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Trivial MVR and LVEDD 57mm

please advice , I am 25 years old and i have Trivial MVR with Mild MVP the LVEDD is 57mm and FS is 42% and EF is 72 % and also have chest pains for some times from more than 2 years ...my height is 177cm and weight 80 kg...so is it abig problem?? and how can i treat it ?
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367994 tn?1304953593
Left Ventricle End Diastolic Dimension is expected to be in the 3.5 to 5.6 cm (57mm). LVEDD is not a static metric.  Dimension will vary with each heartbeat, and 72% EF is exceeds the normal range and varies heartbeat to heartbeat as well.  That is evidence but certainly not conclusive of anything serious.  Different labs have different criteria, and my series of reports indicate the range I have provided. Normal frational shortening has an expected range of 18 to 40%.

Fractional shortening is a mathematical equation of chamber dimensions. The process subracts LVESD from LVEDD and then divide LVEDD into that result. I don't see any significant problem, but you may want to ask your doctor.

A subsequent test will have a different value so your current test will estalish a baseline. Don't worry, there is no conclusive evidence, and your doctor with your health history, other tests, etc. is the most reliable source to provide an analysis.  

  
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Echo mentioned that all size and dimensions of LV are normal ...why you see enlargement?. also what is congenital causes ? in general i am in real risk now and future?,many thanks for your replies
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367994 tn?1304953593
QUOTE: please advice , I am 25 years old and i have Trivial MVR with Mild MVP the LVEDD is 57mm and FS is 42% and EF is 72 % and also have chest pains for some times from more than 2 years ...my height is 177cm and weight 80 kg...so is it abig problem?? and how can i treat it ?

>>>>>>Your mitral valve (valve that separates upper and lower chambers on the left side) has a medically insignificant amount of leakage due to the leaflets not closing off the one -way flow of blood. Almost always no progression nor cause no symptoms.  Not an uncommon finding.

It appears you have a problem filling chamber (left ventricle) of blood received from the lungs.  This condition is referred to as left ventricle diastolic (filling phase) dysfunction.  Your EF is slightly high but not a problom (EF is the fraction of blood pumped into circulation with heartbeat...normal is 50 to 70%.  The slightly high EF is probably the result of LVEDD and is compensating.  

FS is fractional shortening that considers the heart's dimensions.  Th FS is a little high and that is additional evidence of heart wall, chamber size is enlargement.

You will need to consult with your doctor for the underlying cause of the heart wall enlargement. Treatment would be based on the underrlying cause.  Sometimes there are congenital causes that develop symptoms in the younger age group.  

Thanks for your question and if you have any further questions you are welcome to reply.  Take care  
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Avatar universal
please...please advice  
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i still waiting your replies i am very worry
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