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What do these ECG reports at rest and after stress indicate?

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Posted on Mon, 16 May 2016
Question: Hi doctor,
I had a question about the readings I got on two separate echocardiogram reports which I took in a gap of about 5 months. Every thing in all the reports is normal. However my LVID in the most recent report has increased significantly, should i be worried about this? Also I must mention that, the most recent echo report with the increased parameters was taken just a little while after a maxiamal stress test..where my heart rate reached 190bpm. The stress test was normal. The older reports were taken at rest. I'm a 23 year old boy, normal weight, 5'11''. Could the stress test have increased the left ventricular chamber size? I'm quite worried. My doctor says the report is fine, but he did not look at the previous report. Also, all three reports were taken by different lab technicians.

measurement 01/03/16 21/10/15 31/8/2010
Ao(ed) 2.7cm 2.7cm 3.0cm
LA(es) 3.3cm 3.5cm 3.2cm
LVID(ed) 4.9cm 4.2cm 4.4cm
LVID(es) 3.1cm 2.4cm 2.4cm
IVS(ed/es) 0.9cm 0.9cm 0.8cm
LVPW(ed/es) 0.9cm 0.9cm 0.8cm
EF 67% 62% 76%
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Answered by Dr. Priyank Mody (15 hours later)
Brief Answer:
The values and echo reports are withen NORMAL, suggesting a healthy Heart

Detailed Answer:
Hello XXXXXXX I am Dr. Mody and I would be addressing your concern.
As I start with I want to reassure you that all parameters of your echocardiography at rest and after stress including LViDd are normal and you need not worry about the same .
The normal values of LViDd which is the diameter of left ventricle when it's fully relaxed is between 3.6 -5.5 and LViDs when the left ventricle is contracting at maximum is between 2.4 to 4 .
So both the measurements you have mentioned are within normal range .

Now to help you understand physiology .
Whenever you exercise the heart has to pump more effectively so as to supply enough blood to exercising muscle . A healthy heart is able to do so by relaxing more efficiently and pumping more forceful resulting is more blood being pumping ultimately increasing the EF ( ejection fraction ) which has increased in your case from 67 to 76 which is a sign of HEALTHY heart .

Hence it got proved that your heart is in perfect adaptive condition .
Also you have to understand that echo parameters depends on the angle you have taken and both the times it may not be same giving rise to changes , in two echo at rest. Till normal fo not pursue the values and add unnecessary anxiety which is not good for your health.
Hoping I could help resolve your query.
Let me know if any clarification needed and I would be happy to help, you may close conversation if nothing needed and rate for others reference.
Regards Dr Priyank Mody, Cardiologist, XXXXXXX
Above answer was peer-reviewed by : Dr. Prasad
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Dr. Priyank Mody

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Practicing since :2009

Answered : 917 Questions

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What do these ECG reports at rest and after stress indicate?

Brief Answer: The values and echo reports are withen NORMAL, suggesting a healthy Heart Detailed Answer: Hello XXXXXXX I am Dr. Mody and I would be addressing your concern. As I start with I want to reassure you that all parameters of your echocardiography at rest and after stress including LViDd are normal and you need not worry about the same . The normal values of LViDd which is the diameter of left ventricle when it's fully relaxed is between 3.6 -5.5 and LViDs when the left ventricle is contracting at maximum is between 2.4 to 4 . So both the measurements you have mentioned are within normal range . Now to help you understand physiology . Whenever you exercise the heart has to pump more effectively so as to supply enough blood to exercising muscle . A healthy heart is able to do so by relaxing more efficiently and pumping more forceful resulting is more blood being pumping ultimately increasing the EF ( ejection fraction ) which has increased in your case from 67 to 76 which is a sign of HEALTHY heart . Hence it got proved that your heart is in perfect adaptive condition . Also you have to understand that echo parameters depends on the angle you have taken and both the times it may not be same giving rise to changes , in two echo at rest. Till normal fo not pursue the values and add unnecessary anxiety which is not good for your health. Hoping I could help resolve your query. Let me know if any clarification needed and I would be happy to help, you may close conversation if nothing needed and rate for others reference. Regards Dr Priyank Mody, Cardiologist, XXXXXXX