Echo Results

[PAH]

I recently had an echocardiogram and the results were as follows:
IVS:  12mm (6-11)
LVPW: 12mm (6-10)
LVOT diameter: 16mm (>=20)
PA:  30mm  (18-23)
RVW: (<5) Hypertrophied
Findings: left ventricular hypertrophy; right ventricular hypertrophy; dilated pulmonary artery; trivial mitral, pulmonic and tricuspid regurgitation, anterior mitral valve leaflet prolapse present.  
I understand that the measurements are not gravely abnormal, but the fact that so much is not normal has me concerned.  What does all this indicate to you? Do I need any follow-up?  If so, what kind and do I need to take antibiotics prior to dental procedures?  I should mention I am a female ex-smoker being treated for hypertension.  From what I've read the left ventricle probably hypertrophied as a result of high blood pressure.  What about the right ventricular hypertrophy and the dilated pulmonary artery?  What does it mean to have a narrowed LVOT? Should I be checked for some sort of lung problem?   I've posted here before and I do thank you so much for this service.

[donnabrooks]

I'M 28 W/F LIVING WITH IDIOPATHIC DILATED CARDIOMYOPATHY FOR 4 YEARS NOW MY EF WAS 35% TO 25% NOW UP TO 30% A RECENT ECHO STRESS TEST                                       {{{{{{DEMONSTRATES MODERATE TO SEVERE LV FUCTION,LV DILATATION {LVEDD OF 6.0,}}}}}}I HAVE THE MEASUREMENTS HERE WITH ME BUT WHAT DOES THIS STUFF MEAN???LVIDd:5.8,LVIDs:4.6,LVPWd:0.95,LVPWs:1.3,FS:21%,EDV167,ESV:96,EF{TRIECH}43% ETC PLEASE LET ME KNOW IF YOU KNOW .........thanks alot donna brooks                                               ive got other calculations & measurements & doppler measurements

[karie]

What is your b/p running at , I too am small frame and when given my echo results it was either looks good or just mvp not so in dephth, I will inquire more.

[jkh]

I've been wanting to post a question for the cardiologist, but haven't been able to.  Everytime I try, the message I get is that the forum is full.  You say you've posted before--what's your secret?  Thanks.

[CCF-M.D.-RCJ]

Pah,

Thank you for the questions.

Echo results can only be interpreted in the context of the particular patient.  Having said that, these results do appear consistent with what one might expect in a hypertensive patient.  Also, the left ventricular hypertrophy is mild at worst, based on the measurements provided.

Narrow LVOTs are common in smaller female patients.  Some petients with a narrow LVOT will have symptoms, however -- it depends on the degree of narrowing for that persons body size.

I think that the PA measurement listed is not PA size, but PA pressure in mmHg.  It is mildly elevated and could be consistent with under-treated hypertension.  Lung disease from smoking can lead to the RVH and elevated PA pressure.  The treatment is to stop smoking.

You would be wise to seek regular follow-up for your blood pressure. I do not think that routine echocardiography in follow-up would be necessary unless your condition changed or other medical problems are present that you have not described.

Talk to your doctor about antibiotic prophylaxis. You haven't provided enough information to answer that question.

Hope that helps.