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What Do My Lab Test Reports Indicate?

Posted on Mon, 21 Sep 2015

Question: Hello Doctor,
I had my Medical Health Checkup today and I happened to see my Reports Online now. I did 2D Echo with color Doppler Test today and below is my result. As my Doctor appointment is only 3 days later, can to please give your review on the result. Am very much concerned about PULMONARY ARTERY HYPERTENSION in impression section.

      AML NORMAL -
      %FD 41% -
      EF 72% -
      LVPW (Ed) 0.8 -
      IVS (Ed) 0.9 -
      LVID (es) 2.2 -
      LVID (ed) 3.6 -
      RVID (ed) - -
LA 3.2 -
      Ao 3.1 -
      PERICARDIUM NORMAL -
      LEFT ATRIUM NORMAL -
      RIGHT ATRIUM NORMAL -
      AORTA NORMAL -
      PULMONARY ARTERY NORMAL -
      INTER VENTRICULAR SEPTUM INTACT -
      INTER ATRIAL SEPTUM INTACT -
      RIGHT VENTRICLE NORMAL -
      Pulmonary Valve NORMAL -
      TRICUSPID VALVE NORMAL -
      AORTIC VALVE NORMAL -
      PML NORMAL -
LEFT VENTRICLE : NO REGIONAL WALL MOTION ABNORMALITY;
Impression : *NO REGIONAL WALL MOTION ABNORMALITY; *NORMAL LEFT VENTRICULAR IN SIZE & SYSTOLIC FUNCTION; *NO PERICARDIAL EFFUSION ; PULMONARY ARTERY HYPERTENSION.
DOPPLER STUDY : AV XXXXXXX 1.2 m/s;PG 5mmHg; PV XXXXXXX 1.3 m/s;PG 7mmHg; MV E 0.6 m/s;MV A 0.5 m/s; TV E 0.5 m/s; TV A0.4.

Answered by Dr. Rajesh Teli (5 hours later)

Brief Answer:
your echo report seems normal

Detailed Answer:
Hello Mr.XXXX,
I am Dr.Rajesh Teli,MD.
I have gone through your query.Thanks for using HCM.

I have reviewed your echo report.over all report seems to be normal.routinely whenever there is pulmonary hypertension we usually report exact level of pressure .Routinely it is written as RVSP or PASP.

In your case it is not mentioned .whenever it is normal we can not record it .usually we get dilated right atrium and right ventricle with tricuspid regurgitation .we calculate pulmonary pressure from such jet of regurgitation .in your case it is mentioned that there is no tricuspid regurgitation .I think the conclusion is No pericardial and (no) pulmonary hypertension .this is what I presume .however I request you to send me actual text and plates along with your ECG n xray chest reports as an attachment so that I can guide you properly .

Mostly it is normal.
My best wishes
Dr.Rajesh Teli.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Rajesh Teli (27 minutes later)

Thank you Doctor for your reply and am bit relaxed now. I don't have ECG report with me now, but i met GP after ECG and Doctor told ECG is Normal and there is no issue with it. She is yet to see my xray, echo and other reports sometime later this week.
Pls find below comments for xray and TMT Test...

Impression : *NORMAL STUDY DR. EZHILAN MBBS,.DMRD.
Observation : Lung fields are clear. Apices, costo and cardiophrenic angles are free. Cardio thoracic ratio is normal. Cardio vascular shadow and hila show no abnormal feature. Bony thorax shows no significant abnormality. Domes of diaphragm are well delineated.

I also got my TMT - Threadmill test sometime back, please check the same as well.
HYPERTESION NO -
CONDUCTION DEFECT NO -
ARRHYTHMIA NO -
PTCA NO -
CABG NO -
Previous MI NO -
ATYPICAL PAIN CHEST NO -
Angina Pectoria NO -
Total Exercise Time 06:26 -
% HR / METS 100% 7.60 METS -
Grade Achieved - -
EXERCISE DONE TMT -
Monitoring Leads ALL 12 LEADS -
Protocol Used XXXXXXX -
QUINIDINE - -
PTONESTYL - -
DIURETICS - -
B BLOCKERS - -
NITRATES - -
LANOXIN - -
Smoking NO -
DIABETES MELLITUS NO -
EFFORT TOLERANCE GOOD -
BP RESPONSE NORMAL -
IV Fitness Response : GOOD -
III Blood Pressure Response : NORMAL -
CONDUCTION NORMAL -
INTERPRETATION - -
S.T. Segment : NORMAL -
E.C.G RESPONSE TO EXERCISE NORMAL -
6 mts : NO SYMPTOMS NO SIGNIFICANT ST-T CHANGES
3 mts : NO SYMPTOMS NO SIGNIFICANT ST-T CHANGES
0 mts : NO SYMPTOMS NO SIGNIFICANT ST-T CHANGES
Symptoms and ECG Changes during Exercise : NO SYMPTOMS NO SIGNIFICANT ST-T CHANGES
RESSON FOR TERMINATING TEST : TARGET HEART RATE ACHIEVED
OTHERS : ON MEDICATION FOR THYROID
Impression : CARDIAC STRESS ANALYSIS IS NEGATIVE FOR INDUCIBLE MYOCARDIAL ISCHEMIA AT 7.60 METS WORKLOAD AND 100% OF TARGET HEART RATE

Answered by Dr. Rajesh Teli (8 minutes later)

Brief Answer:
all these reports are normal

Detailed Answer:
Hello
I have gone through reports .All are within normal limits .No reason for you to have pulmonary hypertension.so don't worry and no need to rush.
Mostly it will be No pulmonary hypertension .
So have patience see your doctor as per appointment just to confirm that it is normal.
Do let me know
My best wishes
Dr.Teli.

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Raju A.T