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What Does This ECG Report For Shortness Of Breath Indicate?
Question: I was looking over reports in my chart on patient portal because I was looking for some lab results. I came across a echocardiogram that was done in 2009. I had forgotten about It, no one ever called me regarding the results. The reason it was done was because at the time I was having some Tachycardia and shortness of breath. The Tachycardia has long resolved, however I have been dealing with some longtime severe fatigue which I was having at that time also but did not associate the two. I have no history of hypertension my normal BP is around 110/70 pulse 60-80. I have never taken BP medication. The results of the Echo read as follows: I will just summarize the abnormal findings: The right ventricle measures slightly large at 29mm but visually appears to be of normal size and function. Doppler interrogation of the mitral valve demonstrates a mildly abnormal E/A ratio suggestive or mild diastolic dysfunction. Color Doppler demonstrates mild mitral and tricuspid valve regurgitation.
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Thank you for asking on HCM!
Regarding your concern about echo report, I would explain as follows:
The value of 29 mm doesn't mean your right ventricle is enlarged. RV normal dimensions may be judged by measuring in different echocardiographic views or windows (RV diameter is considered abnormal when > 4,2 cm in four chamber view; >3.3 cm in parasternal long axis view (PLAX); > 2.7 in parasternal short axis view (PSAX)), and also its measurement is influenced by accuracy of echo examiner performance.
As far as your echo report didn't confirm any left sided low EF (ejection fraction) cardiomyopathy; not any severe mitral valve dysfunctions; no presence of an abnormally increased pulmonary artery systolic pressure, there is no etiopathological basis to support a right ventricular dilation.
The only probable issue raising suspicions about a possible influence on RV dimension, is the history of tachycardia (when frequent and uncontrolled, it may lead to tachycardiomyopathy and preferably RV dilation).
Nevertheless, you don't have evidence for such a complication. So relax!
A mild diastolic dysfunction may be explained by your clinical scenario at the time of echo exam. Left ventricular filling pattern is highly load dependent, and as such tachycardia plays an important role. So don't worry about that finding!
Mild mitral and tricuspid regurgitations are clinically insignificant, and do not have any implications in overall cardiac performance.
I just recommend you to perform a follow up cardiac ultrasound, to review all the above parameters after the previous clinical scenario has (already) disappeared.
Please could you upload your 2009 echocardiogram for a thorough data review?
Hope to have been helpful to you!
Feel free to contact me whenever you need! Greetings! Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello!
Thank you for asking on HCM!
Regarding your concern about echo report, I would explain as follows:
The value of 29 mm doesn't mean your right ventricle is enlarged. RV normal dimensions may be judged by measuring in different echocardiographic views or windows (RV diameter is considered abnormal when > 4,2 cm in four chamber view; >3.3 cm in parasternal long axis view (PLAX); > 2.7 in parasternal short axis view (PSAX)), and also its measurement is influenced by accuracy of echo examiner performance.
As far as your echo report didn't confirm any left sided low EF (ejection fraction) cardiomyopathy; not any severe mitral valve dysfunctions; no presence of an abnormally increased pulmonary artery systolic pressure, there is no etiopathological basis to support a right ventricular dilation.
The only probable issue raising suspicions about a possible influence on RV dimension, is the history of tachycardia (when frequent and uncontrolled, it may lead to tachycardiomyopathy and preferably RV dilation).
Nevertheless, you don't have evidence for such a complication. So relax!
A mild diastolic dysfunction may be explained by your clinical scenario at the time of echo exam. Left ventricular filling pattern is highly load dependent, and as such tachycardia plays an important role. So don't worry about that finding!
Mild mitral and tricuspid regurgitations are clinically insignificant, and do not have any implications in overall cardiac performance.
I just recommend you to perform a follow up cardiac ultrasound, to review all the above parameters after the previous clinical scenario has (already) disappeared.
Please could you upload your 2009 echocardiogram for a thorough data review?
Hope to have been helpful to you!
Feel free to contact me whenever you need! Greetings! Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I have uploaded you a copy of my report. Thank you for you opinion. If you have anything further from the report please let me know.
Thank you.
Thank you.
Brief Answer:
Nothing to worry about!
Detailed Answer:
Hi again, Jennifer!
I am glad to confirm that you have a normal structurally and functionally heart.
There is nothing to worry about!
Wish you a good health! Dr. Iliri
Nothing to worry about!
Detailed Answer:
Hi again, Jennifer!
I am glad to confirm that you have a normal structurally and functionally heart.
There is nothing to worry about!
Wish you a good health! Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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