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What Does This 2D Echo And ECG Report Indicate Regarding Mild Mitral Stenosis?

Posted on Tue, 22 Jul 2014

Question: My wife XXXXXXX 68 , has long been diagnosed (for 25 years) with Mitral Stenosis (in addition to having Rheumatoid Arthritis and Hypothyroidism), but our cardialogist has assured us that this is mild and that we dont need to worry about it. However the recent 2D echo and ECG (reports attached) are said to show disturbing signs that require prompt attention. Can you look at these reports and tell me what's wrong?

Answered by Dr. Chakravarthy Mazumdar (3 hours later)

Brief Answer:
The reports are not attached

Detailed Answer:
Hi,

Mild mitral stenosis patient would survive without severe problems like a person who does not have heart disease. However in your wife case the other heart problems like Hypertension, coronary artery disease would cause more problems at this age.

Heart disease could be from Hypertension, Vessel disease, valvular heart disease, Arrhythmias. So your wife's current heart problems can be increased with the other reasons than mitral valvular heart disease.

Please upload the reports. I can view them.

Above answer was peer-reviewed by : Dr. Aparna Kohli

Follow up: Dr. Chakravarthy Mazumdar (11 hours later)

I am sorry that the reports didn't get uploaded. I now send the two reports from ECG and 2D ECHO. Kindly tell me if we are looking at at problem. If so how serious or severe the problem is. And what needs to be done immediately.

Answered by Dr. Chakravarthy Mazumdar (3 hours later)

Brief Answer:
2D Echo is not uploaded

Detailed Answer:
Hi,

You had uploaded same ECG twice. I think 2D echo is more important here. I do not see gross changes in the ECG.

Please upload ECHO report.

Above answer was peer-reviewed by : Dr. Aparna Kohli

Follow up: Dr. Chakravarthy Mazumdar (22 hours later)

Sir, I had mailed yesterday the 2D Echo (along with ECG). Hope you will receive it this time. Kindly let me know what you think of it.

Answered by Dr. Chakravarthy Mazumdar (7 hours later)

Brief Answer:
No I did not receive it

Detailed Answer:
Hi,

I could see two documents uploaded and both of them are the same ECG. THere is no 2D ECHO uploaded here.

Please send the report to YYYY@YYYY with SUB: ATTN DR MAZUMDAR. or you can still upload here.

Thank you.

Above answer was peer-reviewed by : Dr. Aparna Kohli

Follow up: Dr. Chakravarthy Mazumdar (2 days later)

I had sent thee 2D Echo report as suggested two days ago. But since I didnt get any response, I purchase the follow-up question now. Can I have Dr. Mazumdar's opinion on the Report please? I once again attach the 2D Echo Report.

Answered by Dr. Chakravarthy Mazumdar (6 hours later)

Brief Answer:
As expected

Detailed Answer:
The 2D ECHO report does not say anything worrisome. The features tht it had were all expected and common for the valvular heart disease that your wife has.

I agree with your cardiologist. Unless there are concerning symptoms like swelling of both feet, short of breath, chest pain, not able to sleep at night because of breathlessness, it prompts cardiac evaluation.

I would not treat a 2D ECHO report but I treat bad symptoms in the patient. The report is not bad either.

Hope you understand the difference.

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Aparna Kohli