Hello Doctor - I am a 51 and 4 months aged Caucasian male. Have both surviving parents ( 73,70) a living grandfather who is 91 and no family history of heart disease/ heart attack. I weigh 77kg and a height of 174 cm and am physically active daily for a minimum of 20 minutes. I am applying for a Government job which required me to have a Cardiologist report. Results as follows: Transthoracic Echocardiogram Left Ventricle The left ventricle is normal in size. There is normal left ventricular wall thickness. Left ventricular systolic function is normal. The transmitral spectral Doppler flow pattern is normal for age. (Average EIE :7). No regional wall motion abnormalities noted. Right Ventricle The right ventricle is normal in size and function. Atria The left atrium is mildly dilated. LA area = 22 cm^2. Right atrial size is normal. RA area = 19 cm^2. The interatrial septum is intact with no evidence for an atrial septal defect. Mitral Valve The mitral valve is normal in structure and function. There is trivial mitral regurgitation. Tricuspid Valve The tricuspid valve is normal in structure and function. There is mild tricuspid regurgitation. The estimated RVSP is 31mmHg, assuming the RAP is 3mmHg (lVC50% collapse). Aortic Valve The aortic valve is trileaflet. The aortic valve is normal in structure and function. Pulmonic Valve The pulmonic valve is normal in structure and function. Trivial to mild pulmonic valvular regurgitation. Great Vessels The aortic root is normal size. Ascending aorta normal size. Pericardium/Pleural There is no pericardial effusion. MMode/2D Measurements & Calculations lVSd: 0.92 cm LVIDd: 5.0 cm LVPWd: 1.0 cm LVIDs: 2.6 cm FS: 47.1 % EF(Teich): 78.3 % EDV(Teich): 117.3 ml LVOT diam: 2.3 cm ESV(Teich) .25.4 ml LVOT area . 4.1 cm2 LA dimension: 4.5 cm Ao root diam: 3.1 cm Doppler Measurements & Calculations Ao V2 max: 1.55 m/sec MV Med peak E : g.4 cm/sec Ao max PG: 9.7 mmHg MV Med E/ e : 10.5 MV E max velt 0.98 m/sec MV A max vel: 0.62 m/sec Page2 of2 MV dec time: 150 msec MV E/A: 1.6 TV V2 max:2.49 m/sec TR max velt 2.54 m/sec TV max PG:24.8 mmHg TR max PG: 26.0 mmHg RVSP(TR)r 29.0 mmHg RAP systole: 3.0 mmHg Report Summarv: 1. Normal left ventricular cavity size and wall thickness with normat systolic function. 2. Normal right ventricular size and function. 3. Normal atria size. 4. Normal valves and Doppler flows Conclusions The patient exercised on the treadmill for 10:00 minutes of Bruce protocol achieving 10.9 mets at 110% of age predicted without chest pain. Heart rate rose to 170 bpm, which was 100% of predicted heart rate. Blood pressure rose to 180/75, which was a normotensive response to exercise.The ECG showed -1.4mm of ST depression, maximal in aVR - within normal limits. Rhythm showed sinus throughout. Reason for termination: Protocol completed. Summary: A normal exercise test, no evidence of ischaemia at high workload. Entry in to this Government job also requires a PT test of 10 pushups, 20 situps and a beep test level of 6.5.........Are there any concerns/issues that I should be aware of? Thank You for your time. Sincerely Simon