Question: hello, I am a 39 year old female that is 4 weeks postpartum via C-section. I recently developed high blood pressure. My blood pressure was fine throughout my pregnancy. The doctors have ruled out preeclampsia and HELLP syndrome. It was suggested that I have an EKG and an Echo done to rule everything out. The EKG was normal. Can you please tell me if the Echo is normal or indicates anything serious?
BP: 177/92
HR: 110

MEASUREMENTS
Chambers MM Chambers 2D
Name Value Units(Range) Name Value Units(Range)
Ao root (MM) 3.2 cm IVSd (2D) 1.03 cm
LA dim MM 3.8 cm(1.5-4) LVPWd (2D) 1.18 cm(0.7-1.1)
AV cusp (MM) 2.3 cm(1.5-2.5) LVIDd (2D) 3.88 cm(3.8-5.7)
LVIDs (2D) 2.68 cm(2.2-4)
EF Teich (2D) 59.3 %

Diastolic/Systolic Function Aortic Valve
Name Value Units(Range) Name Value Units(Range)
MV E-wave Vmax 0.98 m/sec AV Vmax 1.82 m/sec(1-1.7)
MV A-wave Vmax 0.72 m/sec AV peak grad 13 mmHg(1-36)
MV E:A ratio 1.4 ratio(1.1-1.5) LVOT diam 2.4 cm(1.7-2.5)
LVOT Vmax 1.43 m/sec
LVOT pk grad 8 mmHg
AVA (Vmax) 3.55 cm2

Tricuspid Valve
Name Value Units(Range)
TR Vmax 2.28 m/sec
TR peak grad 21 mmHg
RAP 10 mmHg
RVSP 31 mmHg

FINDINGS
STUDY QUALITY:
The study quality is good. 2D/M-mode/Color/Doppler images reviewed.

LEFT VENTRICLE:
There is normal left ventricular systolic function. The estimated
ejection fraction is 60-65%.

LEFT ATRIUM:
The left atrium is normal in size with no visual thrombus identified.

RIGHT VENTRICLE:
The right ventricular chamber size and systolic function are within
normal limits.

RIGHT ATRIUM:
The right atrium appears normal.

AORTIC VALVE:
The aortic valve is trileaflet. Mild aortic cusp sclerosis is present.
There is no evidence of aortic stenosis. There is no evidence of aortic
regurgitation.

MITRAL VALVE:
The mitral valve leaflets are mildly thickened. There is a trace of
mitral regurgitation.

TRICUSPID VALVE:
The tricuspid valve leaflets are normal. There is a trace tricuspid
regurgitation. The right ventricular systolic pressure is calculated at
31 mmHg.

PULMONIC VALVE:
The pulmonic valve is not well visualized. There is no evidence of
pulmonic regurgitation.

PERICARDIUM:
The pericardium appears normal.

AORTA:
The aorta appears normal.

PULMONARY ARTERY:
The main pulmonary artery appears normal.

VENOUS:
The inferior vena cava appears normal in size.

CONCLUSIONS:
2D/M-mode/Color/Doppler images reviewed.
There is normal left ventricular systolic function.
The estimated ejection fraction is 60-65%.
There is a trace of mitral and tricuspid regurgitation.
The right ventricular systolic pressure is calculated at 31 mmHg

Thank you so much for helping to put my mind at ease.