Is my echo normal?!
Question: I recently took an echo and here is the details
RVDD(0.7-2.8) 1.8 IVSD (0.6-1.1) 1.2 LVIDD(3.7-5.6) 4.8 LVIDS 2.8 LVPWD 1.1 AO(<4.2) 2.8
LA (<4.0) 4.1 RA 2.7
Ejection fraction : 73% Aroticroot : normal RHYTHM ;Normal sinus rythm pericardium ;Normal
Mitral valve :normal -Regurgitation : Physiologic
tricuspid valve : normal -Regurgitation : Physiologic
aoratic valve : normal -Regurgitation : none
Pulmonary artery pressure : normal
impression; mild lvh spetum is marginally thicker than posterior wall.No LVOT obstruction LA enlarged mildly
Conclusion : Abnormal
My question is regurgitation :Physiologic what does this means?
Why they gave my echo as abnormal
Answers: I recently took an echo and here is the details
RVDD(0.7-2.8) 1.8 IVSD (0.6-1.1) 1.2 LVIDD(3.7-5.6) 4.8 LVIDS 2.8 LVPWD 1.1 AO(<4.2) 2.8
LA (<4.0) 4.1 RA 2.7
Ejection fraction : 73% Aroticroot : normal RHYTHM ;Normal sinus rythm pericardium ;Normal
Mitral valve :normal -Regurgitation : Physiologic
tricuspid valve : normal -Regurgitation : Physiologic
aoratic valve : normal -Regurgitation : none
Pulmonary artery pressure : normal
impression; mild lvh spetum is marginally thicker than posterior wall.No LVOT obstruction LA enlarged mildly
Conclusion : Abnormal
My question is regurgitation :Physiologic what does this means?
Why they gave my echo as abnormal
For the most part, the echocardiogram results are normal. Regurgitation means that when the valves are closed, there is blood that leaks back into the chamber before it. However the heart valves on the right side of the body (tricuspid and pulmonary valves) tend to have a slight regurgitation in most people...that's why it's call "physiologic". Unless the leak in the tricuspid valve is measurable and is more than 15 mmHg, it's normal. Your left atrium measures slightly enlarged, but it's only .1 cm over the upper limit and the measurement is taken manually, so there is room for error. The only part that seems abnormal is the thickness of the left ventricular septum at 1.8 cm. There is a possibility of that thickened wall to obstruct the outflow tract of the ventricle during contraction; however, that was tested for as well and came back negative. I wouldn't worry too much about the echo results, but it wouldn't hurt to have one done every few years just to make sure that the septum doesn't get any thicker or starts to actually cause an obstruction of the LV outflow tract. Speak with your doctor to see if that is something to continuously monitor.
Regurgitation indicates a problem with the heart valves. The heart has 4 chambers, a right and left atrium which are the top chambers and a right and left ventricle which are the bottom chambers they do most of the pumping action of the heart. The mitral valve divides the left atrium from the left ventricle (think of it as a door separating 2 rooms). This valve doesn't close properly letting blood spill backward or regurgitate into the atrium from the ventricle. This caused the LA (left atrium) enlargement which is mentioned. The tricuspid valve divides the right atrium from the right ventricle. It to shows signs of regurgitation. The same was noted for the aortic valve which separates the left ventricle from the aorta which is the main artery leading out of the heart to the rest of the body. If you have no symptoms these findings are probably not significant although you should definitely discuss this with a cardiologist.
Hope this was clear!
To add to the preceding answer, heart valves almost always leak at least a tiny amount of blood, and this normal leakage is sometimes referred to as "physiologic."