Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

188 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Had echo exam. What are the findings from the report?

Answered by
Dr.
Dr. Anantharamakrishnan

Cardiologist

Practicing since :1966

Answered : 4506 Questions

default
Posted on Fri, 29 Nov 2013 in Hypertension and Heart Disease
Question: Hello. I just had an echo exam and the results mention: Interpretation: 'This was essentially a normal study" - However there are 3 points I am concerned about: 1/ The left atrium is borderline dilated. Left atrial volume (bi-plane) 27.1 ml/m2 (nl<29ml/m2) 2/ The mitral valve leaflets appear thickened, but open well. 3/ Mild aortic valve sclerosis with preserved opening => What do 1/, 2/, 3/ mean? => Should I be concerned by 1/ and 2/ and 3/ ? I am a 34 yrs old man (never smoked, do not drink) - Thank you for your response. XXXXXXX
doctor
Answered by Dr. Anantharamakrishnan 2 hours later
Brief Answer: No problem... Detailed Answer: Hi friend, Welcome to Health Care Magic Nothing to worry Nothing to act on it Repeat it after an year... Why was the ECHO done now? No cause for concern Good luck Take care Wishing all well God bless
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Anantharamakrishnan 20 hours later
Thank you Doctor for your reply. I have 2 follow-up questions: I/ "The left atrium is borderline dilated. Left atrial volume (bi-plane) 27.1 ml/m2 (nl<29ml/m2)" -> is it ok even if I am close to the nl=29 limit? To answer your question, I had an ECHO performed because I complained of palpitations. Basically, I am a sporty (hiking, skiing) person and always traveled a lot via planes. Recently, I experienced phenomena like hyperventilation even before taking a plane (just the fact of being at the airport made me hyperventilate and have palpitations; same thing when driving to the mountains to go hiking) - All that do not make sense to me so I performed an ECHO. The cardiologist where I performed the ECHO thinks it is nervous/anxious/depressive related. However, those last weeks I experienced random and isolated PVCs (skipped beat and one beat pounding - I have never had several PVCs in a row) - Those PVCs are isolated (maybe it appeared -that I felt- 6 times in 4 weeks) The ECHO seems fine based on the results and your reply - So here is my question: II/ -> Can a chronic stress/anxiety provoke palpitations, hyperventilation, PVCs at random times even when you are trying to control it? Thank you for your answer to my questions I/ and II/ Best Regards
doctor
Answered by Dr. Anantharamakrishnan 3 hours later
Brief Answer: Yes Detailed Answer: Hi 1- Values at upper limits are OK too. After all these are statistical values from population studies…. In a given individual, it is the total clinical picture, that counts – the numbers are general guides… Any investigation, for that matter, must be correlated with the clinical picture for proper interpretation. 2- Yes… Anxiety and/or stress can cause palpitation, hyperventilation, PVCs… The reverse is also true – palpitation can cause anxiety / and a vicious cycle may set in… Beta blockers are ideal drugs in such situation – helping the rate and anxiety too _______________________________________________________ Irregular heart beats need to be DOCUMENTED by ElectroCardioGram (EKG). Standard ECG records the electrical activity of the heart, for a few seconds. It can detect the arrhythmia occurring during that time only. If the episode occurs randomly or precipitated by a specific activity, one needs Holter or event monitor. Anaemia / Anxiety / Alcohol / Tobacco (smoking) / Caffeine (too much tea, coffee, cola) / Fever / Infection / Pain / Stress / Thyroid / calcium, magnesium / Medicines like Phenylephrine used for ‘cold’; Salbutamol used for asthma and so on - may be responsible.... / Illicit ‘drugs’ like Amphetamine are notorious to cause abnormal beats / At times, abnormal nerve paths in the heart (bypass tracts) or disease of the conduction system may be responsible! Many cases of palpitation are benign, especially when associated with normal ECHO and may not require treatment. If you also have symptoms like blurred vision, dizziness, loss of consciousness, chest pain, you need urgent work up The treating doctor alone can suggest further based on his assessment of the situation. Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Anantharamakrishnan 21 hours later
Thank you for all those info - Last question: My Ejection Fraction (EF) # is : 75% => Is that a good number? => Also, during this ECHO (not a stress ECHO) test, I was actually relatively stressed myself (bitrate was about 100) - does the stress factor (fast heart beat during the ECHO test) affect the EF number like making this number higher than what it should have been in case I was more relax during the test ? Thanks very much for your answers.
doctor
Answered by Dr. Anantharamakrishnan 7 hours later
Brief Answer: Normal for sure Detailed Answer: Hi Excellent Ejection Fraction! Of course, stress can affect - mostly increases the rate and reduces the output... Good luck
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,   ,   ,   ,  

