HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

What Does My Cardiac Ultrasound Report Indicate?

Posted on Wed, 23 Apr 2014

Question: Can you tell me how to interpret this report: LVOT diameter - 2.2cm LV end diastolic diameter - 4.6 cm LVIDs - 3.0 cm LIPWd - 1.0 cm IVSd - .87 cm Left Atrium diameter - 2.9 ACS - 1.8 cm Right Atrium diameter - 3.1 cm RVIDd - 1.8 cm Mitral Valve D-E excursion - 1.6 cm Mitral Valve EF slope - 260 mm/sec (this is the one that is out of range, it says it should be 70-150 mm/sec) EPSS - .77 (this appears to be out of range as well 0 2-7mm) LV Ejection - 63% CO by MO-mode - 7.7 Lminute Pericardial Effusion - not present MV: Ewave: 1.3 m/s, aWave .63 m/s AV: .75 m/s TV: .55 m/s PV: .84 m/s

Answered by Dr. Sukhvinder Singh (1 hour later)

Brief Answer: Please see below Detailed Answer: Dear Sir Any report including the ECHO or cardiac ultrasound is best interpreted in light of clinical scenario. All your parameters are within normal limits. The EF slope is more than normal. It is not an abnormality. It indicates normal pressure difference between two chambers of left side. The E point septal separation or EPSS is marginally higher than the normal. It usually indicates a larger than normal left main pumping chamber (ventricle). But it is not so in your case as ventricular size is normal. Other dimensions and flow velocities across the valves are also normal. Pumping capacity of Left ventricle is also normal. Hope this helps. Feel free to discuss further. Sincerely Sukhvinder

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sukhvinder Singh (1 minute later)

So there is nothing wrong?

Answered by Dr. Sukhvinder Singh (5 minutes later)

Brief Answer: Nothing abnormal in given parameters. Detailed Answer: Dear Sir The parameters as mentioned by you are within normal limits. Sincerely Sukhvinder

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sukhvinder Singh (7 minutes later)

My pulse rate is 107 and has been high for 6 months. It started when i started taking blood pressure medicine, lisinotril 40mg 1 per day. Can this cause increased heart rate? My doctor put me on Carvedilol 6.25 mg to slow down my heart rate but it is not working. Im also on cholestrol medicine - symbastatin 20mg 1x per day

Answered by Dr. Sukhvinder Singh (51 minutes later)

Brief Answer: Please see details Detailed Answer: Dear Sir Whenever heart rate rises we look for the rhythmof heart at that time. At 107 beats per minute it is likely to be normal rhythm. In such cases we always look for a secondary cause for the rise. It may be stress, anxiety, anemia, thyroid diseases, some drugs like anti-asthma medication, chronic infection, smoking, reduce cardiac functioning, smoking etc. If we can not identify the cause, we look for rare rhythm disorders which are usually episodic. Lisinopril does not freuently cause secondary rise in heart rate but it may cause. I would change the medication rather than adding an agent in my patients. Moreover if I choose a betabloker, it will be cardio selective rather than carvedilol. Hope this provides more insight into the issue. Sincerely Sukhvinder

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sukhvinder Singh (1 minute later)

So you think my heart is fine?

Answered by Dr. Sukhvinder Singh (10 minutes later)

Brief Answer: Please see below. Detailed Answer: Dear Sir There are many aspects of a heart problem. Cardiac ultrasound which you discussed is one of them. Yes the parameters of ultrasound as detailed, are fine. You should consult a cardiologist for exact scenario. This would include an examination and possibly other relevant tests. Sincerely Sukhvinder

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

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar