Eacho with ???

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Hello Dr.
I am a 63 year old female with a life long heart murmur.
I recently had my third echo done.

Results:

1.Intravent. septum- 1.1 & 1.3
2.LV Post wall- 1.1 & 1.3
3.LV int. dim.- 4.9 & 3.1
4 LA diameter_ 4.0
5.Aortic root diam.- 2.7
6.Aortic root sep- 1.5
7.MV excursion- 2.3
Ejection-56%

Impression:

!. Preserved left vent systolic
   dyfuntion.
2. Marked concentric hypertrophy left     vent. with diastolic dysfuntion
3.Mitral regurgatation with marked       atrial enlargement.
4. Mild aortic stenoses, 2.2 M/sec.

My questions:
1. Should I be seeing a cardiologist Or just be monitored with G/P visits and yearly Echos for now?
2. I do not have high b/p, norm is under 115/65, the Dr. does not want to put me on b/p meds.,  but am motitoring it every day.I Do have white coat syndrome and b/p was elevated at the time of the Echo
3. How can these numbers change so much from year to another

My first echo the Ef was 76 second 71 now 56%
The stenoses was 2.0- 1.8 now 2.2
MY mitral excursion was 2.4-2.1 and now 2.3

I Am taking an anti-anxiety med. foltx for a slight elevated homocystine level and 81 mgs. aspirin a day

I thank you so much for your time and hope you are doing well.

Linda

[Cleveland Clinic]

Hi linda,

thanks for the post.

We often say on this forum, that trying to read an echo by the numbers without seeing the images, is like trying to describe a fine wine without getting to taste it.

Important points from your echo is the presence of LVH, atrial enlargement and regurgitation.

1.) Should I be seeing a cardiologist Or just be monitored with G/P visits and yearly Echos for now?

You should be evaluated by a cardiologist to get there recomendations on the lesions mentioned above.

2. I do not have high b/p, norm is under 115/65, the Dr. does not want to put me on b/p meds., but am motitoring it every day.I Do have white coat syndrome and b/p was elevated at the time of the Echo

There are changes on the echo suggestive of long term effects of hypertension. Those that have 'white coat hypertension' often have undiagnosed hypertension. I would have a low threshold to treat you.  Ambulatory monitring might help give a better idea.

3. How can these numbers change so much from year to another

Dont worry about the specifics in how the numbers change from year to year. What would be helpful is to have a cardiologist compare the 2 visually, and then follow you in the future for other changes.  He/she could explain the meaning of the changes in the numbers.


good luck!

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I thank you for your reponse. I have a question as to what do you mean by a low threshold to help me.

Thank you, again