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What Does This ECG Report Indicate?
I have severe pulmonary arterial hypertension. My echo done two days ago state:
pulmonary pressures 128mmhg
right ventricle moderately dilated and moderately hypertrophied with moderate RV hypokinetic
small LV cavity
RVIDD 28mm
Lved 39mm
Lvsd 20mm
My question is this: On previous echoes, my right ventricle has been 33-34-35 mm at different times. This was said to be mild dilatation. Then it went to 31mm and they said it was not dilated on last echo, three months ago. Now this time it is 28mm and it is said to be moderately dilated. I don't understand. Could you please explain this to me?
Thanks, Susan
pulmonary pressures 128mmhg
right ventricle moderately dilated and moderately hypertrophied with moderate RV hypokinetic
small LV cavity
RVIDD 28mm
Lved 39mm
Lvsd 20mm
My question is this: On previous echoes, my right ventricle has been 33-34-35 mm at different times. This was said to be mild dilatation. Then it went to 31mm and they said it was not dilated on last echo, three months ago. Now this time it is 28mm and it is said to be moderately dilated. I don't understand. Could you please explain this to me?
Thanks, Susan
Wed, 31 Aug 2016
Dear Susan,
There are two ways to measure right ventricular dimentuons. They measure from different places, and there are different cut of values for each measurement. Most probably the last time they measured right ventricular size from apical view, so 31 mm was quite normal finding, and this time they measured from parasternal view, so it is dilated, so the absolute value is small but for that view it is dilated. We shouldn't forget, that our heart is a 3D geometrical structure, that's why it depends which diameter we take, and there are different values for different cut planes.
Take care
Come back if you have any further questions
There are two ways to measure right ventricular dimentuons. They measure from different places, and there are different cut of values for each measurement. Most probably the last time they measured right ventricular size from apical view, so 31 mm was quite normal finding, and this time they measured from parasternal view, so it is dilated, so the absolute value is small but for that view it is dilated. We shouldn't forget, that our heart is a 3D geometrical structure, that's why it depends which diameter we take, and there are different values for different cut planes.
Take care
Come back if you have any further questions
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