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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This ECG Result Indicate?

took 2x ecg and its normal...so had my 2d echo and this is therresult...my cardio said im having anxiety attack. Normal left venticular cavity size with a normal left venticular mass index (97.17 gm/m2) and an increased relative wall thickness (0.44) with adequate wall motion and contractility. Normal right venticular dimension with adequate contractility. Normal left atrial volume index (LAV = 11.79 ml/m2) Normal right atrial, main pulmonary artery and aortic root dimensions. The aortic valve has 3 cusps with good opening in systole and closure is diastole. The annulus and sinuses are normal. The mitral valve is thin and pliable with adwequate opening in diastole and coaptation in systole. Commissures are open. Subvalvar apparatus is normal . Annulus is normal. EPPS is not widened and there no vegetations noted. Structurally normal tricuspid and pulmonic valves with no restriction of motion. Intact interatrial and interventicular septae. No significant pericardial effusion noted. No itracardiac thrombus noted. COLOR FLOW DOPPLER: Normal mitral inflow E:A velocity ratio. Normal isovolumic relation time. No abnormal color flow accross the valves. Normal estimated pulmonary artery pressure by pulmonary accelaration time. CONCLUSION: CONCENTRIC LEFT VENTRICULAR REMODELING ADEQUATE SYSTOLIC FUNCTION.
Wed, 2 Nov 2022
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Anesthesiologist 's  Response
Hello,

Your 2D echocardiography report says your heart is almost normal anatomically but functionally there is left ventricular remodeling. Concentric left ventricular remodeling, is a sign of progressive heart failure. So your left ventricular muscle mass increased due to sympathetic stimulation.

Drugs that prevent further cardiovascular remodeling are ACE inhibitors like captopril, enalapril, lisinopril, Ramipril, beta blockers like Carvedilol, Bisoprolol, Metoprolol and Digoxin. Please do consult a cardiologist once and get prescription of any of the above drugs.

A few causes of concentric left ventricular remodeling are uncontrolled hypertension, after an episode of myocardial infarction, narrowing of aortic valve, hypertrophic cardiomyopathy, and amyloidosis. Physiological ventricular remodeling occurs in athletes.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Pallavi M., Anesthesiologist
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What Does This ECG Result Indicate?

Hello, Your 2D echocardiography report says your heart is almost normal anatomically but functionally there is left ventricular remodeling. Concentric left ventricular remodeling, is a sign of progressive heart failure. So your left ventricular muscle mass increased due to sympathetic stimulation. Drugs that prevent further cardiovascular remodeling are ACE inhibitors like captopril, enalapril, lisinopril, Ramipril, beta blockers like Carvedilol, Bisoprolol, Metoprolol and Digoxin. Please do consult a cardiologist once and get prescription of any of the above drugs. A few causes of concentric left ventricular remodeling are uncontrolled hypertension, after an episode of myocardial infarction, narrowing of aortic valve, hypertrophic cardiomyopathy, and amyloidosis. Physiological ventricular remodeling occurs in athletes. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Pallavi M., Anesthesiologist