ECHO COMPLETE (From 3 months prior to admission)
Measurements and Calculations
Diast Nl Syst Nl
RV 3.31 cm 2.0 – 3.8 LA Diam 5.10 cm 3.0-4.0
IVS 1.26 cm 0.6 – 1.0 LA Area 26.55cm² <=20
LVID 6.72 cm 4.2 – 5.9 4.87 cm LA Vol 96.51 ml 18-58
LVPW 1.16 cm 0.6 – 1.0 LA Vol/BSA 41.06ml/m² 22+ / -6
RA Diam 4.86cm 2.9-4.5
Ao at the sinuses 3.48 cm Ao Ascending 3.78 cm Ao Descending 2.20cm
LVEF 48 % (biplane method of discs)
LV FS 27.5 LV SV 132.7 ml LV SI 56.5 ml/m²
Aov Cusp Sep 2.30 cm(Systole)
Aov VTI 0.305 m LVOT VTI 0.261 m LVOT diameter 2.78 cm
Aov VMax 1.38 m/s LVOT Vmax 1.12 m/s Dimensionless Index 0.81
Aov Pk Pressure 7.6 mmHg Aov Mn 4.1 mmHg Gradient Pressure Gradient
Aov Area (VTI) 5.20 cm² Aov Area Index 2.21 cm²/m² (VTI)
AI DT 2101 msec
MV VTI MV DT 215 msec
MV E Vmax 0.80 m/s MV A Vmax 0.86 m/s E/A 0.93
MV Area press 1/2 Time 3.53 IVRT E/E ‘ 8.02
Septal E ‘ 0.040 m/s Prop Velocity
Lateral E ‘ 0.10 m/s LA Pressure 16.10 mmHg
Average E’ 0.070 m/s MV Average E/E’ 11.45
TR Vmax 2.53 m/s TR Pk Grad 25.6 mmHg RA Pressure 3 mmHg RVSP 28.6 mmHg
TV E Max TV Mn Grad mmHg PHT 62.28 msec TV VTI
PV Vmax 0.91 m/s PV Pk Grad 3.3 mmHg PV Mn Grad RVEDP
Left Ventricle – Structure and Systolic Function: The left
ventricular cavity size is moderately increased. Ventricular wall
thickness is mildly increased. The relative wall thickness is normal
(0.36). Global left ventricular systolic function is mildly reduced.
The ejection fraction is 48% by biplane method of discs. Left
ventricular basal fractional shortening is decreased.
Left Ventricle – Diastole:The overall diastolic function is mildly
impaired (grade I, impaired relaxation pattern) with normal left
ventricular filling pressures.
Left Atrium: The left atrium is severely dilated in size.
Right Atrium: The right atrium is mildly dilated in size.
Atrial Septum: Atrial septum is not well visualized. Atrial septum is
structurally normal and intact on 2D and color Doppler interrogation.
Right Ventricle: The right ventricle is not well seen. The right
ventricular size is normal. Global right ventricular systolic
function is normal. The right ventricular fractional area change is
37.11% which is normal. The tricuspid annular plane systolic
excursion is 3.28 cm consistent with normal right ventricular
systolic function. The right ventricular systolic pressure, as
estimated using the tricuspid regurgitation velocity, is 28.6 mmHg.
Aortic Valve: The aortic valve is trileaflet and is calcified with
normal excursion. Mild aortic valve insufficiency is present. The
pressure half-time of the aortic insufficiency jet is 609 msec.
Mitral Valve: The mitral valve is structurally normal. Prolapse of
the mitral valve is not seen. No evidence of mitral stenosis is seen.
Mild mitral regurgitation is present.
Tricuspid Valve: The tricuspid valve is structurally normal. Trace
tricuspid regurgitation is present.
Pulmonic Valve: The pulmonic valve is not well visualized.
Aorta: The aorta at the level of the sinuses of Valsalva is normal in
diameter at 3.48 cm. The ascending aorta is normal at 3.78 cm. The
descending aorta is normal in size at 2.20 cm.
Pulmonary Artery: The tricuspid regurgitant velocity is 2.53 m/s, and
with an assumed right atrial pressure of 3 mmHg, the estimated
pulmonary artery systolic pressure is normal at 28.6 mmHg.
Pericardium: Normal
Summary:
1. Moderately increased left ventricular cavity size.
2. Severely dilated left atrial size.
3. Mildly increased left ventricular wall thickness.
4. Mildly reduced global left ventricular systolic function.
5. Mildly dilated right atrial size.
6. Mild diastolic dysfunction with normal left ventricular filling pressures.
7. Normal right ventricular systolic function.
8. Trileaflet aortic valve and aortic sclerosis.
9. Mild aortic insufficiency.
10. Mild mitral regurgitation.
11. Trace tricuspid regurgitation.
12. Normal aortic root diameter for body size.
13. Normal atrial septum by 2D and color Doppler.