Question: Hi, this is a copy of my echo—I was told last year everything was fine. When I saw this report unnoticed some things in red, like my cardiac index. Should I be worried?

I will attach my report. XXXXXXX 0000 07/14/2017
Page 1 of 2
Patient: Med Rec#: Date:
Sex: F
Rhythm:Normal sinus rhythm
Fax: 0000 DOB: 10/03/1971
JURY, TERRI XXXXXXX
07/14/2017 Type: Outpatient
Study Quality:
Procedure:
Referring:XXXXX A Reading:XXXXXX MD Indication: Pulmonary Sarcoid
XXXXXXX 90000
Voice:
Voice:
Age: 45y
Loc: Echo Room
Sonographer:Susan McBride, RDCS HR:72 bpm
The quality of the study is adequate.
Complete Transthoracic Echocardiogram Height: 175.26 cm Weight: 94.8 kg BSA: 2.1 m2
Conclusions
Findings
Left Ventricle:
Left Atrium: Right Ventricle: Right Atrium: Aortic Valve: Mitral Valve:
Tricuspid Valve: Pulmonic Valve:
Pericardium: Aorta:
Pulmonary Artery: Venous:
Summary:
There is normal left ventricular systolic function with no wall motion abnormalities. Normal left ventricular diastolic function is observed.
The right ventricular chamber size and systolic function are within normal limits. No evidence of pulmonary hypertension.
Patient refused blood pressure measurement. No previous study available for comparison.
The left ventricular chamber size is normal. There is no left ventricular hypertrophy. There is normal left ventricular systolic function with no wall motion abnormalities. Normal left ventricular diastolic function is observed.
The left atrial chamber size is normal.
The right ventricular chamber size and systolic function are within normal limits.
The right atrial cavity size is normal.
The aortic valve structure is normal. There is no evidence of aortic regurgitation.
The mitral valve leaflets appear normal. The mitral valve leaflets are mildly thickened. There is no evidence of mitral regurgitation.
The tricuspid valve appears normal in structure and function. There is a physiological tricuspid regurgitation.
The pulmonic valve appears normal in structure and function. There is no evidence of pulmonic regurgitation.
There is no pericardial effusion.
The aortic root morphology is normal. There is no dilatation of the abdominal aorta.
The main pulmonary artery appears normal.
The inferior vena cava appears normal in size. The estimated right atrial pressure is normal. There is a greater than 50% respiratory change in the inferior vena cava dimension. No evidence of pulmonary hypertension.
No previous study available for comparison.
Measurements
LV BIPLANE EJECTION FRACTION 69 % (55 - 80)
Left Ventricle
Name Value Normal Range
Left Atrium
Name Value Normal Range
LV intraventicular septal thickness diastole
(2D)
LV internal dimension diastole (2D)
0.9 cm 4.8 cm
(0.6 - 1.1) (3.5 - 5.7)
LA dimension
LA dimension index
LA ESV SP 4CH (MOD) LA ESV SP 2CH (MOD)
3.7 cm 1.8 cm/m2 34 ml 31 ml
(1.9 - 4) (1.5 - 2.3) (20 - 55) (20 - 55)
file://\\vhasdchlstate\RM-Server\2017\07\14\147134\58375_43299.xml
7/14/2017

XXXXX 0000 07/14/2017 Page 2 of 2
LV internal dimension systole (2D) LV post wall thickness diastole (2D) LV FS (2D)
LV EF (2D)
LV EDV BP
LV ESV BP
LV end-diastolic volume index (biplane)
LV end-systolic volume index (biplane) LV BIPLANE EJECTION FRACTION
3.4 cm
0.9 cm
29.2 % -
LA ESV BP (MOD)
LA end-systolic volume index (biplane)
33 ml
15.7 ml/m2
(20 - 55)
(16 - 28)
56 %
91 ml - 28 ml -
43.3 ml/m2 13.3 ml/m2 69 %
(36 - 75) (12 - 30) (55 - 80)
(2.1 - 4) (0.6 - 1.1)
(55 - 80)
Diastolic/Systolic Function
Name Value Normal Range
MV E-wave Vmax MV deceleration time MV A-wave Vmax MV E:A ratio
LV lateral e' Vmax LV E:e' lateral ratio
0.7 m/sec 197 msec 0.7 m/sec 1 ratio 0.1 m/sec 5.8 ratio
(0.6 - 1.3) (150 - 230) (0.2 - 0.7) (0.9 - 1.7) (0.08 - 0.18) (4 - 10)
Aortic Valve
Name Value Normal Range
AV Vmax
AV peak gradient LVOT diameter LVOT Vmax
LVOT VTI
LVOT peak gradient LVOT mean gradient SV LVOT
CO LVOT
Cardiac index
1.1 m/sec 4.8 mmHg 2 cm
0.9 m/sec 19.4 cm
3 mmHg
2 mmHg 60.9 ml 4.4 l/min 2.1 l/min/m2
(1 - 1.7) (2 - 16) (1.7 - 2.5) (0.7 - 1.1) -
-
-
-
-
(2.5 - 4.2)
Tricuspid Valve
Name Value Normal Range
TR Vmax
TR peak gradient RAP
RVSP
2.1 m/sec 17.1 mmHg 5 mmHg 22.1 mmHg
-
-
(2 - 8) (15 - 30)
Pulmonic Valve/Qp:Qs
Name Value Normal Range
PV Vmax
PV VTI
PV peak gradient
0.8 m/sec 15.3 cm 2.5 mmHg
(0.6 - 0.9) -
-
Aorta
Name Value Normal Range
Ao root diameter 3.3 cm (2 - 3.7)
Electronically signed by: XXXXXXX S XXXXXXX MD on 07/14/2017 16:42:04
file://\\vhasdchlstate\RM-Server\2017\07\14\147134\58375_43299.xml 7/14/2017

Dr
I’m wondering how I can understand load the document or take a pic and attach it. So my Cardiac output and index are okay then? I saw my height and weight were accurate for the test. I have no evidence of heart disease?
I’m worried about my increase in PACs I’ve had of late and started wondering if I developed cardiac sarc.

Overall I have a good echo? Nothing to worry about?

I will try attaching if you can tell me how to do that.

Thank you

I just figured it out and uploaded it to you

Also, what is the difference between LV ejection fraction and biplane LV ejection fraction? And should I be concerned by the 15.7 for LA end-systolic volume index?

Thank you! This brings me great relief. So this also means the cardiac index may just be inaccurate? I made the mistake about reading about it and it frightened me.
No indications of any stenosis?
Also, do you recommend a cardiac MRI for sarc patients?

Thank you, dr. I did have an incident while exercising where my HR went up to 180 and I was not exercising hard. Dunno if was an SVT episode or just tachycardia. I’m getting another holter to find out if they can capture those events and PACs.

I have normal sinus rhythm on my EKG but normally has inverted T waves so sometimes it says abnormal or ‘non-specific t wave abnormality’. Was told this is ‘just how I am’.