
What Does This ECHO Report Indicate?

I would explain as follows:
Detailed Answer:
Hello dear XXXXXXX
Thank you for asking on HCM!
I reviewed carefully your last echo report and I would explain that it seems almost normal.
Your left heart (myocardium, aortic and mitral valves) seems quite perfect, only a mild left atrial dilation and diastolic dysfunction.
Regarding your right heart, it seems that the right ventricle has a normal function and the right atrium is not dilated.
I read that the right ventricle has a diameter of 2.95 and is considered mildly dilated.
I am not sure at what level is performed this measurement, as depending on the cardiac view RV diameter varies noticeably.
At the basal level is 3.3 +/- 0.5cm (at the apical four chamber view).
Roughly, a mid-right-ventricular diameter of 35 to 40 mm or 42 to 45 mm at the base indicates right ventricular dilatation.
It is also possible to measure the width of the RVOT (right ventricular outflow tract) on a parasternal short axis view at the base, and the upper limit of normal is 33 mm for the proximal aspect and 27 mm for the distal aspect at the level of the pulmonary valve.
So as I said I am not sure where that RV value has been measured.
Nevertheless, I would confirm you that it doesn't seem to be a clinically relevant dilation.
Regarding the other statement that pulmonary artery pressure was 10mm Hg, it doesn't seem clear, as pulmonary artery pressure is measured by utilizing tricuspid regurgitation on spectral Doppler analysis.
But from the other side, your doctor was not able to identify any tricuspid regurgitation at all.
So, how could be sure about the pulmonary artery pressure value?!
Coming to this point, I would suggest you to follow your doctors advise about the scheduled follow up echos time, and if RV diameter keeps changing (results larger), I would recommend you transesophageal echo and especially a cardiac MRI (which is a gold standard for right ventricular study).
Hope to have been helpful!
Feel free to ask any other questions, whenever you need!
Best regards,
Dr. Iliri


I agree with your doctor about the pulmonologist consult.
Detailed Answer:
Hello again!
Although there is no clear evidence that those right heart changes may be due to any pulmonary function disorders, a pulmonologist consultation would be useful to rule out this possibility.
Meanwhile you should consider the above mentioned advises.
Hope to have been helpful!
Best wishes,
Dr. Iliri

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