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Posted on Tue, 25 Aug 2020
Question:
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Follow up: Dr. Bhanu Partap (0 minute later)
doctor
Answered by Dr. Bhanu Partap (1 hour later)
Brief Answer:
Kindly elaborate

Detailed Answer:
Hello

kindly write in detail about your health issue or a proper guidance.

kind Regards
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. Bhanu Partap (0 minute later)
Brief Answer:
Kindly elaborate

Detailed Answer:
Hello

kindly write in detail about your health issue or a proper guidance.

kind Regards
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Bhanu Partap (15 minutes later)
hello I was wondering I could get help inturpeting these echocardiogram results. I know the report says normal, but it also says I have mild BSH. what does this mean? and why does this happen? I'm 25 years old and weigh 226 pounds. I've had uncontrolled elevated BP for about 3 and a half years

Primary rhythm: sinus.
Height: 180.34 cm BSA: 2.30 m²
Weight: 105.69 kg BMI: 32.5 kg/m²

Primary rhythm: sinus.

Blood pressure 131/88 mmHg
Study quality: fair. Study difficulties: body habitus.

ECHO MEDICATIONS
2.0 ml of Definity contrast agent was used for endocardial border detection.

MEASUREMENTS:
Value Indexed Value
Sinus of Valsalva 2.7 cm
Left atrium diameter 3.4 cm (2D)
Left atrial volume 31.2 ml. 13.6 ml/m².
LV ID (diastole) 4.4 cm (2D) 1.9 cm/m²
LV ID (systole) 3.1 cm (2D) 1.3 cm/m²
IVS, leaflet tips 1.2 cm (2D)
Posterior wall thickness 0.8 cm (2D)
LV stroke volume 73 ml (2D biplane)
LVOT diam 2.0 cm
LVOT stroke volume 58 ml 26.0 ml/m²
LV end diastolic volume 47.9 ml/m²
LV end diastolic volume 110 ml (2D biplane) 47.9 ml/m²
LV end systolic volume 37 ml (2D biplane) 16.1 ml/m²
Ejection Fraction 66 % (2D biplane)
RV basal diameter 2.9 cm
RVOT dist diameter 1.7
RVOT prox diameter 3.9

Doppler:
Value
AV Peak Velocity 1.2 m/s
AV Peak Gradient 6 mmHg
AV Mean Gradient 3 mmHg
AV Velocity Time Integral 26.0 cm
LVOT Peak Velocity 0.9 m/s
LVOT Peak Gradient 3 mmHg
LVOT Velocity Time Integral 18.6 cm
AV Area Cont Eq VTI 2.2 cm²
AV Area Cont Eq peak 2.4 cm²
MV Area PHT 4.06 cm²
Mitral E Point Velocity 0.8 m/s
Mitral A Point Velocity 0.7 m/s

FINDINGS:

LEFT VENTRICLE:
The left ventricle is normal in size.
There is mild basal septal hypertrophy.
Left ventricular systolic function is normal. EF = 66% (2D biplane)
Left ventricular diastolic function is normal. Mitral annular lateral e': 13.4 cm/s. Mitral annular lateral E/e': 5.7. Mitral annular septal e': 11.6 cm/s. Mitral annular septal E/e': 6.5. The average Mitral E/e' ratio is 6.1.

LV Wall Motion:
All scored segments are normal.


RIGHT VENTRICLE:
The right ventricle is normal in size. Right ventricular systolic function is normal.
The right atrial pressure is 3 mmHg. Finding is consistent with normal pulmonary artery pressures. Insufficient TR velocity jet profile for estimation of RV systolic pressure.

LEFT ATRIUM:
The left atrial size is normal. The LA volume is 31.2 ml, 13.6 ml/m² when indexed.

RIGHT ATRIUM:
The right atrial cavity is normal in size.

MITRAL VALVE:
The mitral valve appears structurally normal but not well visualized. There is no mitral stenosis. There is trivial mitral valve regurgitation.

TRICUSPID VALVE:
The tricuspid valve appears structurally normal but not well visualized. There is no tricuspid stenosis. There is trivial tricuspid valve regurgitation.

AORTIC VALVE:
The aortic valve leaflets are structurally normal. The aortic valve is tricuspid. There is no aortic valve stenosis. There is no aortic valve regurgitation.

PULMONIC VALVE
The pulmonic valve cusps are structurally normal. Indeterminate pulmonic valve. There is no pulmonic stenosis. The diameter of the right ventricular outflow tract is 1.7 cm. There is trivial pulmonic valve regurgitation.

AORTA:
The visualized aorta is normal in size. The maximum aorta dimension measures 2.9 cm., which was measured at the proximal ascending aorta.
Measurements - Sinus 2.7 cm. Sinotubular junction 2.3 cm. Proximal ascending aorta 2.9 cm.
PULMONARY ARTERIES:
The pulmonary arteries are not well seen.

PERICARDIUM:
There is no pericardial effusion.

