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What Does This Echocardiogram Report Indicate?
Hi, I am 36 years old male, have had two open heart surgery for VSD/ASD closure followed by Aortic Valve Replacement (Mitral Valve Upturned with St. Jude Mechanical Valve) in 2005 and 2008 respectively. I have been on Acitrom 7mg and Betalog 100 mg daily once with PT INR last reading 2.11. Y day, I went for checkup and my Echo Cardiogram has following observations with Blood Pressure 116/78 and Heart Rate – 77 per minute. 1) LV is normal. Mild Concentric LVH. No RWMA at Rest. 2) Fair LV Systolic Function. LVEF = 55%. 3) Reduced LV Compliance. 4) LA is normal sized. No Intracavitary clot. 5) RV and RA are normal sized. 6) Prosthetic AOV seen in situ. AV PG MAX/MEAN = 19/12 mmHG. 7) Mild MR, Mild TR, Trivial AR. 8) IVS AND IAS are intact. 9) No Clot / P.E / Vegitation. 10) Mild PAH. ERVSP 35 mmHG. 11) Pericardium is normal. Am very worried for the abnormal observations above which weren t there in my previous echos post Aortic Valve Replacement. Request you to please provide comments on each of the observation points. Regards.
Sat, 23 Jan 2021
Hello,
The ECHO report is not showing any gross problems. Are you a smoker? It would have been better if you shared the previous ECHO report. Your valve replacement was done for aortic stenosis or regurgitation? From this report what I can explain is that
1) If the valve was replaced for stenosis, the concentric LVH can be due to the stenosis which was present earlier and now in the resolving phase. If the replacement was done for regurgitation then LVH indicates that the valve orifice is narrow and causing the ventricle to pump hard.
2) LV function is fair needs to be compared with previous ECHO report.
3) Reduced LV compliance can be due to defective relaxation of the left ventricle which results in reduced filling which can be due to LV muscle dysfunction. It can be due to a coronary artery disease also.
4) Normal
5) Normal
6) Aortic valve mean gradient is less than 15mm hg (12mm hg) that means there is no obstruction to flow in the prosthetic valve.
7) These are not significant unless it is moderate to severe.
8) Normal
9) Normal
10) Are you a smoker? what is your job? There is mild pulmonary artery hypertension that can be in the resolving state after your valve replacement or can be due to smoking or occupational exposure of silica or asbestosis.
11) Normal
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Meera Rajeev, Anesthesiologist
The ECHO report is not showing any gross problems. Are you a smoker? It would have been better if you shared the previous ECHO report. Your valve replacement was done for aortic stenosis or regurgitation? From this report what I can explain is that
1) If the valve was replaced for stenosis, the concentric LVH can be due to the stenosis which was present earlier and now in the resolving phase. If the replacement was done for regurgitation then LVH indicates that the valve orifice is narrow and causing the ventricle to pump hard.
2) LV function is fair needs to be compared with previous ECHO report.
3) Reduced LV compliance can be due to defective relaxation of the left ventricle which results in reduced filling which can be due to LV muscle dysfunction. It can be due to a coronary artery disease also.
4) Normal
5) Normal
6) Aortic valve mean gradient is less than 15mm hg (12mm hg) that means there is no obstruction to flow in the prosthetic valve.
7) These are not significant unless it is moderate to severe.
8) Normal
9) Normal
10) Are you a smoker? what is your job? There is mild pulmonary artery hypertension that can be in the resolving state after your valve replacement or can be due to smoking or occupational exposure of silica or asbestosis.
11) Normal
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Meera Rajeev, Anesthesiologist
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