None of those things are overly concerning..
The tricuspid and pulmonic regurg is a normal variant found in a large percentage of the population.. Everyone has it to some degree if you look hard enough.
The valve thickening is a mildly abnormal finding and could be related to alot of things.. For example an early childhood illness could have done it, or you could have just been born that way.
The valves are like doors.. As long as they can open and close ok, then there is no issue. Any significant impaired function of the valves would have been clearly visible on the color doppler (which was done appropriately because they found the right sided regurg) or it would have been evident from a subsequent cardiomyopathy (muscle too thick or thin).
Any emergency room doc or cardiologist would have been able to see some evidence of a prior heart attack. So i think that was likely an accurate assessment.
On the other hand however i think you could benefit from a few,more tests.. You can call the cardiologist and ask for a 'holter monitor' for your racing heart rate.. That could be pathologic.. But not likely serious mind you, so no need to worry too much.
But yes.. Episodes of fluttering is something cardiologists should have an interest in investigating.. Assuming you didnt share this your last visit?
They didnt pick up any tachycardias when you stood on the treadmill so that can kind of rule out some common options. Post recovery pvc burden was likely low or they would have brought that up.. Having a mostly normal ett often makes holter findings more exciting.
The second issue i see in your story is your functional capacity..
Did they happen to mention if the speed of the treadmill increased every 2 minutes or 3? If the answer is 3 then you need to improve your functional capacity (fitness level) or youre gonna find yourself having a heart attack for real!!
At your age you should absolutely be able to complete 3 stages (9 minutes) on a treadmill no problem.. Honestly id lobe to see you do at least 4..
If however they used a modified bruce (2 minute stages), then 8 minutes is about average.
No I am not a smoker nor do I have any of those diseases. I have health anxiety so that’s why I am
So nervous. I just celebrated my one year anniversary and my number one fear is leaving my wife alone on the World if I die in my sleep. My chest hurts whenever I talk about this but it feels like it’s in the skeletal mUscular section. Yes I could work out more I am 207 pounds and 5”10. The doctor said I shouldn’t worry at all and he didn’t even think I needed a follow up. He was an Indian doctor with 35+ years expierence which I trust. I just wanted another opinion without going to the doctor again since I don’t have health insurance at the time because I got a new job so In the limbo period.
Do you overall think I am set to have a good long life :)
Left Ventricle: Lv chamberr and wall dimensions are normal. There is normal LV systolic function. There are no wall motion abnormalities. The estimated LV ejection fraction is normal at 55-60%. Left ventricular diastolic fucntion is normal.
Right Ventricle: There is nornal right ventricular size, wall dimension, and systolic function. No RVOT obstruction noted.
Left Atrium: LA chamber size is normal.
Right Atrium: RA chamber size is normal.
Aortic Valve: There is a trileaflet aortic valve. There is normal aortic valve structure and function. There is no aortic valve stenosis or regurgitation. The aoritc valve leaflet is mildly thickened.
Mitral Valve: There is normal mitral valve structure and function. There is mild thickening of mitral valve anterior leaflet. There is minimal regurgitation. There is no mitral stenosis.
Tricuspid Valve: Tricuspid valve is structurally normal. There is no tricuspid valve stenosis or regurgitation. There is muld tricuspid regurgitation.
Pulmonary Valve: There is normal pulmonic valve structure and function. There is physiologic pulmonic valve regurgitation. There is no pulmonic stenosis.
Pericardium: There is no pericardial effusion present.
Aorta: The size of the visualized portion of aortic root is within normal limits.
-There is normal LV systolic function
-The estimated LV ejection fraction is normal at 55-60%
-Normal right ventricular size and function.
-There is mold tricuspid regurgitation
M-Mode ECHO DIMENSIONS
Ao Root Dia (2D 3.37cm) Range (2.0-3.7)
LA Dimen (2D 3.39cm) Range (1.9-4.0)
IVS (D) (2D 0.89cm) Range (0.6-1.1)
LVPW (D) (2D 0.95cm) Range (0.6-1.1)
LV (D) (2D 4.92cm) Range (3.5-5.6)
LV (S) (2D 3.53cm) Range (2.1-4.0)
LA Vol Idx (2D ) Range (<35)
Asc Ao Dia (2D ) Range (<39)
RVID (2D ) Range (2.7-3.3)
LVOT Dia (2D 2.26cm) Range (1.8-2.2)
Av Opening (2D 2.13cm) Range (1.5-2.6)
EF (2D 55.2%) Range (50-90)
FS (2D 28.25%) Range (25-46)
RVSP (2D 25.1 mmHG) Range (15-30)
MV E 0.61 m/s E'Med 10cm/s
MV A 0.54 m/s E/Lat E' 4.36
MV E/A 1.13 (none) E/Med E' 6.1
MV Dec T 222ms Tv Med E' Vel
E'Lat 14 cm/s Tv Lat E' Vel
AVvel 1.09 m/s LVOTvel. 1 m/s
Pk Grad 4.48 mmHg Mn Grad 3.1 mmHg
AVA(pk) 3.68 cm2 AVA(VTI)
AI PHT RVP 25.1 mmHg
PV Vel 0-83 m/s TR Vel 1.94 m/s
Wow that was a lot to type out. Are you a cardiologist as well? The fluttering I get is because the doctor said my electricity is a little off that's why the nurse thought i might of had a heart attack in the past. Isnt this Arrithmyia?
Am I going to be ok?
The palpitations arrithmyia scare me when they happen but the doc said that almost everyone has electricity problems with there heart and to not worry st all.