Please HELP, someone with PEDI Cardio knowledge please?!
Question: Please HELP, someone with PEDI Cardio knowledge please!?
We have an upcoming appt next thursday for my daughter Livy whom is 8 mths old!. Now, before ever monthly eval of her heart, I go through all the doctors notes and get all of my questions from the doctors information!. Unfortunately, I am a little confused!. I thought I understand exaclty what was going on, but reading the below makes me feel like the Ped Cardiologist don't even know!.
Echo: An echo shows a prominent wedge of subaortic muscle with mild concentric left ventricular hypertrophy!. There was no left ventricular outflow obstruction!. There is a prominent subpulominic muscle with a element of subpulmonic stenosis!. There is also supravalvular pulmonary stenosis!. The peak combined gradient across the right ventricular outflow tract is 42 mmhg with a mean of 17 mmhg with late peaking consistent with the subpulmonic gradient!.
Please help me!!!!!Www@Answer-Health@Com
Echo: An echo shows a prominent wedge of subaortic muscle with mild concentric left ventricular hypertrophy!. There was no left ventricular outflow obstruction!. There is a prominent subpulominic muscle with a element of subpulmonic stenosis!. There is also supravalvular pulmonary stenosis!. The peak combined gradient across the right ventricular outflow tract is 42 mmhg with a mean of 17 mmhg with late peaking consistent with the subpulmonic gradient!.
Please help me!!!!!Www@Answer-Health@Com
Answers:
Concentric left ventricular hypertrophy means that there is uniform thickening of the muscle of the left ventricle, in a symmetric fashion!. In some cardiomyopathies, there will be assymetric thickening!. Even though there is a wedge of muscle below the aorta, it is not obstructing the flow of blood from the left ventricle into the aorta!.
There is obstruction in track of blood flow from the right ventricle into the pulmonary artery!. The obstruction is present both above and below the pulmonary valve, with a combined pressure difference between the right ventricle and pulmonary artery of 42 mm Hg!. Peak value means the maximum difference when the ventricle contracts at its maximum effort!. Since the device is measuring the pressure gradient along a line using the flow velocity information, we cannot say exactly whether the pressure gradient is above or below the valve!. But the pattern of flow (late peaking) is suggestive of more obstruction below the valve than above the valve!. Below the pulmonary valve is called subpulmonic and above the valve supravalvar!.Www@Answer-Health@Com
There is obstruction in track of blood flow from the right ventricle into the pulmonary artery!. The obstruction is present both above and below the pulmonary valve, with a combined pressure difference between the right ventricle and pulmonary artery of 42 mm Hg!. Peak value means the maximum difference when the ventricle contracts at its maximum effort!. Since the device is measuring the pressure gradient along a line using the flow velocity information, we cannot say exactly whether the pressure gradient is above or below the valve!. But the pattern of flow (late peaking) is suggestive of more obstruction below the valve than above the valve!. Below the pulmonary valve is called subpulmonic and above the valve supravalvar!.Www@Answer-Health@Com
The left ventricle is somewhat enlarged!. The is a narrowing somewhere in the pulmonary artery!. A gradient is a difference in pressure between two areas!. In this case from the right ventricle to (I am not sure) pulmonary artery!. If I am correct, it may suggest a bad valve!.
Mean pressuer is an average pressure between the two sites!.Www@Answer-Health@Com
Mean pressuer is an average pressure between the two sites!.Www@Answer-Health@Com
In simplest terms, it sounds like the right heart has to generate a substantial amount of pressure to get blood flowing from the right side of the heart to the left side of the heart!. There is narrowing of the passage between the left and right side of the heart so the heart has to work harder to push that blood through (and so generates more pressure!.!.the 42 mmhg that you see) eventually, just like any muscle you work out, that ventricle will enlarge!. The left side of the heart sounds like it is also a little enlarged from what you told us!. Again, this is over simplified!. I hope that you speak with your docs and have them explain things to you till you do understand them!.
I also hope your little one does well!.Www@Answer-Health@Com
I also hope your little one does well!.Www@Answer-Health@Com
This Patient Guide is written for the loved ones of heart patients who are dealing with the short-term stress that comes with a test, procedure or recent diagnosis of heart disease!. It explains why support is so important to a loved one with heart disease!. It also offers practical strategies on how to support a loved one while also taking care of yourself!.Www@Answer-Health@Com