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Cardiovascular Disease Prevention Forum
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Echo Results

I'm a 54 yo female, non-smoker, normal weight, exercise 1hr daily w/ no problems. I had a pre-op echocardiogram w/ the following results. I'm wondering what the significance is and whether I should be followed by a cardiologist.

Transthoracic Echo;

AOV 1.4 cm

There is a small medium pericardial effusion. Some R atrial collapse at diastole. Mild L ventricle enlargement. L. ventricle wall thickness normal. Systolic doming of the aortic valve with fusion of R and L coronary cusps consistent w/ bicuspic aortic valve. Mitral annular calcification. Concentric thickening of the L ventricle during systole w/ norma resting L ventriclel EF of 55-60%.

Doppler Echo

Mild mitral, mild tricuspid, mild aortic, and trace pulmonic insufficiency. Velocities across aortic valve elevated reaching 3.3 meters/second correlating w/ peak pressure gradient of 44mgHg, mean pressure gradient of 26 mgHg, and aortic valve area of 1.2 cm-sq. There is E/A reversal on the mitral inflow pattern with elevated E/E' prime tissue velocity ratio of 16 consistent w/ grade 1diastolic dysfunction. Mild pulmonary hypertension w/ RVSP of 36/10.
1 Responses
469720 tn?1388146349
MEDICAL PROFESSIONAL
Hi Chrlotte
It appears that you are asymptomatic and the only reason for the test was prep requirement. Your test suggests mildly leaking heart valves which have produced a mild elevation in pulmonary pressures. You would probably benefit from an annual cardiac visit to check your  echo. Good luck. Best of health
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