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echo results

I had an echo done yesterday
These were some of the results that I got
peak MV E .56
peak MV A.70
DT 152
LV ivrt 92

what does this mean-I have know I do have mitral valve problem but the cardiologist is it mild.

I am just having real strange symptoms- dull pain between the center and left side of the chest- shoulder blades hurt, shortness of breath, pain going down the arm- I also have acid reflex too so that could be causing the chest pain
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1223810 tn?1359568180
I have had blocked arteries since 1987.  At that time I had 4 bypass grafts installed.  All went well for 22 years, then in March 2007 my echo tests began showing my EF faling from mid 50's to a low of 19% in May 2008.  During my 8th echogram will be done on March 18, 2010.

I have found the EF percentage to be (for a lay person) the best tracking figure to determine the overall effeciency and status of ones heart.  In my case the men in our family have had weak veins and strong heart muscle.  Eventually, the heart muscle will weaken as congestive failure worsens over time.

My adivse is have echo's as often as possible and keep hard copies and plot your EF % for each test.  The good news is diet, drugs and exercise is the treatment of choice in USA for most all heart and vein conditions, however when the left ventrical begins to weaken as much as mine did the medical establishment will tell you to look forward to transplantation at some point in the future.

I choose to have adult stem cell treatments off shore and my EF is now 35%.  This treatment is not for everyone, but has worked well for me.  It can only be had offshore, it is illegal in USA due to a ruling of FDA in 2003.
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367994 tn?1304953593
You are correct.  Your echo is focused on the the heart's filling phase.  A more complete echo would include the wall dimensions of chambers when pumping (systole) and dimension after contraction. Heart wall thickness, etc.  The dimensions and analysis of the  volume of blood pumped with each heartbeat can provide information of how well the heart is pumping.  Also, the echo (doppler software) can view the blood flow through the valves and evaluate structure integrity.
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Avatar universal
thanks- I have been reading other posts on the echo cardiograms results- some of the reports seem like they give more results than mine did- I thought all echo results should be the same or very much the same.
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367994 tn?1304953593
Mitral valve thickness indicates a narrowing of the valve opening (stenosis).  Depending on the deree of narrowing, it may insignificant, or filling left ventricle adequately compromised (worst case scenario).

Severe pericarditis can constrict the pumping ability of the left ventricle (worst case scenario).  Usually medication can successfully treat.
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Avatar universal
It is me again- went to the cardiologist on Fri- it is pericarditis- the echo also says the pericardium is thickened- pulmonic valve not well seen- mitral valve thickened- what does this mean
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Avatar universal
I just been having weird symptoms- I had pericarditis 8 years ago- and there is some residual fluid near the pericardium. My cardiologist is suppose to call me with the rest of the results today.
Thanks
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367994 tn?1304953593
The information you provide relates to filling time of the left ventricle and metrics that exceed the reference normal indicate a diastolic (filling phase) impairment with left ventricle enlargement.  E/A ratio (E is the early filling time and A is the later) , deceleration time of E (DT) and isovolumic relaxation time (IVRT) were obtained. Your echocardiogram would also include left ventricular (LV) wall thickness and LV mass and ejection fraction (EF) would have been calculated.

Need further information.  Your echo should have reported any abnormalities, and the metrics provided would be the explanation.  I assume the test was given to determine left ventricle functionality with an enlarged heart and mitral valve has been considered medically insignificant



The alcoholics had prolonged IVRT (92 ± 11 vs. 83 ± 7 ms, p < 0.001), longer DT (180 ± 20 vs. 170 ± 10 ms, p < 0.01), smaller E/A (1.25 ± 0.34 vs. 1.40 ± 0.32, p 92 ms up to 30 years, >100 ms between 31 and 50 years, and >105 ms over 50) or the combination of E/A ratio (<1 up to 50 years, 220 ms up to 50, >280 over 50). The other participants were classified as ‘normal relaxation’. Reliability of Doppler-echocardiographic measures from our laboratories have been previously reported.3,29

Statistical analysis





Fig 1. . Ratio of peak speed of early filling wave (E wave) to atrial contraction wave (A wave) (A/E ratio) versus age in maze group and control group. In maze group, least-squares regression of A/E ratio versus age demonstrated linear relationship with r = -0.72 (p = 0.02). This relationship is predicted by the formula A/E ratio = (-0.013 x age) + 1.07. In control group, A/E ratio had a tendency to correlate positively with age but did not reach significance (r = 0.47, p = 0.28). Numbers beside circles are patient numbers. Broken line shows relationship in normal population reported by Miyatake and associates [11].After the E wave, there is a period of slow filling of the ventricle.

Left atrial contraction (left atrial systole) (during left ventricular diastole) causes added blood to flow across the mitral valve immediately before left ventricular systole. This late flow across the open mitral valve is seen on doppler echocardiography of the mitral valve as the A wave. The late filling of the LV contributes about 20% to the volume in the left ventricle prior to ventricular systole, and is known as the atrial kick.
In addition to routine M-mode measurements of left ventricular function, the mitral inflow velocity was recorded with pulsed Doppler. Doppler sample volume was placed at the tip of the mitral valve leaflets as they opened or at the center of the mitral prosthesis, thereby obtaining an apical four-chamber view. Continuous-wave Doppler also was used in patients whose transmitral flow velocity exceeded the measurable limit of the pulsed Doppler system. Peak velocities of the early filling wave (E wave) and the atrial contraction wave (A wave) and the total time-velocity integral of transmitral flow during diastole were measured. The passive component and the atrial component of the time-velocity integral were measured using the method described by Kuo and associates
In a healthy population, the A/E ratio increases with age and exceeds 1.0 around the age of 60 years [11]. We used the A/E ratio and the AFF as variables of left atrial function, but it should be noted that these indices are also largely affected by ventricular stiffness and are sometimes used as indices of left ventricular compliance
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