CONCLUSIONS:
-Two-dimensional transthoracic echocardiography was performed using standard views \T\ projections with M-mode and Doppler (continuous, pulsed wave, spectral \T\ color flow).
-The left ventricle is normal in size. Left ventricular systolic function is normal. EF = 66% (2D biplane) Left ventricular diastolic function is normal.
-The right ventricle is normal in size. Right ventricular systolic function is normal. The right atrial pressure is 3 mmHg. Finding is consistent with normal pulmonary artery pressures.
-
-No significant valvular abnormalities.
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Follow up: Dr. Bhanu Partap (0 minute later)
hello I was wondering I could get help inturpeting these echocardiogram results. I know the report says normal, but it also says I have mild BSH. what does this mean? and why does this happen? I'm 25 years old and weigh 226 pounds. I've had uncontrolled elevated BP for about 3 and a half years

Primary rhythm: sinus.
Height: 180.34 cm BSA: 2.30 m²
Weight: 105.69 kg BMI: 32.5 kg/m²

Primary rhythm: sinus.

Blood pressure 131/88 mmHg
Study quality: fair. Study difficulties: body habitus.

ECHO MEDICATIONS
2.0 ml of Definity contrast agent was used for endocardial border detection.

MEASUREMENTS:
Value Indexed Value
Sinus of Valsalva 2.7 cm
Left atrium diameter 3.4 cm (2D)
Left atrial volume 31.2 ml. 13.6 ml/m².
LV ID (diastole) 4.4 cm (2D) 1.9 cm/m²
LV ID (systole) 3.1 cm (2D) 1.3 cm/m²
IVS, leaflet tips 1.2 cm (2D)
Posterior wall thickness 0.8 cm (2D)
LV stroke volume 73 ml (2D biplane)
LVOT diam 2.0 cm
LVOT stroke volume 58 ml 26.0 ml/m²
LV end diastolic volume 47.9 ml/m²
LV end diastolic volume 110 ml (2D biplane) 47.9 ml/m²
LV end systolic volume 37 ml (2D biplane) 16.1 ml/m²
Ejection Fraction 66 % (2D biplane)
RV basal diameter 2.9 cm
RVOT dist diameter 1.7
RVOT prox diameter 3.9

Doppler:
Value
AV Peak Velocity 1.2 m/s
AV Peak Gradient 6 mmHg
AV Mean Gradient 3 mmHg
AV Velocity Time Integral 26.0 cm
LVOT Peak Velocity 0.9 m/s
LVOT Peak Gradient 3 mmHg
LVOT Velocity Time Integral 18.6 cm
AV Area Cont Eq VTI 2.2 cm²
AV Area Cont Eq peak 2.4 cm²
MV Area PHT 4.06 cm²
Mitral E Point Velocity 0.8 m/s
Mitral A Point Velocity 0.7 m/s

FINDINGS:

LEFT VENTRICLE:
The left ventricle is normal in size.
There is mild basal septal hypertrophy.
Left ventricular systolic function is normal. EF = 66% (2D biplane)
Left ventricular diastolic function is normal. Mitral annular lateral e': 13.4 cm/s. Mitral annular lateral E/e': 5.7. Mitral annular septal e': 11.6 cm/s. Mitral annular septal E/e': 6.5. The average Mitral E/e' ratio is 6.1.

LV Wall Motion:
All scored segments are normal.


RIGHT VENTRICLE:
The right ventricle is normal in size. Right ventricular systolic function is normal.
The right atrial pressure is 3 mmHg. Finding is consistent with normal pulmonary artery pressures. Insufficient TR velocity jet profile for estimation of RV systolic pressure.

LEFT ATRIUM:
The left atrial size is normal. The LA volume is 31.2 ml, 13.6 ml/m² when indexed.

RIGHT ATRIUM:
The right atrial cavity is normal in size.

MITRAL VALVE:
The mitral valve appears structurally normal but not well visualized. There is no mitral stenosis. There is trivial mitral valve regurgitation.

TRICUSPID VALVE:
The tricuspid valve appears structurally normal but not well visualized. There is no tricuspid stenosis. There is trivial tricuspid valve regurgitation.

AORTIC VALVE:
The aortic valve leaflets are structurally normal. The aortic valve is tricuspid. There is no aortic valve stenosis. There is no aortic valve regurgitation.

PULMONIC VALVE
The pulmonic valve cusps are structurally normal. Indeterminate pulmonic valve. There is no pulmonic stenosis. The diameter of the right ventricular outflow tract is 1.7 cm. There is trivial pulmonic valve regurgitation.

AORTA:
The visualized aorta is normal in size. The maximum aorta dimension measures 2.9 cm., which was measured at the proximal ascending aorta.
Measurements - Sinus 2.7 cm. Sinotubular junction 2.3 cm. Proximal ascending aorta 2.9 cm.
PULMONARY ARTERIES:
The pulmonary arteries are not well seen.

PERICARDIUM:
There is no pericardial effusion.

