heart disease, peripheral vascular disease prevention, valvular heart disease , women’s heart health, and the warning signs of a heart attack.
Echocardiogram reading help
by Sontay, Jun 17, 2008 01:39PM
I am a 64-year-old Asian woman and a retired librarian. I have just completed an echocardiography test (Transthoracic 2-D Echocardigram) and received my results. I have had a heart murmur for several years and have done a few tests, including the above. According to the report provided by the radiology lab, I have:
1) Normal left ventricular ejection fraction of 60%.
2) Normal left ventricular size, mild abnormal basal inferior wall, mild abnormal mid septum showing preserved left ventricular function at rest.
3) Left venticular diastolic dysfunction.
4) Moderate aortic insufficiency.
5) Mild to moderate tricuspid regurgitation.
6) Mitral regurgitation (+1).
I live in a small town and do not have access to a cardiologist and will not be able to see my family doctor until the fall. I appreciate that MedHelp kindly helps explain the above results for me. I'm feeling fine now and are on my regular prescriptions (thryroid, high blood pressure and high cholesterol), do my light exercise daily (stretching, light weight and walk), and eat right. I've researched about heart murmur, heart valve diseases at various Web sites, and have watched this forum for some time now.
In addition, I also have these questions: Should I be concerned and seek help right away, or can I wait? Is there some kind of prescriptions for my case and any hope for a cure without the eventual surgery?
Thank you so very much for your time and consideration. I hope your answers to my case will help others on this forum.
Best regards,
Sontay
1) Normal left ventricular ejection fraction of 60%.
2) Normal left ventricular size, mild abnormal basal inferior wall, mild abnormal mid septum showing preserved left ventricular function at rest.
3) Left venticular diastolic dysfunction.
4) Moderate aortic insufficiency.
5) Mild to moderate tricuspid regurgitation.
6) Mitral regurgitation (+1).
I live in a small town and do not have access to a cardiologist and will not be able to see my family doctor until the fall. I appreciate that MedHelp kindly helps explain the above results for me. I'm feeling fine now and are on my regular prescriptions (thryroid, high blood pressure and high cholesterol), do my light exercise daily (stretching, light weight and walk), and eat right. I've researched about heart murmur, heart valve diseases at various Web sites, and have watched this forum for some time now.
In addition, I also have these questions: Should I be concerned and seek help right away, or can I wait? Is there some kind of prescriptions for my case and any hope for a cure without the eventual surgery?
Thank you so very much for your time and consideration. I hope your answers to my case will help others on this forum.
Best regards,
Sontay
Doctor's Answer
by Douglas Bogart, MD, Jun 18, 2008 07:34AM
, Jun 18, 2008 07:34AMTo: Sontay
You should at some point have a cardiologist review the echo to make sure there is agreement on the findings. There is no evidence that any particular treatment is need for aortic insufficiency except your blood pressure needs to be controlled. With no symptoms and normal heart size and function nothing needs to be done at this point. You should have a follow-up echo in about 2 years.
