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

189 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.

How can tricuspid annular displacement be 1.8 cms when tissue velocity is normal?

Answered by
Dr.
Dr. Bhanu Partap

Cardiologist

Practicing since :2010

Answered : 1875 Questions

default
Posted on Mon, 5 Mar 2018 in Hypertension and Heart Disease
Question: i have a quick question about my echo report. I was diagnosed with a bundle branch block (irbbb with lafb) few years ago and no cause was found. I had a normal cardiac mri and the cardiologist made the determination that it was genetic. I had a echo done in September to follow up and the report said normal left and right systolic ventricular function. Left EF was 61 +/- 5. Going through the full report I noticed the tricupsid annular displacement was 1.8cm. When I looked online it said that a normal value is over 2.0cm. it also said that a low value is highly suggestive of right ventricular dysfunction. the other value i noticed of importance was the s Velocity which is very normal at 16. how can the tapse be low and the tissue velocity be normal? Wouldnt these two values be in sync with each other? either both high, normal, or low? i am trying to make senze of the low tapse and why the cardiologist felt that everything was normal?
doctor
Answered by Dr. Bhanu Partap 1 hour later
Brief Answer:
Kindly upload the ecg and echo reports

Detailed Answer:
Hello Sir

After going through the medical details provided by you I understand your concern and I would like to tell you that kindly upload both the reports of ecg as well as echocardiography so that I can go through them properly and then give my opinion.

Kindly upload your reports.

Kind regards
Dr Bhanu partap
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
default
Follow up: Dr. Bhanu Partap 3 minutes later
i attached the documents.
doctor
Answered by Dr. Bhanu Partap 23 minutes later
Brief Answer:
Hello Again

Detailed Answer:
Thanks for the quick feedback.

I have carefully gone through all your attached reports and I would like to tell you that yes your ecg does shows a bundle branch block and your Echo report is normal.

Regarding your concern for TAPSE, for your information the normal reference range of this measurement in adults is between 1.5 to 2.0 cm and yours is 1.8 cm which is well within the normal limits. That's why your doctor said it's normal. There's lots and lots of information over Internet both right as well as wrong so it's highly advisable that do not compare your reports and your doctors opinion with the information on net as every human body is unique and when doctors declare a report they declare it on the basis of lot many factors and corelations. So when we try to cross check that we are left confused.

I hope this information will relieve your worries and answer your query.

Kind Regards
Dr Bhanu partap
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
default
Follow up: Dr. Bhanu Partap 12 minutes later
thank you. is it accurate that the s'wave velocity and tapse are in sync with each other? like one cant be normal and the other low. if 1 is abnormal then the other should be abnormal as well?
doctor
Answered by Dr. Bhanu Partap 21 minutes later
Brief Answer:
Hello Again

Detailed Answer:
Am sorry but which s wave velocity you are asking about, as there is no s wave velocity measurement note on your attached reports.

Are you asking for s wave of pulmonary veins flow profile?

Kindly Clarify.

Kind regards
Dr Bhanu partap
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
default
Follow up: Dr. Bhanu Partap 18 minutes later
sorry, they call it the RV systolic tissue doppler velocity. doesnt that value correspond to the tapse so if one is normal the other is normal and if one was abnormal the other would be abnormal as well?
doctor
Answered by Dr. Bhanu Partap 3 minutes later
Brief Answer:
Thanks for the feedback

Detailed Answer:
Yes both are interdependent and both are within normal limits in your case.

Sir your echo report is normal so don't worry and relax.

Feel free to ask me back if you have any more doubts or else you can close the discussion and kindly rate the answer.

Kind regards
Dr Bhanu partap
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
premium_optimized

The User accepted the expert's answer

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

Recent questions on  MRI

doctor1 MD

I am a 38 year old male. I am having mild to moderate pain in my thigh. Deep in nature but the thigh can also be sensitive to the touch. There is no swelling or visible deformity. I have left side pain and numbness that comes and goes down in my neck, though my arm to my finger and at times in my chest. I am also having muscle twitching in my calves and thighs, rarely but sometimes the twitching comes above the waist to my forearms or face. My blood work is good with no abnormalities. I have had a clear MRI of the brain and a clear cardiac stress test. I am scheduled with a Rheumatologist within the next month, however, I welcome your opinion. Thank you.

