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Report show regeration on 3 vauls. Starting of a value problem?

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Practicing since : 2007
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Echocardiography Report: Transthoracic Echo
Avon Family Health Center
Date of service: 5/6/2013 1:11:45 PM
Accession #: 0000^SDE

Ordering physician: XXXXXXX CLINE
Indication: Amnesia following MVA
Technologist: XXXXXXX Dziak
Interpreting physician: XXXXXXX Liguori MD

PATIENT:
Name: XXXXXXX
MRN: 0000
Age: 41 years
Gender: M

History of family hx of premature CAD.
Primary rhythm: sinus.
Height: 187.96 cm BSA: 2.67 m²
Weight: 136.53 kg BMI: 38.6 kg/m²


Heart rate 91 bpm
Blood pressure 131/83 mmHg
Technically difficult exam due to body habitus.

MEASUREMENTS:
Value Indexed Value
XXXXXXX aortic dimension 3.1 cm 1.16 cm/m²
Left atrium diameter 4.0 cm (2D)
Left atrial volume 48.5 ml (Area-Length) 18.2 ml/m²
LV ID (diastole) 5.3 cm (2D)
LV ID (systole) 3.2 cm (2D)
IVS, leaflet tips 0.9 cm (2D)
Posterior wall thickness 0.9 cm (2D)
LV stroke volume 64 ml (2D biplane)
LV end diastolic volume 106 ml (2D biplane) 39.7 ml/m²
LV end systolic volume 42 ml (2D biplane) 15.6 ml/m²
Ejection Fraction 61 % (2D biplane)


FINDINGS:

LEFT VENTRICLE
The left ventricle is normal in size.
Left ventricular systolic function is normal.
Baseline left ventricular diastolic function is normal.
Mitral annular lateral E/e": 8.4. Mitral annular septal E/e": 8.4.

RIGHT VENTRICLE
The right ventricle is normal in size.
Right ventricular systolic function is normal.

LEFT ATRIUM
The left atrial cavity is normal in size.

RIGHT ATRIUM
The right atrial cavity is normal in size.

MITRAL VALVE
The mitral valve leaflets are structurally normal. There is trivial mitral valve
regurgitation. The pressure half time is 52 msec. The peak mitral E/A ratio is
1.21. The average mitral E/e" ratio is 8.4. The mitral flow deceleration time is
179 msec.

TRICUSPID VALVE
The tricuspid valve leaflets are structurally normal. There is trivial tricuspid
valve regurgitation.

AORTIC VALVE
The aortic valve cusps are structurally normal. There is no aortic valve
regurgitation. Tricuspid aortic valve.

PULMONIC VALVE
The pulmonic valve cusps are structurally normal. There is trivial pulmonic valve
regurgitation.

AORTA
The visualized aorta is normal in size.
Measurements - Mid ascending aorta 3.1 cm.

PULMONARY ARTERIES
The pulmonary arteries are normal.

INTERATRIAL SEPTUM
The interatrial septum is normal.

INTERVENTRICULAR SEPTUM
The interventricular septum is normal.

PERICARDIUM
The pericardium is normal.

CONCLUSIONS:
- Technically difficult exam due to body habitus.
- Exam indication: Amnesia following MVA
- The left ventricle is normal in size. Left ventricular systolic function is
normal. EF = 61 ± 5% (2D biplane) Baseline left ventricular diastolic function is
normal.
- The right ventricle is normal in size. Right ventricular systolic function is
normal.
- There are no significant valvular abnormalities.
- No prior echocardiographic exam available for comparison.

Electronically signed by XXXXXXX Liguori MD on 5/6/2013 at 5:21:58 PM


*** Final ***










General Information


Collected:

5/6/2013 1:11 PM

Resulted:

5/6/2013 5:21 PM

Ordered By:

XXXXXXX Cline, DO
ware iit states regeration on 3 vauls but states test normal (i see trival) but is this starting of a vaule problem
Posted Wed, 19 Jun 2013 in Valvular Heart Disease
 
 
Answered by Dr. Jorge Brenes-Salazar 58 minutes later
Dear patient,

Thanks for your health concerns. The results of the echocardiogram are essentially within normal limits; the changes in the valve are trivial, meaning not significant at the present time. No significant evidence for valvular dysfunction or degeneration from report.

Loss of consciousness from a cardiac cause can be caused by valuvular disease (none seen here) hypertrophic cardiomyopathy (none seen here) and arrhythmias; this later group can be assessed by other tests such as Holter monitor or implantable loop recorder. Please discuss these with your cardiologist. For now, until an explanation of the syncope has been found, you should abstain from driving and operating heavy machinery.

Hope that helps, wish you the best,

Dr Brenes-Salazar MD
Cardiology
Mayo Clinic MN
Above answer was peer-reviewed by
 
Follow-up: Report show regeration on 3 vauls. Starting of a value problem? 28 minutes later
so in genral so evey person has some reg in your best opinion is the fish oil the best vitamin for hart helth i have thought about switching over to red crill oil
 
 
Answered by Dr. Jorge Brenes-Salazar 7 minutes later
Yes; as a matter of fact we use tricuspid regurgitation to estimate pressures on the right side, which could be normal, and there may also be some degree of physiologic pulmonary regurgitation.

As for vitamins or supplements, even fish oil has not proven by itself to confer cardiovascular benefits in prevention. My best advise to patients is to consume their Omega 3 from diet: lean fish like salmon, mackerel, trout, etc at least 3-5 serving per week, with a diet rish in nutes, fruits and vegetables. That approach has actually showed cardiovascular benefit, as documented in the recent spanish study PREDIMED.

Hope that helps, yours truly,

Dr Brenes-Salazar MD
Mayo Clinic
Cardiology
Above answer was peer-reviewed by
 
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