Echo Results today
Echo Results today
Saw the NP today and she really had nothing to say. Evidently my cardio is out of the office this week so she was going to check with the cardio on call for him and call me back later today. She said that the only other option was to do a heart cath to see if they could find the issue, but she wanted to talk to the other cardio first. I am not even sure why they had me go in the office if they had nothing to tell me. I did get a copy of my echo and this is what it says:
Right Ventricular Dimensions (RVDd) 3.2 CMS
Interventricular Septum (thickness) 0.9 CMS
Left Ventricular Internal Dimensions 4.3/3.0 CMS
Left Ventricular Posterior Wall 1.0 CMS
Aortic Root 3.3 CMS
Aortic Cusp Separation AVR
Left Atrial Dimensions (LAD) 4.0 CMS
1. Left ventricular cavity size is normal. Left ventricular thickness is increased in a pattern of mild concentric left ventricular hypertrophy. EF would be estimated at 55%. The left atrium is normal.
2. The right ventricle is prominent. However, it appears to be contracting appropriately in the short axis views. The right atrium is mildly enlarged. There is redundancy in the atrial septum. The atrial septum bows from right-to-left.
3. The mitral valve appears to be mildly thickened. There is moderate mitral annular calcification.
4. The tricuspid valve demonstrates echodnesity surrounding the annulus suggesting a prior tricuspid valve repair or replacement.
5. There is no significant pericardial effusion.
6. The aortic root is at the upper limits of mildly dilated.
The Doppler interrogation of the aortic, mitral and tricuspid valves reveals the following:
1. Mild tricuspid regurgitation
2. Pseudonormal diastolic parameters suggesting mild diastolic dysfunction.
3. Mild prosthetic vavle aortic insufficiency. The velocity through the prosthetic aortic valve reaches a peak of 2.3 meters per second, which results in a mean gradient of 13 mmHg and a peak gradient of 22 mmHg. The pressure half-time is somewhat prominent and reaches a nadir of 320msec. The signal, however, is not well defined. This may be an overestimation of the aortic insufficiency and by visualization of the color signal, it appears to be mild to moderate aortic insufficiency.
4. The tricuspid inflow velocities are normal after the tricuspid valve repair. The RVSP is not reliably estimated from this study.
Conclusion:
1. Normal left ventricular function
2. Normally functioning prostethic aortic valve repair and the tricuspid valve appears to have mild to moderate regurgitation only.
END OF REPORT
Can anyone tell me exactly what this means? My husband and I are totally lost at this point. I think my EF is good, but not really sure. Also, not sure if I should call my surgeon and let me have a copy of this report to verify that everything is ok at this point. Thanks again all!