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How do you read an echo-doppler report?

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  • How do you read an echo-doppler report?

    [How do you read an echo-doppler report?]

    Author: Erica (---.atlnga1.dsl-verizon.net)

    Date: 09-30-02 23:21

    I hope you are all well this evening! As I posted before ... my father has HCM with obstruction. I had my first echo performed last week to see if I was at risk for HOCM and I was informed that my test results were "normal." I just wish I understood the lingo on the report. Here were my findings:

    -Undiagnosed cardiac murmurs ICD code: 758.2

    Ventricle:

    -LVIDd: 3.8 cm

    -LVIDs: 2.2 cm

    -PWT: 0.8 cm

    -SWT: 0.8 cm (Is this the weight of the septum?)

    -PS: 0.42

    Atrium:

    -Diameter: 2.0 cm

    Unable to make out letters for “other echo and other special procedures:

    -?spid: Trivial TR

    -?onary: Trivial PR

    Interpretation:

    -Normal echo Doppler with no LVH

    -Valvular regurgitation: Trivial PR, Trivial TR

    -No valvular stenosis

    Thanks in advance!

    Erica Stolzenberg

    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

    [Re: How do you read an echo-doppler report?]

    Author: Reenie Smith (---.snbrca.adelphia.net)

    Date: 10-01-02 00:20

    Erica,

    I don't know a lot, but can tell you a couple of things about your echo.

    1. You have valvular regurgitation. That means you have a leaky valve. It says trivial, so it must not leak much. I have mitral valve prolapse with regurgitation and the only thing I have to do is take antibiotics when I have procedures like dental work done. I don't have HCM, my hubby does. He has no regurgitation. Not necessarily related to HCM.

    2. The part about no valvular stenosis means that there isn't any narrowing of any of the valves or arteries that they could detect on the echo.

    I hope this makes you feel a little better. I'm sorry I wasn't able to tell you more. I'm sure someone else will answer you questions much more in depth than I can soon.

    Reenie

    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

    [Re: How do you read an echo-doppler report?]

    Author: Sarah B--Board Moderator (---.client.attbi.com)

    Date: 10-01-02 00:41

    Dear Erica,

    Undiagnosed cardiac murmurs ICD code: 758.2

    ==This is probably the billing code for the test

    Ventricle:

    -LVIDd: 3.8 cm= left ventricle at diastole, normal range 3.5-5.1

    -LVIDs: 2.2 cm=left ventricle at systole, norm range 2.3-3.4

    -PWT: 0.8 cm= post wall thickness normal is .65-1.1

    -SWT: 0.8 cm (Is this the weight of the septum?)= septal wall thickness, norm is .5 - 1.0.

    -PS: 0.42 =I have no idea on this one.

    Atrium:

    -Diameter: 2.0 cm -normal is 1.9 to 4.0

    Unable to make out letters for “other echo and other special procedures:

    -?spid: Trivial TR --tricuspid regurgitation possibly

    -?onary: Trivial PR--don't know

    Interpretation:

    -Normal echo Doppler with no LVH= normal test results, NO left ventricular hypertrophy!

    -Valvular regurgitation: Trivial PR, Trivial TR==insignificant regurgitation

    -No valvular stenosis= no narrow tubes or blockages

    CONGRATULATIONS!! However, you may still want to get an echo every five years for safety sake.

    S

    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

    [Re: How do you read an echo-doppler report?]

    Author: Erica (---.atlnga1.dsl-verizon.net)

    Date: 10-01-02 07:26

    Thanks Reenie and Sarah! It sure helps to know what you are reading. Isn't a shame though that the medical profession strays from patient education? Ugh!

    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

    [Re: How do you read an echo-doppler report?]

    Author: Sarah B--Board Moderator (---.client.attbi.com)

    Date: 10-01-02 10:48

    THe good ones don't!!

    S

    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

    [Re: How do you read an echo-doppler report?]

    Author: Pat (---.d00832.dlup.digitaldune.net)

    Date: 10-01-02 12:49

    Dear Erica,

    To supplement Sarah's excellent decoding:

    -?onary. Trivial PR. This could be relating to the pulmonary valve (also known as semilunar; it is between the right ventricle and the pulmonary artery which leads to the lungs), saying it shows a little bit of regurgitation. A slight bit of regurgitation is very common, especially as we age.

    I agree that the better professionals don't stray from patient education. I try to keep this in some sort of perspective, though. In my early days in health care in the 1960s, patients were generally kept as uninformed as possible. It was considered bad practice to let them see their records, know the details of what was wrong, and so forth. As a young nurse I was not even allowed to tell a patient his own blood pressure when he asked! A lot of factors have gotten us to the point now that you and I both want full access to our own medical records and complete understanding in our own language of what it means. I think many professionals are still learning that they should want to meet our demands--and how to do it.

    And I believe all of us on this Board, in HCMA, and in other advocacy groups are teaching them how. Simply by asking for information until we are satisfied. YEA for all of us!!!!

    Good news on your echo, Erica. I take it they told you the minimal regurgitation explains the murmurs?

    Pat

    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

    [Re: How do you read an echo-doppler report?]

    Author: Lisa Salberg (---.dyn.optonline.net)

    Date: 10-03-02 06:56

    nice job guys! I remain impressed with you all!

    Lisa

    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

    [Re: How do you read an echo-doppler report?]

    Author: Erica (---.atlnga1.dsl-verizon.net)

    Date: 10-03-02 07:33

    Lisa ... did the book make it out in yesterdays mail or will it be sent today? When do you think I will receive it? Is it being shipper via snail mail?

    The sooner we get our hands on the book the sooner Dad will read it and be convinced he MUST see an HCM specialist AND sooner than later. I feel he is going to procrastinate.with making this next move. He did mention last evening that he bought caffeine-FREE soda! He was drinking AT LEAST one 2 liter bottle of caffeinated soda a day! The information in your book will definitly be of great benefit ... Looking forward to reading it with Dad!

    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

    [Dad's septum size]

    Author: Erica (---.biz.dsl.gtei.net)

    Date: 10-03-02 14:08

    Update ... my dad went to see Dr. Usher here in NC and his dad is chief teacher or the head of teaching at UMSC (?something like that?)

    Today he learned his septum weight is 3.0 - 3.6 and they are forwarding his paperwork to either Dr. Nielsen or Dr. Spencer at the UMSC for a septal ablation consultation. Sounds like if they offer it ... he will go for it! He is 58 so he has nothing to lose! I want whatever he wants ... whatever will make him feel better!

    The fact that he went in again today and had a cath the other week ... seems to me like he is FINALLY being PROACTIVE with his condition!

    I am so proud of him!

    Smile!

    Erica
    NOTE: This is a post from the previous forum message board.

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