doctor1 MD

I was told I have SERtinuin Syndrom from taking the drug Savella for 6 weeks my doctor has been treating me with Beandryl my symptons are the same mri and eeg Dr said looked alright and I will get well it is just taking longer, I was told to stop taking the Benadryl,which is the only thing that stablizes me a little bit for the past 2 days my heart seems to be beating a little faster it feels funny. I have a heart condition Tetrology Fallot, had a cardic montor on 2 weeks ago everthing was ok so how can i tell if my heart is beating a litt faster

doctor1 MD

Hi, may I answer your health queries right now ? Please type your query here...i have been on altace and hydroclorizade for years recently a failure to take the meds which sometimes were needed and sometimes not resulted in a rise of blood pressure from the 130/90 to 184/115 which was felt as highblood pressure new meds were given after a hospital visit and a visit to a regular doctor the balance problem which is not visible to others after trying to stand still in the same spot for a few minutes has not has not gone away and the blood presuure towards the later part of the day has not been lowered below 150 or 160 /95 yet it is at this time that the balance issue seems to be felt and can high blood pressure cause a minor balance problem while trying to stand in one place a mri and a cat scan were done without anything showing will the problem likly go away with additional meds every 12 hours

doctor1 MD

Hello doctor , My issue is some thing different , my total muscle mass got reduce gradually form 6 month it got thinner i can find in my mouth its so soft before it was thick mean ton got reduce , and when i open my mouth it is expanding very freely over elasting mouth joints or not tight i can fee this muscle thinner allover the body my stomach muscle so thinner , chest muscle mass got reduce like water packet like without thick fat ) its very unthick ... and my buttock muscle also got week like unthick fat some thing fat are spreading not combine , my anus part is expand little free its not thight , and my pelvic palce under scrotum muscle like muscle free like not muscle its not tight as well , my neck is not strenghten as well flabbyness moving very freely normally it will be tight for me its is expanding ... and my skin tone is also reduced so provide your detailed explanation i will tell what are the studies i done i cant past all the report detail so please tell the detail . 1. I have done EMG its normal with out issue , and cpk test no muscle loss around 60 to 50 out of 140 ,ESR is normal , CRP is normal , RA is negative ,ana is negative . only i have vitamin D defeciency i taking 60k iu weekly once seems its not the issue cause . 2. Nerve condition study seems some weekness in right hand but i have able to move with out issue , but all the body joints or very free its not in tight position .. 3. MRI brain is normal , whole spain buldge it l5 to s1 and l4 to l5 , but i check with bone doc he told its not the issue cause . 4. check with romatoide doctor he took , RA,ANA, renal profile , iron , calcium all normal ...jut he is saying all right gave calcium tablet... 5. neuro doctor said issue not reated to neuro .. but he dint checked my pelvic as well under scrontam i feel the tone is very low in the above part .... penis muscle tone is little thinner compare to before .ever all over my body not like manly skin with rought and thick its so soft .and waterly ... 6. RBC is normal only wbc is little hight around 12k maide be throught infection he told . 7 . usg scan normal ,, 8. i have done 24 hours urin protine its also 9% .. 9. hormone no hypo thyroide , pth is normal , only cortisol is high 29 outof 19 in the morning with out striod medicie during night then go to test on morning i took... 10. When i touch my check i can see the layer and fat is very water like unthick ... 11. my penis muscle tone also reduce and thinner as well my pelvi and buttock and neck muscle tone reduce not in streanght . 11. my GGT is high sgpt is 80 , sgot is 37 due to took medicine taken mide be so doctor ask to take udiliv 300 so im taking past 8 days i dont have drinking habit and smoking habit ....as week feel while have food pasage is week so they have sugged vitamin E taking 2 day i fee better while have food . Note : so please study in detail and provide the cause of issue ... main thing is muscle is not thicker its was happend past 6 month and body are so week and skin on neck and under bottom of butock also elastic not tight like pushing rubber band .. Note: before endocrine doc ask to take test for cortisol he told to take 11 pm medicine and take test in morning at 8 .. so the medicne prescribe is setroide it may affect my muscle issue .

doctor1 MD

For past 12+ hours, I’ve had left side pain from left pectoral up through left shoulder and down my left arm to my hand. Sharpest pain is in shoulder, elbow and dorsal side of forearm. Some twitching in wrist and hand.

doctor1 MD

I had a discectomy and I woke up in excruciating pain. A week later a laminectomy to stop the pain. Epidural injection,Morhine, Dilaudid , nothing helps. Something does not seem right. My Dr. has released me and says it will take a year to get...

doctor1 MD

I have been diagnosed with spondylothesis of the L5 and S1 region. I have had an mri and x-rays for my back. I had an epidural injection(2) in Nov in my back which seemed to help the pain going down my legs for a couple of weeks. Unfortunately I...