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Cardiology - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3543 Questions
Doctor :   hi
Doctor :  
how can i help you
User :   you've my history pls go through it
Doctor :  
ya
Doctor :  
i know your history
User :   yesterday i've done echo and stress test
Doctor :  
you can proceed with your query
Doctor :   ok

User :   my stress test reports tells me that i have achieved a workload of 7.7mets
Doctor :   ok

User :   mas bp was 170/84
Doctor :  
ok
User :   stress test negative for myocardial ischaemia
Doctor :  
ok
User :   max heart rate was 165bpm
Doctor :  
ok
User :   what does all this mean
Doctor :  
It means that your heart works well even during exercises or during stress
User :   now about the echo
Doctor :  
ok
Doctor :  
proceed
User :   noemal lv systolic function ef 60%
User :   no lv diastolic dysfunction
Doctor :  
ok
User :   no regional wall motion abnormality at rest
Doctor :  
ok
User :   trivial triscupid regurgitation
User :   no mvp of mr
Doctor :   ok

User :   pasp by tr jet is 18mmHg
User :   what is this?
User :   normal chamber dimensions mild la dilation( LA-42)
User :   la 42mm
User :   ao 22mm
User :   ao cusp sep N
Doctor :   All the readings are normal
User :   lvid(s) 30mm
User :   lvid(d) 59mm
User :   lvpw (d) 07mm
Doctor :  
there is mild or trivial mitral regurgitation which is seen normally in some individual
User :   ivs (d) 05mm
User :   rvid (d) N
Doctor :   ok
User :   lvef 60%
User :   peak mmhg aortic 6.7 & pulmonary 7.8
Doctor :   ok

Doctor :   Let me explain you in detail

Doctor :  
Echo cardiogram is a test in which the ultrasound is used to examine the heart
Doctor :   it helps to determine the size of the heart chambers
Doctor :  
dimension of the heart, volume of the blood, thickness of walls of the heart
Doctor :  
and the pumping function which is given a ejection fraction which 60% in your case and it is normal
Doctor :  
it also detects the structure, thickness, and movement of the heart valves
Doctor :  
are you there
User :   yes
User :   what about the triscupid regurg
Doctor :  
in your case the chamber shows mild left atrial dilatation
Doctor :  
Tricuspid valve is the valve which separates the right lower heart chamber that is right ventricle from the right upper heart chamber which is right atrium
Doctor :   Mild or trivial tricuspid regurgitation occurs in many of nomal individuals

Doctor :   are you there
User :   yes
Doctor :   Tricuspid regurgitation (tricuspid incompetence, tricuspid insufficiency) is leakage of blood backward through the tricuspid valve each time the right ventricle contracts.
User :   yes proceed
Doctor :   As the right ventricle contracts to pump blood forward to the lungs, some blood leaks backward into the right atrium, increasing the volume of blood there and resulting in less blood being pumped through the heart and to the body.
User :   is there any risk to health
Doctor :   but this is in case of severe tricuspid regurgitation
User :   can i lead healthy road
Doctor :  
but mild leaking of blood back ward isnormal which is seen in your report
Doctor :  
yes]
User :   thanks for your help bye i'll fill the form
Doctor :  
do you have symptoms like chest pain, sweating, breathing difficulty, tiredness, weakness?
User :   yes i have sweating and breathing difficulties at times
Doctor :  
ok
Doctor :  
is your blood pressure normal?
User :   yes 120/76
Doctor :  
ok
Doctor :  
that is normal
Doctor :  
do you have diabetes, high cholesterol
User :   no
Doctor :   Have you seen any cardiologist?
User :   yes the reports were prepared by cardiologist
Doctor :   But did you had consultation with him?

User :   he told me that everything was fine and no need to worry
Doctor :  
ok
Doctor :  
that is fine
Doctor :  
as far your reports like ECG, Echo and stress test
User :   do you think i should i have 2nd opinion
Doctor :  
you are heart status is normal
Doctor :  
there is no need for second opinion
User :   i had done the test at fortis hospital i hope it is good one
Doctor :  
yes
Doctor :  
it is a very good hospital
Doctor :  
you are completely normal
Doctor :   so no need to woory
Doctor :  
take good healthy food, involve in light exercise to maintain the same kind of health
User :   thanks and bye
Doctor :  
Please fill the feedback form say done when done.
Doctor :  
Have you filled the feedback form?
User :   yes
Doctor :   is ther anything i can help you
Doctor :  
Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
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