echo results

[Melbee2]

my 12 year old son fainted while riding his bike on saturday.. he had an echo done and the findings are:
1.there appears to be a left ventricular hypertrophy.
2.there was a left atrial dilation
3.there is  a tendancy for prolapse of  the anterior medial mitral valve leaflet.
4. the patient could be showing a tendency towards a cardiomyopathy.
5. this is my interpretation of the images i was able to view the rest of them keep freezing while trying to view.
MEASUREMENTS IN CM

AO:2.6 -LA: 3.1- LA/AO :3.1RATIO -MV EPSS:0.7 -FS:40% - EF:71% - RVD:2.6 -IVSd:0.7 - LVIDd:4.0 - PWD:0.9 -LVIDs:2.4

My question is : my son has an appt in 5days from now with a ped cardio..should i wait that long??
and does this sound like a cardiomyopathy?

Thank you in advance..mel

[Melbee2]

my son is 108 pounds and 4 ft 10inches..it was done by an adult lab but read by an pedio cardio..
does this help and thank you for replying

[Jeffrey R Boris, M.D.]

Dear Mel,

Without knowing your son’s height and weight, I cannot assess whether his echo-derived measurements are normal, or not.  That said, these numbers are somewhat confusing in relation to the interpretation.  The interventricular septum (IVS) measures 7 mm and the posterior wall (PW) measures 9 mm, both of which are likely normal in a 12-year old.  Therefore, I’m not sure exactly what is going on here, since they are saying that there is left ventricular hypertrophy.  This does not particularly sound like a cardiomyopathy.  It sounds as if the echocardiogram was performed by an adult echocardiography laboratory, which is not where you want a 12-year old to have his study performed.  At this point, I would just suggest that you not let him exercise until he is evaluated by the cardiologist.  Hopefully, this will not be a hypertrophic cardiomyopathy, which is what is potentially suggested.