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What Does This Cardiac Ultrasound Report Indicate?
Question: What do the following results mean regarding my heart and what would be your next step?
PRIMARY DIAGNOSIS: arrhythmia
SECONDARY DIAGNOSIS:
CARDIAC MEDICATIONS: none
Date Performed: 9/9/2016 Date Read: 9/9/2016
Attending: XXXXXXX XXXXXXX MD Indication: Arrhythmia
Study Quality: Fair
Chamber Dimensions:
LA = 3
LVIDd = 4.1
LVIDs = 2.8
LVOT NA
Aortic Root = 2.8
Valve Structure and Function:
Sonographer: XXXXXXX
Wall Thickness: IVSd = .9
PWTd .. 1
Aortic Valve: not well seen Function: No regurgitation. Peak Velocity: 1.5 m/s
No stenosis.
Mean Gradient: 6 mmHg
Mitral Valve: normal with a normal mitral annulus.
Function: No regurgitation.
Tricuspid Valve: normal
Function: trace regurgitation.
Pulmonic Valve: not well seen
Function: No regurgitation.
Chamber Structure and Function: Chamber Structure:
LA size: normal LV size: normal RA size: normal RV size: normal
Wall Thickness and Geometry: Normal wall thickness
LV Wall Motion: Parasternal Long Axis:
BasAntSep: normal
BasPos: normal
Four Chamber:
Parasternal Short Axis: MidAntSep: normal MidAnt: normal MidLat: normal MidPosLat: normal Midinf: normal MidSep: normal
Two Chamber:
BasSep: normal MidSep: normal ApS p: normal ApLat: normal MidLat: normal BasLat: normal
BasAnt: MidAnt: ApAnt: Apinf: Midinf: Basin£:
normal normal normal normal normal normal
LV Systolic Function: Normal (est EF>SO%) EF = 60% by Teichholz
LV Diastolic Function:
LV filling pattern is not determined due to tachycardia.
RV Systolic Function:Normal
RV TDI S'=12.8cm/s (nl >10)
Hemodynamics:
IVC is normal sized and collapses >50% with inspiration,
Consistent with RA pressure of 3 mmHg.
RVSP estimated at 26mmHg (including RA pressure of 3)
Extracardiac space:
No pericardiae!ffusion.
Summary Impression:
Normal wall thickness. Normal chamber sizes. Normal wall motion. Normal LV and RV function. LVEF is 60% by Teichholz. Diastolic filling pattern is underterminable by Doppler indices due to tachycardia.
No significant valvular regurgitation.
IVC is normal sized and collapses >50% with inspiration, c/w normal RA pressure of 3 mmHg. RVSP estimated at 26mmHg (including RA pressure of 3). Study read 9/9/2016 10:55:36 AM (5.9)
PRIMARY DIAGNOSIS: arrhythmia
SECONDARY DIAGNOSIS:
CARDIAC MEDICATIONS: none
Date Performed: 9/9/2016 Date Read: 9/9/2016
Attending: XXXXXXX XXXXXXX MD Indication: Arrhythmia
Study Quality: Fair
Chamber Dimensions:
LA = 3
LVIDd = 4.1
LVIDs = 2.8
LVOT NA
Aortic Root = 2.8
Valve Structure and Function:
Sonographer: XXXXXXX
Wall Thickness: IVSd = .9
PWTd .. 1
Aortic Valve: not well seen Function: No regurgitation. Peak Velocity: 1.5 m/s
No stenosis.
Mean Gradient: 6 mmHg
Mitral Valve: normal with a normal mitral annulus.
Function: No regurgitation.
Tricuspid Valve: normal
Function: trace regurgitation.
Pulmonic Valve: not well seen
Function: No regurgitation.
