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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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2D Echo Results Shows Fair LV Function. Meaning?

Below are my Fathers 2 D echo results..can any one tell me the criticality?
Mitral Valve :Normal
Tricuspid Valve :Normal
Pulmonary Valve :Normal
Aortic Valve :Normal
Left Atrium : 4.12 cms

Left Ventricle: IVSD:1.3 cms LVPWD:1.25 cms
EDD : 4.92 cms EF:45 %
ESD : 3.6 cms
RWMA : Inferior wall Hypokinetic
RIGHT ATRIUM : Normal
RIGHT VENTRICLE : Normal
Aorta : 3.01 cms
IAS : Normal
IVS : Intact
Pulmonary Artery : Normal
Pericardium : Normal
SVC,IVC : Normal
Pulmonary Veins : Normal
Intracardiac Masses : Normal

Doppler: MV : E:0.72 m/sec A : 0.62 m/sec EDT :142 m/sec
AJV : 1.30 m/sec PJV : 0.98 m/sec PAT: 126 m/sec

Colour Flow Imaging : No MR/AR / PR/TR

Conclusions :CAD
RMWA +
Fair LV Function
Mild LV Clot
Sat, 25 May 2013
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  User's Response
Welcome to HCM! RWMA (Resting Wall Motion Abnormality) means that all the FOUR CHAMBERS of the heart are not beating in unison; in your father's case it's the INFERIOR WALL (mainly comprising of left ventricle), which is three times thicker than right ventricle, which pumps blood into the body.
HYPOKINETIC inferior wall will mean that its movement is slow/ diminished/ asynchronous in comparison to rest of the heart musculature which is due to CAD (Coronary Artery Disease) which is single/ double/ triple vessel disease due to ATHEROSCLEROSIS / narrowing of the lumen of coronary arteries, due to cholesterol PLAQUES resulting in partial/ critical/ complete loss of blood supply to the affected portion of MYOCARDIUM (heart muscle) in a wedge-shaped fashion with its base inside, since they are END-ARTERIES. An LVEF (Left Ventricular Ejection Fraction) of 55% to 70% is satisfactory for proper blood circulation which indicates fair LV function.
A clot in LV (left ventricle) indicates turbulence/ sluggish flow of blood in LV due to reduced movement of myocardium.
However the heart valves are functioning normally as there is no Mitral/ Aortic/ Tricuspid/ Pulmonary valve REGURGITATION (back - flow) as evident by CFI (colour flow imaging) studies.
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2D Echo Results Shows Fair LV Function. Meaning?

Welcome to HCM! RWMA (Resting Wall Motion Abnormality) means that all the FOUR CHAMBERS of the heart are not beating in unison; in your father s case it s the INFERIOR WALL (mainly comprising of left ventricle), which is three times thicker than right ventricle, which pumps blood into the body. HYPOKINETIC inferior wall will mean that its movement is slow/ diminished/ asynchronous in comparison to rest of the heart musculature which is due to CAD (Coronary Artery Disease) which is single/ double/ triple vessel disease due to ATHEROSCLEROSIS / narrowing of the lumen of coronary arteries, due to cholesterol PLAQUES resulting in partial/ critical/ complete loss of blood supply to the affected portion of MYOCARDIUM (heart muscle) in a wedge-shaped fashion with its base inside, since they are END-ARTERIES. An LVEF (Left Ventricular Ejection Fraction) of 55% to 70% is satisfactory for proper blood circulation which indicates fair LV function. A clot in LV (left ventricle) indicates turbulence/ sluggish flow of blood in LV due to reduced movement of myocardium. However the heart valves are functioning normally as there is no Mitral/ Aortic/ Tricuspid/ Pulmonary valve REGURGITATION (back - flow) as evident by CFI (colour flow imaging) studies.