Ok, so met with my new cardiologist and here are the results of last weeks Echo. The below is an exact copy of what my cardiologist received from the echo from another office.
************************************************** *
Interventricular septal thickness IVS: 0.8 (Normal 0.6-1.1)
Left ventricular end diastolic diam LVIDd: 5.3 (Normal 3.5-6.0)
Left ventricular end systolic diam LVIDs: 3.2 (Normal 2.3-4.0)
Left ventricular post wall thickness LVPW: 0.9 (Normal 0.6-1.1)
Aortic root diameter AO: 2.8 (Normal 2.0-3.7)
Left artrial diameter LA: 3.2 (Normal 2.0-4.0)
Interpretation: The left ventricle is normal in size and contractility. The left ventricular systolic function is normal. Estimated ejection fraction is 55%. There are no regional wall motion abnormalities. The right ventricle is normal in size, thickness and contractility.
The left atrium is normal in size. The right atrium is normal in size. The interatrial septum appears normal. There is no pericardial effusion, mass or thrombus. The IVC is normal in size. The aortic root is normal size.
The aortic valve is heavily thickened and calcified and probably bicuspid. The mitral valve is normal in mobility and thickness. Ther is no mitral annular calcification. The tricuspid valve is not well visualized. The pulmonic valve is not well visualized.
Color flow and Doppler shows normal systolic flow pattern. There is moderate aortic regurgitation. There is mild mitral regurgitation. There is mild to moderate tricuspid regurgitation. There is no pulmonic regurgitation. Estimated RSSP is 34mmHg. Peak gradient across the aortic valve is 14 with a mean gradient of 8.
Impression:
1. Normal left ventricular size and systolic function.
2. Probable bicuspid aortic valve with heavy calcification and moderate aortic insufficiency as well as mild aortic stenosis.
3. Polyvalvular insufficiency with mild pulmonary hypertension.
Dr. A. Smith
Attending Psysician
5-11-09
Ilana B. Kutinsky, D.O., F.A.C.C
Interpreting Physician
IBK /lks
*****************************************************
Since the cardiologist I'm seeing did not do the Echo, she wants to do another Echo for herself, a basic stress test and she wants an CT before she will explain anything in detail other than all my valves are leaky. I suppose I can't blame here.
What she told me was that I am not to do any heavy lifting and when I run, to keep my heart rate away from the 170 range until she knows more.
Question: Can anyone explain the Impression? I looked up #3, and I'm thinking that maybe that was caused by being a heavy smoker for 21 years, even though I quit 5 years ago. Is any of this reversable through any type of lifestyle or diet change?
And what's this mean? "Estimated RSSP is 34mmHg. Peak gradient across the aortic valve is 14 with a mean gradient of 8."
Thanks!
Jeff
************************************************** *
Interventricular septal thickness IVS: 0.8 (Normal 0.6-1.1)
Left ventricular end diastolic diam LVIDd: 5.3 (Normal 3.5-6.0)
Left ventricular end systolic diam LVIDs: 3.2 (Normal 2.3-4.0)
Left ventricular post wall thickness LVPW: 0.9 (Normal 0.6-1.1)
Aortic root diameter AO: 2.8 (Normal 2.0-3.7)
Left artrial diameter LA: 3.2 (Normal 2.0-4.0)
Interpretation: The left ventricle is normal in size and contractility. The left ventricular systolic function is normal. Estimated ejection fraction is 55%. There are no regional wall motion abnormalities. The right ventricle is normal in size, thickness and contractility.
The left atrium is normal in size. The right atrium is normal in size. The interatrial septum appears normal. There is no pericardial effusion, mass or thrombus. The IVC is normal in size. The aortic root is normal size.
The aortic valve is heavily thickened and calcified and probably bicuspid. The mitral valve is normal in mobility and thickness. Ther is no mitral annular calcification. The tricuspid valve is not well visualized. The pulmonic valve is not well visualized.
Color flow and Doppler shows normal systolic flow pattern. There is moderate aortic regurgitation. There is mild mitral regurgitation. There is mild to moderate tricuspid regurgitation. There is no pulmonic regurgitation. Estimated RSSP is 34mmHg. Peak gradient across the aortic valve is 14 with a mean gradient of 8.
Impression:
1. Normal left ventricular size and systolic function.
2. Probable bicuspid aortic valve with heavy calcification and moderate aortic insufficiency as well as mild aortic stenosis.
3. Polyvalvular insufficiency with mild pulmonary hypertension.
Dr. A. Smith
Attending Psysician
5-11-09
Ilana B. Kutinsky, D.O., F.A.C.C
Interpreting Physician
IBK /lks
*****************************************************
Since the cardiologist I'm seeing did not do the Echo, she wants to do another Echo for herself, a basic stress test and she wants an CT before she will explain anything in detail other than all my valves are leaky. I suppose I can't blame here.
What she told me was that I am not to do any heavy lifting and when I run, to keep my heart rate away from the 170 range until she knows more.
Question: Can anyone explain the Impression? I looked up #3, and I'm thinking that maybe that was caused by being a heavy smoker for 21 years, even though I quit 5 years ago. Is any of this reversable through any type of lifestyle or diet change?
And what's this mean? "Estimated RSSP is 34mmHg. Peak gradient across the aortic valve is 14 with a mean gradient of 8."
Thanks!
Jeff