“Heart test what does it all mean”

51 year old female
Indications: Murmur
History: Phen Fen Murmur MO No Prior Echo
Procedure Performed: A complete two-dimensional, color flow and Doppler transthoracic echocardiogram was performed.
BP: 181 / 99 HR: 83 Rhythm: Sinus


Contrast: Dose (mL): Technical Quality:Fair

MEASUREMENTS
2D ECHO
LV Diastolic Diameter PLAX 4.3 cm LV Stroke Volume 2D Teich 59.1 cm3
LV Systolic Diameter PLAX 2.6 cm LV Stroke Volume 2D Cubed 63.1 cm3
IVS Diastolic Thickness 1.0 cm LV Stroke Volume Index 26.7 cm3/m2
LVPW Diastolic Thickness 1.1 cm LA Volume Index 12.5 mL/m2
LA Systolic Diameter LX 4.0 cm Ascending Aorta Diameter 3.0 cm

M-MODE
TAPSE 1.8 cm

AORTIC VALVE
AV Peak Velocity 130.0 cm/s LVOT Peak Velocity 85.7 cm/s
AV Peak Gradient 6.8 mmHg LVOT Peak Gradient 2.9 mmHg
AV Mean Gradient 4.0 mmHg LVOT Velocity Time Integral 14.6 cm
AV Velocity Time Integral 23.7 cm

MITRAL VALVE
Mitral E Point Velocity 101.0 cm/s Mitral E to LV E' Lateral Ratio 12.9
Mitral A Point Velocity 101.0 cm/s LV E' Septal Velocity 9.0 cm/s
Mitral E to A Ratio 1.0 Mitral E to LV E' Septal Ratio 11.2
LV E' Lateral Velocity 7.8 cm/s


FINDINGS
2D / M-MODE
Left Ventricle The left ventricular cavity size, wall thickness, systolic function are normal with no regional wall motion
abnormalities present. The left ventricular ejection fraction is normal, estimated at 65-70%. There is normal
diastolic function.
Right Ventricle The right ventricle is normal in size and systolic function.
Left Atrium The left atrium is upper normal in size.
Right Atrium The right atrium is normal in size.
Aorta The aortic root is normal in size.
Vessels The inferior vena cava (IVC) is normal in size. Normal respiratory variation of the inferior vena cava is
present.
Pericardium No significant pericardial effusion detected.

VALVULAR / DOPPLER
Aortic Valve The aortic valve is not well visualized. There is no stenosis. There is no regurgitation.
Mitral Valve Mitral valve leaflets are mildly sclerotic but pliable. There is no stenosis. There is no regurgitation.
Tricuspid Valve The tricuspid valve is normal in structure. There is no stenosis. There is no the pulmonary arterial systolic
pressure could not be estimated due to an incomplete tricuspid regurgitation velocity profile. regurgitation.
Pulmonary Valve The pulmonic valve is not well visualized. There is no stenosis. There is no regurgitation.

ADDITIONAL FINDINGS
Atrial Septum No evidence of an atrial septal defect by color doppler. The interatrial septum is not well seen.

Conclusions 1: The left ventricular cavity size, wall thickness, systolic function are normal with no regional wall motion
abnormalities present. The left ventricular ejection fraction is normal, estimated at 65-70%. There is normal
diastolic function.
2: No significant valvular abnormalities. Mitral valve leaflets are mildly sclerotic but pliable.
3: I do not have a prior study for comparison.