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Does My 2D Echo Report Suggest Heart Failure?

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Posted on Fri, 24 Oct 2014
Question: RVID cm.... 07-2.4 Syst Diast N LVID cm... 3.7-5.4 Syst 2.8 Diast 4.9 POST. WALL THICKNESS 0.8-1.1 Diast 1.0 SEPTAL WALL THICKNESS 0.7-1-2 Diast 0.8 LAID 1.9-3.8 Syst 2.8 AORTIC ROOT DIMENSION 2.0-3.7 Diast 2.7 MTRL. VLV. VEL. D.D.R. 80mm/sec-150mm/sec Diast N Comments: The patient underwent 2-D, M-Mode and doppler examination including s pulse-wave, continuous-wave and color-flow analysis; the study is technically adequate; the following is observed: AORTIC VALVE: normal; tricuspid in appearance with normal central closure. MITRAL VALVE: mitral valve prolapse. TRICUSPID VALVE: normal. PULMONIC VALVE: not well visualized. LEFT ATRIUM: normal; no intracavitary masses or clots seen. AORTIC ROOT: normal size with adequate motion. LEFT VENTRICLE: normal chanber size. Normal LV systolic function. Ejection fraction was 60%. RIGHT ATRIUM: normal. RIGHT VENTRICLE: normal size and function. PERICARDIUM: unremarkable; no evidence of effusion. DOPPLER: doppler examination of the aortic, mitral, tricuspid, and pulmonary valves and performed. This shows decreased compliance of the LV. Moderate mitral reguritation and mild tricuspid regurgitation. CONCLUSION: 1. Mitral valve prolapse. 2. Normal LV systolic function. 3. Decreased compliance of the LV. 4. Moderate mitral reguritation. 5. Mild tricuspid reguritation. I would like to know if I have heart failure based on the results on this echo, which was done about two weeks ago. My heart dr doesn't seemed alarmed, but I do have swelling in my calves and on top of my feet. I am not overweight, am 54, non smoker, weight is 127. I do also have SVT. I take tenormin for the svt and have since age 22.

Why hasn't my question been answered?
doctor
Answered by Dr. Dr.Raju.A.T (25 hours later)
Brief Answer:
No

Detailed Answer:
Hi,

Thanks for your query.

No, the 2D echo report you mentioned above does not indicate that you have heart failure.

Though there are minor defects in the heart values they for now do not pose any serious problem to the heart and its functioning.

The swelling in the calf may have to be examined and evaluated as the cause for the same may not be the heart.

Hope, I answered your query.

Wish you good health.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr.Raju.A.T (29 hours later)
I also have another question. I have been experiencing since last year. I started to walk last year at our walking track, and every time I would get finished and get back home, I would smell an ammonia smell. It was like it was in my nose or something and really strong. I have continued to have this and more now that I go walking again. Do you know what would cause this or what kind of tests I would need to see what this is from?
doctor
Answered by Dr. Dr.Raju.A.T (41 hours later)
Brief Answer:
Increased protein breakdown

Detailed Answer:
Hi,

Sorry for the delay in response.

Smell of ammonia in sweat is a sign of increased protein breakdown in the body. This happens when you have diet with low carbohydrates and high protein.

This is not serious and need no intervention.

You can get rid of the same by consuming ample amount of water.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr.Raju.A.T (34 hours later)
I have one more question to ask. Tonight I could taste blood in my mouth and it was very bright, and a lot of it. It seemed to be coming from an upper tooth. What would be causing it?

There was quite a bit of bright blood and it just came out of nowhere. I visit the dentist every six months to have my teeth cleaned and checked. I have had this problem before, but it seemed to come from a bottom tooth that the dentist says I have a crack in. This time it was coming from the upper part of the left side of my mouth and I would like to know if there are any medical reasons that this would be from? It scares me because I know it isn't normal to have this much blood just come out of nowhere, plus the fact I have been feeling not so well and very tired. Can you tell me if there are some kinds of blood work I need done to look for a cause for this?

I was looking on the internet for what might be the cause of this symptom and wondered if you think I might need to be tested for any of these. Cirrhosis, Pernicious Anemia, Low Platelet Count (Thrombocytopenia), Leukemia, or Temporal Arteritis? I do stay tired a lot and have some bone soreness and tenderness and they are listed in some of these things. They said it is a tired that rest doesn't take care of and that is the way I feel.
doctor
Answered by Dr. Dr.Raju.A.T (2 days later)
Brief Answer:
Vit C defeciency

Detailed Answer:
Hi,

Thanks for writing back.

Sorry for the delay in my response,

Need not worry. Unexpected bleeding from gums is a common problem and seen mostly due to vitamin C deficiency or low platelet count.

Well, there is no reliable test to determine the vit C deficiency test. Do take the supplements on daily basis and get the platelet count checked. The other causes you mentioned though can cause oral bleed are not too common.

Hope, I answered your query.

Wish you good health.

Regards,
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr.Raju.A.T

General & Family Physician

Practicing since :2008

Answered : 4933 Questions

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Does My 2D Echo Report Suggest Heart Failure?

Brief Answer: No Detailed Answer: Hi, Thanks for your query. No, the 2D echo report you mentioned above does not indicate that you have heart failure. Though there are minor defects in the heart values they for now do not pose any serious problem to the heart and its functioning. The swelling in the calf may have to be examined and evaluated as the cause for the same may not be the heart. Hope, I answered your query. Wish you good health. Regards,