Chamber Structure and Function: Chamber Structure:
LA size: normal LV size: normal RA size: normal RV size: normal
Wall Thickness and Geometry: Normal wall thickness
LV Wall Motion: Parasternal Long Axis:
BasAntSep: normal
BasPos: normal
Four Chamber:
Parasternal Short Axis: MidAntSep: normal MidAnt: normal MidLat: normal MidPosLat: normal Midinf: normal MidSep: normal
Two Chamber:
BasSep: normal MidSep: normal ApS p: normal ApLat: normal MidLat: normal BasLat: normal
BasAnt: MidAnt: ApAnt: Apinf: Midinf: Basin£:
normal normal normal normal normal normal
LV Systolic Function: Normal (est EF>SO%) EF = 60% by Teichholz
LV Diastolic Function:
LV filling pattern is not determined due to tachycardia.
RV Systolic Function:Normal
RV TDI S'=12.8cm/s (nl >10)
Hemodynamics:
IVC is normal sized and collapses >50% with inspiration,
Consistent with RA pressure of 3 mmHg.
RVSP estimated at 26mmHg (including RA pressure of 3)
Extracardiac space:
No pericardiae!ffusion.
Summary Impression:
Normal wall thickness. Normal chamber sizes. Normal wall motion. Normal LV and RV function. LVEF is 60% by Teichholz. Diastolic filling pattern is underterminable by Doppler indices due to tachycardia.
No significant valvular regurgitation.
IVC is normal sized and collapses >50% with inspiration, c/w normal RA pressure of 3 mmHg. RVSP estimated at 26mmHg (including RA pressure of 3). Study read 9/9/2016 10:55:36 AM (5.9)
Brief Answer:
Your cardiac ultrasound is normal.
Detailed Answer:
Hello!
Welcome back on HCM!
I carefully passed through your cardiac ultrasound report and reviewed all your past medical history and would explain that your cardiac ultrasound is perfectly normal (which means that you have a normal structure and function of your heart).
The only abnormal thing detected by your previous performed Holter monitoring are repeated episodes of atrio-ventricular conductance disturbances called the second degree AV block and 2:1 AV block.
Coming to this point, it is important to explore reversible causes of AV block, such as an infectious disease (Lyme disease, etc.), certain systemic, inflammatory and infiltrative diseases (like sarcoidosis, hemochromatosis, myxedema, Reiter syndrome, ankylosing spondylitis, etc.), metabolic disorders (like chronic anemia, electrolyte imbalances, thyroid dysfunction, etc.).
For these reason, you need to perform these tests:
- thyroid hormone levels
- complete blood count
- blood electrolytes
- kidney and liver functiont tests
- PCR and other inflammatory tests
- fractional blood protein levels, etc.
If a secondary reversible cause of AV block is detected, then treatment of the underlying disorder would be the main treatment strategy.
While, if no underlying cause is found, you should consider pacemaker implantation as the main treatment choice for this cardiac conductance disorder.
You should discuss with your doctor on the above issues.
Hope you will find this answer helpful!
Kind regards,
Dr. Iliri
Your cardiac ultrasound is normal.
Detailed Answer:
Hello!
Welcome back on HCM!
I carefully passed through your cardiac ultrasound report and reviewed all your past medical history and would explain that your cardiac ultrasound is perfectly normal (which means that you have a normal structure and function of your heart).
The only abnormal thing detected by your previous performed Holter monitoring are repeated episodes of atrio-ventricular conductance disturbances called the second degree AV block and 2:1 AV block.
Coming to this point, it is important to explore reversible causes of AV block, such as an infectious disease (Lyme disease, etc.), certain systemic, inflammatory and infiltrative diseases (like sarcoidosis, hemochromatosis, myxedema, Reiter syndrome, ankylosing spondylitis, etc.), metabolic disorders (like chronic anemia, electrolyte imbalances, thyroid dysfunction, etc.).
For these reason, you need to perform these tests:
- thyroid hormone levels
- complete blood count
- blood electrolytes
- kidney and liver functiont tests
- PCR and other inflammatory tests
- fractional blood protein levels, etc.
If a secondary reversible cause of AV block is detected, then treatment of the underlying disorder would be the main treatment strategy.
While, if no underlying cause is found, you should consider pacemaker implantation as the main treatment choice for this cardiac conductance disorder.
You should discuss with your doctor on the above issues.
Hope you will find this answer helpful!
Kind regards,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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