CONCLUSIONS:
-Two-dimensional transthoracic echocardiography was performed using standard views \T\ projections with M-mode and Doppler (continuous, pulsed wave, spectral \T\ color flow).
-The left ventricle is normal in size. Left ventricular systolic function is normal. EF = 66% (2D biplane) Left ventricular diastolic function is normal.
-The right ventricle is normal in size. Right ventricular systolic function is normal. The right atrial pressure is 3 mmHg. Finding is consistent with normal pulmonary artery pressures.
-
-No significant valvular abnormalities.
doctor
Answered by Dr. Bhanu Partap (22 hours later)
Brief Answer:
Please refer to the detailed answer below

Detailed Answer:
My apologies for the delayed response.

You need to work on reducing your body weight as that will surely help in controlling your blood pressure levels.

Regarding your query about echo reports: The meaning of BSH or basal septal hypertrophy is thickening of a part of interventricular septum (IVS). IVS is the partition wall between the lower two chambers of the heart.

The most probable reason of this thickening is your high blood pressure. Healthy lifestyle modifications along with medication will help you control your blood pressure.

Hope to have been helpful.

Kind Regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
doctor
Answered by Dr. Bhanu Partap (0 minute later)
Brief Answer:
Please refer to the detailed answer below

Detailed Answer:
My apologies for the delayed response.

You need to work on reducing your body weight as that will surely help in controlling your blood pressure levels.

Regarding your query about echo reports: The meaning of BSH or basal septal hypertrophy is thickening of a part of interventricular septum (IVS). IVS is the partition wall between the lower two chambers of the heart.

The most probable reason of this thickening is your high blood pressure. Healthy lifestyle modifications along with medication will help you control your blood pressure.

Hope to have been helpful.

Kind Regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Bhanu Partap (22 minutes later)
Can this be reversed? And if I get my blood pressure down will I be able to reverse this condition? Also is this a common finding in young men with early stage hypertension? I've only had hypertension for about 3 years and it's usually about 137/ 88. But my pressure has gone down a bit since I've lost about 20 pounds
default
Follow up: Dr. Bhanu Partap (0 minute later)
Can this be reversed? And if I get my blood pressure down will I be able to reverse this condition? Also is this a common finding in young men with early stage hypertension? I've only had hypertension for about 3 years and it's usually about 137/ 88. But my pressure has gone down a bit since I've lost about 20 pounds
doctor
Answered by Dr. Bhanu Partap (44 minutes later)
Brief Answer:
Hello again

Detailed Answer:
Yes, this is a common finding in hypertension patients and develops over a period of time.

Yes, as you are Quite young so this thing can be reversed over time if you will be able to manage your bp and body weight and exercise regularly.

Kind Regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
doctor
Answered by Dr. Bhanu Partap (0 minute later)
Brief Answer:
Hello again

Detailed Answer:
Yes, this is a common finding in hypertension patients and develops over a period of time.

Yes, as you are Quite young so this thing can be reversed over time if you will be able to manage your bp and body weight and exercise regularly.

Kind Regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
default
Follow up: Dr. Bhanu Partap (28 minutes later)
I dont exercise much, but I have lost twenty pounds through high veggie, high fruit, high whole grain diet. I don't eat any processed foods or red meat.my bp has only come down a few points with my weight loss. But I figure I have at least another 45 pounds to lose. I want to be a 170 pounds and am 6ft tall. How long does it take for weight loss to change blood pressure?
default
Follow up: Dr. Bhanu Partap (0 minute later)
I dont exercise much, but I have lost twenty pounds through high veggie, high fruit, high whole grain diet. I don't eat any processed foods or red meat.my bp has only come down a few points with my weight loss. But I figure I have at least another 45 pounds to lose. I want to be a 170 pounds and am 6ft tall. How long does it take for weight loss to change blood pressure?
doctor
Answered by Dr. Bhanu Partap (39 minutes later)
Brief Answer:
Hello again

Detailed Answer:
Physical activity is very important and is highly recommended if you want to achieve good health. Diet is important so is the exercise.

There is no fixed time duration as such. It vary from person to person.

Kind Regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
doctor
Answered by Dr. Bhanu Partap (0 minute later)
Brief Answer:
Hello again

Detailed Answer:
Physical activity is very important and is highly recommended if you want to achieve good health. Diet is important so is the exercise.

There is no fixed time duration as such. It vary from person to person.

Kind Regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
default
Follow up: Dr. Bhanu Partap (14 minutes later)
Is there a chance that I may lose a bunch of weight and my bp will still be high? If I had to take medication, what would be a good drug to try?
default
Follow up: Dr. Bhanu Partap (0 minute later)
Is there a chance that I may lose a bunch of weight and my bp will still be high? If I had to take medication, what would be a good drug to try?
doctor
Answered by Dr. Bhanu Partap (10 hours later)
Brief Answer:
Hello again

Detailed Answer:
Yes, it’s possible that bp May remain high.

Usually ARB (Angiotension receptor blocker) group of drugs is preferred in young hypertensives. But it’s the choice of your treating physician.

Regards
Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. Bhanu Partap (0 minute later)
Brief Answer:
Hello again

Detailed Answer:
Yes, it’s possible that bp May remain high.

Usually ARB (Angiotension receptor blocker) group of drugs is preferred in young hypertensives. But it’s the choice of your treating physician.

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

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
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Dr. Bhanu Partap

Cardiologist

Practicing since :2010

Answered : 4731 Questions

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