Recent questions on  Chest pain

doctor1 MD

Hello, my name is Dianne. I have suffered from hypertension for over 6 years. Several medications did not work. My right kidney was removed in November of last year. My bp came down. I am now on only 200 mg of labatalol 2 times daily. I has been increasing. About two weeks ago I experienced and was treated for bronchitis with Z-pack then started Cipro three days ago. However, I am extremely out of breathe now and have muscle pain from my upper neck to my lower back. It feels as though I am bruised to the point I cant even wear a bra. I have tightness in my chest just to the left side. I also feel very tired and have been unable to work because of this and have gained 6 pounds in just a weeks time. Could this possibly be from my kidney. The last test showed 74% function of the remaining kidney. That was in January, It took two er visits with the chest pain for them to say it was bronchitis.

doctor1 MD

hi my daughter is 10 years old.she has urine infection since last two weeks .she feels burning while passing urine with blood.she also had puss cells 20-30.she had urine infection two months ago also.after recovery again same problem.what to do?now she is having chest pain.

doctor1 MD

I am writing about my 14 year old son, who has been ill repeatedly 4 times for the past 7 weeks. He s been on antibiotics all 4 times, struggles to recover until his antibiotics are nearly gone, finally feels better for a few days and then gets it again. We are wondering if it is valley fever. Can that come with congestion/sinus symptoms? He s been diagnosed with sinus infections each time, but develops not only significant congestion/sinus symtpoms, but also chest pain, horrible coughing, fatigue, sore throat, and is miserable. He has faithfully taken not only strong antibiotics, but prescription strength cough syrup/decongestant, Flonase nasal spray, Zyrtec once a day, and breathing treatments up to 4 times a day, along with vitamin C and lots of fluids. He is otherwise very healthy, but his doctor is concerned that perhaps it is not really sinus infections he has had. I cannot find on the internet where there is a connection between congestion/sinus symptoms and Valley Fever - curious about that as others have asked if he has been tested for it. We live in Phoenix. As a young child he had repeated ear infections, but 4 years ago at age 10 he had his tonsils and adenoids removed, tubes in his ears, and a major sinus surgery. He has been very healthy ever since until now. Any ideas? Thank you verey much!

doctor1 MD

I had a legion on my face and after a month it began to cause me chest pain that increased as the sore grew. I was concerned about the chest pain and its size so i went to a clinic. i thought it was a spider bite. he said it clearly wasn t so gave me an ointment for acne. he told me the sore had absolutely nothing to do with my chest pain. I took the ointment for 3 weeks and the chest pain and sore grew. By then i knew it was causing me pain the got more severe. I went to the hospital 3 weeks later and he also told my it wasn t causing chest pain. he gave me a antibiotic for infection and when i was a week into the bottle a pain ripped through my chest which didn t last just one second, but about 3 or 4. When it happened i thought i was having a heart attack. i went home and lanced it myself, which they didn t offer to do. it grew outward in a circle and was slightly smaller than a quarter. not far above the skin, it grew deep into my cheek. it took a week to fight the infection out. the pain subsided from a 8 and some intense 10 to about a 3 with occasional 10 stabbings. its comes and goes throughout the day. I didn t get blood test for the sore from either doctor. now the sore is gone but over the past 2 years ive been to the doctor for my chest pain and they have taken blood samples related to checking my heart. i havent told them about that infection because those first 2 doctors said the sore wasn t causing the pain, but how would they know since they never took a blood test. i know it caused the pain then and the aftermath now. Should i tell the heart doctor about the infection? Will he shrug me off like the other 2? and is it possible the infection is still there or gone but damaged something? what was the infection?

doctor1 MD

getting pain in some parts of chest in random time any type of injections for D3 and B12 and dose for same as per reports

doctor1 MD

I started having symptoms about 7 weeks ago. Head congestion, then chest congestion, some fever, a cough, shortness of breath , and now pain in my chest under my left breast. (always after eating or drinking and random, when not, pain is worse...

doctor1 MD

i. I am 30 year old obese when I tried to laugh too hard had strange feeling in head for a second.later next day I laughed even harder this time felt like head was holding or dizzy kind of like passing out it stopped when I stoped laughing feeling...