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What Does The Following ECHO Test Result Indicate?
Question: Hi Doctor,
I have recently gotten results back from a follow up echo. I am hoping you can help me with interpreting results as I do not have an appointment with cardiologist for a couple of weeks.
Left ventricle has increased in size from 5.9 cm to 6.2 cm
Left atrium increased from3.5cm to 3.6cm
Ao Root increased 3.3cm to 3.4cm
MV dec slope has decreased from 626.7 cm/sec2 to 280.6 cm/sec2
E/A ratio has increased from 1.5 to 1.7
Are you able to determine diastoilc function from the 2nd echo?
Thanks! XXXXXXX
I have recently gotten results back from a follow up echo. I am hoping you can help me with interpreting results as I do not have an appointment with cardiologist for a couple of weeks.
Left ventricle has increased in size from 5.9 cm to 6.2 cm
Left atrium increased from3.5cm to 3.6cm
Ao Root increased 3.3cm to 3.4cm
MV dec slope has decreased from 626.7 cm/sec2 to 280.6 cm/sec2
E/A ratio has increased from 1.5 to 1.7
Are you able to determine diastoilc function from the 2nd echo?
Thanks! XXXXXXX
Brief Answer:
Your LV diastolic function is normal.
Detailed Answer:
Hello dear Kristian!
I reviewed carefully both of your echo reports (the first 05/15/2014 and the second 06/03/2015), and I would like to explain to you that diastolic function as well as systolic function in both examinations result normal. So, nothing to worry about!
Regarding those mild changes in left ventricular, left atrium, aortic root diameters, I would explain that they are mostly explained by inter-observer measurement variations, which is a well known phenomenon in cardiac ultrasound field. So, the measurements are highly dependent on how accurately is performing the examiner the imagine acquisition, on measurement plane alignment, on cursor points determination, etc.
An illustration of this fact is the decreasing of LV diastolic diameter (from 4.1 cm to 3.6 cm on the latter echo report), which is normally quite impossible.
As you have a bit greater than the average weight and body surface area (BSA), when indexing the diameters, the conclusion is a a borderline mild LV dilation. This is confirmed by both echos.
Returning to your Doppler parameters measurements and diastolic function, I would explain that they are highly dependent on the LV loading conditions; so it is normal that they may be different from one echo exam to another. There is nothing abnormal or worsening here.
The important fact is that, your E/A ratio is always normal (compatible with your age 1.53+/- 0.4). The same remains true for MV deceleration slope.
To differentiate a normal LV filling pattern from a pseudonormal one, Tissue Doppler techniques are of practical help. From both echo exams the conclusion was NORMAL.
So to conclude, I am glad to confirm you that your left ventricular diastolic function is normal.
Hope to have been of help.
Feel free to ask me whenever you need. Greetings! Dr. Iliri
Your LV diastolic function is normal.
Detailed Answer:
Hello dear Kristian!
I reviewed carefully both of your echo reports (the first 05/15/2014 and the second 06/03/2015), and I would like to explain to you that diastolic function as well as systolic function in both examinations result normal. So, nothing to worry about!
Regarding those mild changes in left ventricular, left atrium, aortic root diameters, I would explain that they are mostly explained by inter-observer measurement variations, which is a well known phenomenon in cardiac ultrasound field. So, the measurements are highly dependent on how accurately is performing the examiner the imagine acquisition, on measurement plane alignment, on cursor points determination, etc.
An illustration of this fact is the decreasing of LV diastolic diameter (from 4.1 cm to 3.6 cm on the latter echo report), which is normally quite impossible.
As you have a bit greater than the average weight and body surface area (BSA), when indexing the diameters, the conclusion is a a borderline mild LV dilation. This is confirmed by both echos.
Returning to your Doppler parameters measurements and diastolic function, I would explain that they are highly dependent on the LV loading conditions; so it is normal that they may be different from one echo exam to another. There is nothing abnormal or worsening here.
The important fact is that, your E/A ratio is always normal (compatible with your age 1.53+/- 0.4). The same remains true for MV deceleration slope.
To differentiate a normal LV filling pattern from a pseudonormal one, Tissue Doppler techniques are of practical help. From both echo exams the conclusion was NORMAL.
So to conclude, I am glad to confirm you that your left ventricular diastolic function is normal.
Hope to have been of help.
Feel free to ask me whenever you need. Greetings! Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Doctor,
I can't thank you enough for taking the time to review results and for your comments. Have a great weekend.
Regards, XXXXXXX
I can't thank you enough for taking the time to review results and for your comments. Have a great weekend.
Regards, XXXXXXX
Brief Answer:
You are welcome!
Detailed Answer:
You are welcome Kristian!
Feel free to ask me whenever you need! Dr. Iliri
You are welcome!
Detailed Answer:
You are welcome Kristian!
Feel free to ask me whenever you need! Dr. Iliri
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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