What Can Be Told About This Cardiac Echo Report?

Question: What can be told about this Cardiac Echo report? It’s my fathers report who is 67yrs old.

Reason for Exam
Abnormal ECG
Interpretation Summary
MRN
0000
2.15 sq meters
Legal Sex DOB
Male 6/9/1954
29.8 138 82

Study date: 4/17/22
Reading physician: XXXXXXX N Lourie, MD
BSA (Calculated -
Weight Height sq m) BMI (Calculated) Systolic BP Diastolic BP
Priority: Routine
• The left ventricular systolic function is normal with an ejection fraction of 61-65%.
• The left ventricular diastolic function is abnormal with grade II (moderate) diastolic dysfunction.
• The left ventricular cavity, indexed to body surface area and gender is normal.
• There is mild concentric left ventricular hypertrophy present.
• The right ventricular systolic function is normal.
• The right ventricular cavity size is normal.
• The inferior vena cava demonstrates a normal central venous pressure, 3mmHg, (<2.1cm and >50% decrease). • There is a trivial pericardial effusion. There is no echocardiographic evidence of tamponade.
• Trace mitral and tricuspid regurgitation.
Unable to assess RV systolic pressure as tricuspid jet is suboptimal.
Findings
Right Ventricle Left Atrium Right Atrium Mitral Valve
Aortic Valve
Hart, XXXXXXX XXXXXXX 4:19 PM
Left Ventricle
The left ventricular cavity size, indexed to body surface area and gender is normal. The left ventricular systolic function is normal with an ejection fraction of 61-65%. The left ventricular diastolic function is abnormal with grade II (moderate) diastolic dysfunction. There is mild concentric left ventricular hypertrophy present.
The right ventricular cavity size is normal. The right ventricular systolic function is normal. The left atrial cavity is mildly dilated.
The right atrial cavity is mildly dilated.
The mitral valve structure is normal. There is trace mitral valve regurgitation. There is no evidence of mitral valve stenosis.
The aortic valve is mildly sclerotic. There is a trace jet of aortic valve regurgitation noted. There (MRN 0000) Printed by XXXXXXX N Lourie, MD [47509] at 4/17/22 Page 1 of 5

Findings (continued)
Tricuspid Valve
Pulmonic Valve IVC/SVC
Aorta Pericardium
Wall Scoring
Baseline
Wellstar Paulding Hospital (PH NON-INVASIVE CARD) 2518 XXXXXXX XXXXXXX XXXXXXX Parkway HIRAM GA 30141-2068 470-644-7000
is no evidence of aortic valve stenosis.
Tricuspid valve structure is normal. There is trace tricuspid valve regurgitation. There is no evidence of tricuspid valve stenosis.
Pulmonic valve structure is normal. There is no pulmonic valve regurgitation or stenosis.
The inferior vena cava demonstrates a normal central venous pressure, 3mmHg, (<2.1cm and >50% decrease).
The aorta appears normal in size indexed to body surface area.
There is a trivial pericardial effusion. There is no echocardiographic evidence of tamponade noted.
Score Index: 1.00
The left ventricular wall motion is normal.
TTE Technical Details
Procedure Information
Priority: routine. Echocardiogram was performed using complete 2D, color flow doppler and spectral doppler. Images were obtained from the parasternal, apical, subcostal and suprasternal views. HR: 55 bpm. ABN ECG. Image quality: Adequate.
Procedure Staff
Technologist/Sonographer: XXXXXXX R McHenry, RDCS Supporting Staff:
Left Ventricle Measurements
Ejection Fraction
Dimensions
LVID, ED
LVID, ED Index
LVID, ES
LVID, ES Index
2D IVSD
2D LV PW
IVS/LVPW
Diastolic Filling
E/A ratio
MA Vel - Ea, Medial
MV Peak E Vel
MA E/Ea Medial
MV Peak A Vel
Shunt Ratio
LVOT Stroke Volume
2D Ejection Fraction
EF Biplane
LV EF A2C
LV EF A4C
69 %
65 %
66 %
69 %
5.7 cm
2.69 cm/m2
3.5 cm
1.65 cm/m2
1.3 cm
1 cm
1.35
1.2
9.88 cm/s
108 cm/s
10.93
90 cm/s
121.58 mL
Page 2 of 5
Hart, XXXXXXX XXXXXXX (MRN 0000) Printed by XXXXXXX N Lourie, MD [47509] a

Thank you for the interpretation. Is there anything to be concerned about? He does have high blood pressure that medication is only partially controlling. It will suddenly go up with no real cause. I’ve read somewhere this could be the mildest form of congestive heart failure. Is there any truth to that?

Hello. Healthcare Magic site is acting up. I’m having troubles logging in. Finally able to do so after a number of try’s.

His medications are as follows: Citalopram 40mg, Simvastatin 40mg, Hydralazine 100mg, Losartan 100mg, Nifedipine 60mg (twice daily), Clonidine .2mg, Tamsulosin .4mg. Aspirin 81mg.

They did the echo cause they noticed a change from his last EKG. He has no symptoms. He was on Carvidol but was taken off because it was lowering his pulse rate in the 40’s. It’s now in the 50’s. He has a naturally low heart rate.