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NetWellness provides the highest quality health information and education services created and evaluated by faculty of our partner universities.
Saturday, November 21, 2009
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NetWellness provides the highest quality health information and education services created and evaluated by faculty of our partner universities.
Saturday, November 21, 2009
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Heart Failure |
Echocardiogram Results Interpetation01/07/2009 |
I am a 57yr old male living in Philippines. My echocardiogram produced these results. I had a rapid rise of BP 120/60 to 180/90 in a matter of minutes. Was previously on Cozaar(50mg),Logimax(50mg)Imdur(30mg) and Plavix (75mg). I had echocariodgram for a rise in my blood pressure. Result in question reads- dilated left ventricle(5.3cm) with mild hypokinesia of the anterior interventticular septum from base to apex. Conclusion: dilated left ventricle(5.3cm) with mild regional wall motion abnormality ejection fraction:69%, silghtly dialated left atrium(3.6cm). I apparently need a stress test to confirm or deny blockage. Please explain results. thanks
The echocardiogram shows that your left ventricle is mildly dilated, which is a sign of some form of overload on the heart. The most common causes of such overload are hypertension and coronary artery disease, which causes a decrease in function in some area of cardiac muscle tissue. Your ejection fraction (the amount of blood pumped per heart beat) is normal. Your heart most likely still functions normally, although normal ejection fraction is not a guarantee that you don't have mild heart failure.
Your echocardiogram also shows mild hypokinesia, which means that some part of your ventricle is not contracting properly. This indicates some local damage, most likely from an earlier small heart attack. You probably have coronary artery disease. You need a stress test with some form of imaging to check for the function of your heart and for areas of coronary artery blockage that may need correction. If you have a blockage, it can often be opened with a balloon (angioplasty) or with surgery (coronary artery bypass graft or CABG).
A stress test is important, because undetected blockages can worsen and cause a major heart attack. In your case, you most likely have some left ventricular disease from hypertension as well as coronary artery disease. A full evaluation by a cardiologist is in order.
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Max C. Reif, MD Director, Hypertension Section Division of Nephrology & Hypertension Department of Internal Medicine College of Medicine University of Cincinnati |
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