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What Does The Following 2D ECHO Report Indicate?

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Posted on Fri, 3 Feb 2017
Question: My father has done 2D ECHO Cardio graphy report.

It shows Aortic valve has some issue. I could n't understand it. I want to understand more clearly about this issue. Please see the attachment and guide us what it means what actions need to be taken .
My father is 70 years old
doctor
Answered by Dr. Priyank Mody (1 hour later)
Brief Answer:
It is age related degeneration of his Normal aortic valve

Detailed Answer:
Hello ,
I went through the echo report attached .
As I start I would like to clear that you said your father is 70 years , while the report is someone who is 55 years . Hopefully it's the correct report attached .

Now presuming 70 years , what your father has is called degenerative aortic Valve disease .
It's is because of age related wear and tear of the valve .
Now if your father has no symptoms , and this echo was done as routine , Mild to moderate aortic stenosis with normal heart otherwise would require o further investigation , However repeat echocardiography after 2 years to see for any progression.
If he has symptoms like breathlessness, palpitations and chest pain , further evaluation is required .
1stlythe doctor has not mentioned the valve area , the gradient , morphology anything by which I can quantify the severity of the stenosis, so a good echocardiography by a cardiologist would be the 1st thing here . Also the attached pictures does not Give me any information about the aortic valve . Apart from that ruling out other causes of his symptoms is important here which would be hypertension , underlying heart disease . Based on the information I can guide you further .

lastly as I have said for mild to moderate stenosis no operation or procedure is required at present .

Let me know of any clarification is needed .
Regards Dr. Mody
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Priyank Mody (33 minutes later)
Hi Modi,

Thank you for explaining me the issue clearly. Now I understood the issue.
By mistake the lab operator has put 55 years. Actually my father will be
around 72 years.

Now I understood that it is more Age related issue. It is a routine scanning .
At that time he had swelling in the leg. they are trying identify the root cause at that time.

we accept this issue as age related issue and nothing much we can do.
Even if surgery is required in the future, I think it will be costly. Could you please help to provide approximate cost. But We are not sure , at this age can he with stand the operation in future.

Thank you doctor for explaining me in detail. I really appreciate it.

Regards, XXXXXXX


doctor
Answered by Dr. Priyank Mody (24 hours later)
Brief Answer:
The report and symptoms don't match

Detailed Answer:
Hello ,
As rightly thought it is because of degeneration of the aortic valve ,
However mild aortic stenosis will not cause edema feet , so other causing should be ruled considering that they have mentioned that even the pumping of the heart is normal. So either the severity of aortic stenosis is under estimated or we are missing something .
If the symptoms are finally thought to be because of Aortic stenosis, It best to treat it and valve replacement is the best option .
Age is not a bar for the same as , aortic stenosis generally occurs in old age.
The cost varies a lot depending the valve used , the surgeon and the hospital . routinely it would be between 3 to 4 lakh s. There are many hospital which do not charge so much .
If you are from South XXXXXXX , XXXXXXX XXXXXXX in banglore does it for free , it's just waiting time is a little more , however your father doesn't require urgent intervention . Also XXXXXXX Hrudalaya, It subsided without any compromise in the cost .
Regards Dr. Mody
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Priyank Mody (2 hours later)
Hi Dr Mody,

Thank you for reviewing one more time. I was also confused when I saw the report.
Aortic stenosis is different from aortic value.

I am also not clear about my father symptoms at that point of time. I stay in US. My father stays in AP. If it is required to replace valve, I will consider Narayam Hrudalaya.

I will await for more details from my father. They didn't inform me much. They just passed on the Reports to me. I am trying to get the details of the issue based on the report.

Thank you for analyzing in detail .

I can pass on the blood tests that they provided to me.

Regards,
XXXX
doctor
Answered by Dr. Priyank Mody (31 hours later)
Brief Answer:
All attached blood reports are withen normal

Detailed Answer:
Hello ,
I went through the attached reports . All the blood investigation are withen normal limits .
The hemoglobin slightly low , this may add to the symptom of edema though wouldn't be the only cause .
Lastly as I said , Most importantly it's better to quantitate the severity of aortic stenosis, by doing a more comprehensive Echocardiogram to clarify the exact finding before jumping to conclusions .
Also mild to moderate stenosis doesn't require surgery if there are no symptoms.
Surely XXXXXXX Hrudalayay has created a niche for itself by providing comprehensive medical care at quite a resonable cost .
If anyfurther inforation on the same is needed I would be happy to help .
Regards Dr. Mody
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Priyank Mody (6 hours later)
Hi Mody,

Thank you again for reviewing the blood tests.
I will follow your advise if any action is required based on my father complaints.

1) more comprehensive Echocardiogram to clarify the exact finding before jumping to conclusions .
2) mild to moderate stenosis doesn't require surgery if there are no symptoms.
3) If required I will chose XXXXXXX Hrudalayay has created a niche for itself by providing comprehensive medical care at quite a reasonable cost .

I will certainly contact you for any advise related to Heart issues.

I really appreciate for taking a lot of care to answer all my questions and going through various reports.

Regards, XXXXXXX

doctor
Answered by Dr. Priyank Mody (23 hours later)
Brief Answer:
Sure , Do update me about any progress .

Detailed Answer:
Sure Sir ,
Let me know if anything needed in context of your father's health.
Wishing him a long and a healthy life .

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

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Priyank Mody

Cardiologist

Practicing since :2009

Answered : 918 Questions

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What Does The Following 2D ECHO Report Indicate?

Brief Answer: It is age related degeneration of his Normal aortic valve Detailed Answer: Hello , I went through the echo report attached . As I start I would like to clear that you said your father is 70 years , while the report is someone who is 55 years . Hopefully it's the correct report attached . Now presuming 70 years , what your father has is called degenerative aortic Valve disease . It's is because of age related wear and tear of the valve . Now if your father has no symptoms , and this echo was done as routine , Mild to moderate aortic stenosis with normal heart otherwise would require o further investigation , However repeat echocardiography after 2 years to see for any progression. If he has symptoms like breathlessness, palpitations and chest pain , further evaluation is required . 1stlythe doctor has not mentioned the valve area , the gradient , morphology anything by which I can quantify the severity of the stenosis, so a good echocardiography by a cardiologist would be the 1st thing here . Also the attached pictures does not Give me any information about the aortic valve . Apart from that ruling out other causes of his symptoms is important here which would be hypertension , underlying heart disease . Based on the information I can guide you further . lastly as I have said for mild to moderate stenosis no operation or procedure is required at present . Let me know of any clarification is needed . Regards Dr. Mody