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Echo Test results.

Hi,

   My dad is 63 years old and he underwent an ECHO test the other day since our doctor found some variation in his ECG during a general checkup. Below pasted is his ECHO test results.
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RWMA+
Apical ivs and apex hypokinetic, hyperechioc inferior wall.
Good LV systolic function
LV diastolic dysfunction
LVEF 60%
Mild mitral regurgitation
Aortic schlerosis
Trivial tricuspid regurgitation
No significant pulmonary artery hypertension
IAS/IVS intact
No pericardial effusion/clot/vegetation
Left aortic arch no coarctation.

Conclusion : RWMA+, good LV systolic function, Mild mitral regurgitation.
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Could anyone say how good or bad it is? He is due an Angiogram in a few days.

Thank you for your help.
Sreeraj.
7 Responses
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367994 tn?1304953593
Q: RWMA+

...Right wall motion disorder


Q:Apical ivs and apex hypokinetic, hyperechioc inferior wall.

...Location of heart wall movement disorder

Q: Good LV systolic function

...Indicates the heart has good functionality dispite heart wall movement impairment.  Normal is 50 to 70% and is the percent of blood pumped with each heartbeat.


Q: LV diastolic dysfunction

....Indicates there is some heart filling capacity reduction.  Usually due to left ventrical wall rigidity.

Q: LVEF 60%

...Answered on previous question.


Q: Mild mitral regurgitation

...The mitral valve is the one-way -pass of blood from the upper chamber (atrium) to the lower chamber (left ventrical).  Mild, trace, etc. are adjectives that indicate some back flow of blood that is medically insignificant.  Almost always will not progress or produce symptoms

.
Q: Aortic schlerosis

....Aortic valve, root or ascending (output from left ventrical to body system).  Schlerosis indicates there is a narrow of the output tact due to calcification.  Can increase pressure and be the underlying cause for the diastolic dysfunction.

Q: Trivial tricuspid regurgitation

...Right side heart valve.  No medcial significance.

Q: No significant pulmonary artery hypertension

...The vessel from the right ventricle to the lungs is normal.


Q: IAS/IVS intact

...normal

Q: No pericardial effusion/clot/vegetation

...The sac that surrounds the heart has a space that has some fluid normally for the heart to expend with less effort.  Sometimes there is abnormal effusion and inflammation.  No problem.

Q: Left aortic arch no coarctation.

...Part of the output tract..ascending, arch, and then descending.  No coarctation indicates there is no abnormal twists or turns of the arch vessel.

An angiogram will help determine the underlying degree, location for the hypokinesis, etc.

I wish your father well going forward.  Take care,

Ken_CL, HD community
Helpful - 0
1 Comments
my father went through cabg on20 feb 2017..his tests were performed today and these are the results of echo mitral valve-noms,moderate mr,concentric jet left ventricle-dilated,lad territory hypokinetic,concentric lvh,post cabg status-cad,rwma,dilatd lv moderate lv systolic dysfunction,moderate mr,mild tr,ef=40%
1137980 tn?1281285446
I am soooo glad to hear all of this Sreeraj....all good news and hopefully your dad will take great care of himself in the future..........:)
Helpful - 0
Avatar universal

Thanks Cindy,

        Took an ECG once again. Looks like everything is normal. Thank you for your advice :) One good thing is that my dad is now 'really' aware of the things that can happen because of diabetics and he is more careful about it now. You have a great day Cindy :)

- Sreeraj.
Helpful - 0
1137980 tn?1281285446
There are alot of variations with ECG's and as far as what his physical activity was prior to the the ECG it would depend on how long before the test was done.....there could def. be trace incidents in the ECG if you are only talking a matter of an hour or two however in most cases what you see is what you get and something as simple as stress during the test can effect the results...most of the time docs want to see the patient initially in form as to what their body is "normally" in state however alot can effect an echo including the person who is conducting the test on him.....sometimes its really best not to look for issues where there are none until a doc sits you down and gives you the full story...there is error in everything but i would take that ball and run with it if the ECG came out normal...
Helpful - 0
Avatar universal
Thanks Cindy :)

We went for  a checkup again before the Angiogram, surprise, the ECG is not showing any variation now. Before the first ECG was taken, he had worked hard physically (cleaning, painting). Now could that have affected the his heart 'movement' temporarily during first ECG test and Echo test ?

Thanks again.
Helpful - 0
1137980 tn?1281285446
I am obviously not a physician but i think the echo results look pretty darn good..it looks like he has a great doc who is not taking any chances with you dad and covering all of the bases.....mild mitral regurgitation effects 40% of the entire population and from reading the results you posted it looks like his heart is pumping fine...so to me it looks great so i would wait and see what pops up with the angio......good luck with this and let us know....
Helpful - 0
Avatar universal
Add to this. He is diabetic. Cholesterol levels are under control.

Thank You,
Sreeraj.
Helpful - 0

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