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- Aug 22, 2015
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Thought this would be worth sharing on here
I had a physical yesterday with a PCP in a very long time; he detected a slight mumur during the exam, and ordered an Echo for me (on top of an echo for carotid for a bruit he heard, and abdominal for hernia; which is what I originally went in for)
I had the echo done this morning, and got the results.
Findings:
Left ventricle: The cavity size was normal. Wall thickness was
increased in a pattern of mild LVH. Systolic function was normal.
The estimated ejection fraction was 55%, by biplane method of
disks. Wall motion was normal; there were no regional wall motion
abnormalities. Left ventricular diastolic function parameters were
normal.
Aortic valve: Structurally normal valve. Trileaflet; normal
thickened leaflets. Doppler: There was no stenosis. No
regurgitation.
Aorta: Aortic root: The aortic root was normal in size.
Mitral valve: Normal thickened leaflets. Mobility was not
restricted. Doppler: There was no evidence for stenosis. No
regurgitation. Valve area by pressure half-time: 4.07cm^2.
Indexed valve area by pressure half-time: 2.05cm^2/m^2. Peak
gradient (D): 2mm Hg.
Left atrium: The atrium was normal in size.
Atrial septum: The septum was normal.
Right ventricle: The cavity size was normal. Systolic function was
normal.
Pulmonic valve: Not well visualized. The valve appears to be
grossly normal. Doppler: There was no evidence for stenosis.
No regurgitation.
Tricuspid valve: Structurally normal valve. Mobility was not
restricted. Doppler: There was no evidence for stenosis.
Trivial regurgitation.
Pulmonary artery: Normal pulmonary artery pressure.
Right atrium: The atrium was normal in size.
Pericardium: There was no pericardial effusion.
Quality of study: Image quality was good.
Was anticipating much worse
I had to pay my $1k deductible, but I'm glad I got this done. I'm more on the conservative side with things, and definitely not a big guy but I was definitely anxious for the findings. My HR was 100 during the exam from anxiety, and I kept annoying the tech with questions. The variability in calculating the EF is pretty evident as they do the scan; the measurements they select for the wall width can throw it 5-10%<>; the tech was nice enough to show that to me. I'm not an expert at interpreting echos, but I wonder if they are actually calculating it based on numbers they gather or relying on the computer doing it for them per selection width
My doc is a pretty smart guy who sized me up, and the lifestyle pretty fast; didn't mention anything to him even though he asked. Wonder if he just put down a reason to test my heart for safety sake
TLDR: Went in for hernia exam; no hernia found but got an echo done instead
I had a physical yesterday with a PCP in a very long time; he detected a slight mumur during the exam, and ordered an Echo for me (on top of an echo for carotid for a bruit he heard, and abdominal for hernia; which is what I originally went in for)
I had the echo done this morning, and got the results.
Findings:
Left ventricle: The cavity size was normal. Wall thickness was
increased in a pattern of mild LVH. Systolic function was normal.
The estimated ejection fraction was 55%, by biplane method of
disks. Wall motion was normal; there were no regional wall motion
abnormalities. Left ventricular diastolic function parameters were
normal.
Aortic valve: Structurally normal valve. Trileaflet; normal
thickened leaflets. Doppler: There was no stenosis. No
regurgitation.
Aorta: Aortic root: The aortic root was normal in size.
Mitral valve: Normal thickened leaflets. Mobility was not
restricted. Doppler: There was no evidence for stenosis. No
regurgitation. Valve area by pressure half-time: 4.07cm^2.
Indexed valve area by pressure half-time: 2.05cm^2/m^2. Peak
gradient (D): 2mm Hg.
Left atrium: The atrium was normal in size.
Atrial septum: The septum was normal.
Right ventricle: The cavity size was normal. Systolic function was
normal.
Pulmonic valve: Not well visualized. The valve appears to be
grossly normal. Doppler: There was no evidence for stenosis.
No regurgitation.
Tricuspid valve: Structurally normal valve. Mobility was not
restricted. Doppler: There was no evidence for stenosis.
Trivial regurgitation.
Pulmonary artery: Normal pulmonary artery pressure.
Right atrium: The atrium was normal in size.
Pericardium: There was no pericardial effusion.
Quality of study: Image quality was good.
Was anticipating much worse
I had to pay my $1k deductible, but I'm glad I got this done. I'm more on the conservative side with things, and definitely not a big guy but I was definitely anxious for the findings. My HR was 100 during the exam from anxiety, and I kept annoying the tech with questions. The variability in calculating the EF is pretty evident as they do the scan; the measurements they select for the wall width can throw it 5-10%<>; the tech was nice enough to show that to me. I'm not an expert at interpreting echos, but I wonder if they are actually calculating it based on numbers they gather or relying on the computer doing it for them per selection width
My doc is a pretty smart guy who sized me up, and the lifestyle pretty fast; didn't mention anything to him even though he asked. Wonder if he just put down a reason to test my heart for safety sake
TLDR: Went in for hernia exam; no hernia found but got an echo done instead