Heart & Cardiology/Values on Echo report

Advertisement


Question
Hi Dr Ahmed,

Just completed an echocardiogram...Summaries read as follows:

2-Dimensional echo - LV size is normal...LV wall thickness is normal...Segmental LV function is normal..Overall LV function is normal w/an estimated EF of 65-70%..RV size is normal..RV wall thickness is normal..RV function is normal....RV TAPSE is 2 cm..LA volumw index is 17ml..RA size is normal..Pulmonary size is normal..Aortic root size is normal...Ascending aorta is normal at 3.1cm..Aoritc valve is normal..Mitral valve is normal...Tricuspid valve is normal...Pulmonic valve is normal..No pericardial effusion is seen..

Spectral Doppler - There is trace tricuspid regurgitation...The nitral inflow E velocity is 55cm..Mitral inflow velocity is 75cm..Mitral annular vwlocity is 12cm..Mitral inflow E to annular E ratio is 5...Peak tricuspid regurgiant velocity is 1.9m/sec & w/an assumed RA pressure of 8mm, estimated PA systolic pressure is 22..LV outflow tract diameter is 2.2cm..LV outflow tract is 1.0 m/s..Aoritc valve peak velocity is 1.1m/s...Aortic valve peak gradient is 5mmhg..The aoritc valve dimensionless index is 0.91...There is normal diastolic function...

Final Impressions - Normal LV size...LV has normal systolic function..Normal RV size...RV has normal function...

1. In the Spectral Doppler section i listed, what is mitral inflow, and tricuspid regurgitant velocity mean?...I had never seen that much detail on the Doppler section of an echo, this was my 3rd one...

Answer
Hi Rich,

The spectral doppler section is looking at the way in which blood fills the pumping chambers of the heart, it can give us a clue as to the relaxation properties of the heart amongst other things. The detail as shown in your report is standard. The values in your report are essentially normal in the context of the echo.

The tricuspid regurgitant velocity is a way of estimating the pressure in the right side of the heart and the pulmonary arteries. A high value here signifies an entity known as pulmonary hypertension, The velocity is combined with the right atrial pressure and gives a good estimate of the pulmonary artery pressure. In your case, this is 22 which is normal,

so good news and a normal echo,

Hope that was helpful,  

Heart & Cardiology

All Answers


Answers by Expert:


Ask Experts

Volunteer


Mustafa Ahmed MD

Expertise

Cardiology, Interventional Cardiology, Cardiac Surgery, Hypertension, Pulmonary Embolism, Structural and Valve Disease

Experience

Board Certification Internal Medicine and Cardiology Interventional and Structural Cardiology

Organizations
http://blog.myheart.net

Publications
Multiple Publications In High Quality Peer Reviewed Journals. Internationally Recognized.

Education/Credentials
MD from The Royal Victoria University of Manchester, England Medicine, Cardiology, Interventional Cardiology, Research Training - University of Alabama

©2016 About.com. All rights reserved.