Valves

[long]

I am 47 year old male who had stress echo with the following results:"MITRAL VALVE- The mitral valve is normal.There is trivial,posterior mitral annular calcification.There is trivial mitral regurgitation.The pulmonary venous pattern showed normal systolic flow.Mitral Valve Area is 3.4cm2.Pressure halftime(doppler) 64m/sec.RESTING ECG:NORMAL SINUS RHYTHM,HIGH VOLTAGE QRS,LEFT AXIS DEVIATION.CONCLUSIONS 1.Normal LV size and systolic function -EF- 60%.2.No significant valvular abnormality.3.Stress echo results are normal and negative for ischemia at 104% PMHR-13.7 Mets.QUESTIONS:1.What would "There is trivial,posterior mitral annular calcification" mean?On one site says that persons who have above condition usually have coronary artery disease.Is this true and can it be reversed with diet?2.What are mitral valve area as well as pressure halftime(doppler) normal limits?3.What would high voltage QRS,left axis deviation on resting ECG mean?Intaventricle Septum is 1.1cm and Post.Wall.Thickness is 0.9cm.4.What are maximal rate pressure product(Blood pressure during stress test) normal limits at Cleveland Clnic?5.What is the heart rate recovery 1 minute post exercise normal (upper)limit at Cleveland Clinic?6.What would tricuspid regurgitation of 1.9 m/sec on echo be:trivial,mild,moderate?Thank you

[daisyhn]

Dear all of you,
I have found out that I have been felt ill with rheumatic
heart disease since 1998 when I have a medical examination before I enter university. My health condition have been good until now. They said that my mitral valve was little uncoreved . After that, I have injected regularly (28days/injection). I usually feel well. I always try my best to study well, and I always be a honor student. In 2001, I got a University Degree as Bachelor of Science with Honor and being the Top graduate. But my faculty leaders didn't accepted me as a teacher of our faculty staff because of my health condition. With my good record, I was accepted to enter Master's program directly. In the next year, I am getting the Master's certificate. I have got toefl certificate. I really want to study more further in my field. So, I want to study oversea because as you know, Vietnam is a developing country. But when I go for a check-up, they
wrote "poor health" in my application form. Therefore, I have no
oppotunity to study oversea. I am extremely sad and despondent. Please tell me if I could go out of my country to study at a developed country? In your oppinion, should I work as a teacher? What job I should work as? (I graduated from a Teacher Training University). If you don't mind, please give me some advice. It is nice of you to help me. Thank you very much.
Your sincerely, Nguyen Thao.

[CCF-M.D.-KE]

Dear Long,

The results of your test sound great and suggest that you are in a low risk category.
1. Trivial,posterior mitral annular calcification describes an area near the mitral valve that contains calcium. This is a finding seen with aging and nothing you should be particularly concerned about at this time.

2. There are conditions where the mitral valve narrows and restricts blood flow. However, your mitral valve appears normal. The people performing your study decided to list the normal value.

3. High voltage suggests that there is abnormal thickening of the heart muscle based on the electrocardiogram (ECG). However, your echocardiogram does not suggest this.

4. The rate-pressure product is the peak systolic blood pressure multiplied by the peak heart rate.  This serves as an index of the intensity of exercise performed as well as the amount of stress on the heart.

5. The normal heart rate recovery is a decline in peak heart rate
>12 beats per minute, 1 minute into recovery. An abnormal heart rate recovery has been associated with increased risk.

6. The tricuspid regurgitation velocity does not correlate with the degree of tricuspid regurgitation.

Hope this helps.

Thanks for your question,


CCF-MD-KE