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Doctor insights on: How To Read Echocardiogram Report

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Dr. Rick Koch
374 doctors shared insights

Cardiac Echo (Definition)

"shorthand" term for echocardiogram, an ...Read more


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Read reports that I have mitral valve regurgitation. Doctors failed to tell me. Also, have splinter hemorrhages. Should I request an echocardiogram?

Read reports that I have mitral valve regurgitation. Doctors failed to tell me. Also, have splinter hemorrhages. Should I request an echocardiogram?

Interpreting results: It is worthwhile to be evaluated in person;it is easy to take findings out of context&make a wrong conclusion. Eg: Do you have subacute bacterial endocarditis (heart valve infection-bad), or instead minimal regurgitation (leakage) through a normal valve (harmless) & recent unnoticed injury to a fingernail? History, physical,&review of data are needed to determine if studies should be done. ...Read more

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What can make an echocardiogram hard to read?

What can make an echocardiogram hard to read?

Many Many Things: I do echos & have worked with many techs; heart echos are rarely easy; very dependent on the machine, person, tech, reader & commonly “read” rapidly, accepting inaccurate measurements & looking only for marked abnormality (the standard medical algorithm), not excellence of heart function. Sound will not penetrate ribs or lungs, images obtained usually off optimal angles; many options for? Quality. ...Read more

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Hi there I had an Echocardiogram done the report says TAPSE 28mm what does this mean?

Hi there I had an Echocardiogram done the report says TAPSE 28mm what does this mean?

LookItUp, Use Google: Like all areas of human activity, humans like simplicity, unique to each area, very much including the medical disease system, thus many acronyms. The good news, you are paying attention and asking question as the person primarily in charge of all your medial/life decisions. Likely TAPSE is: Tricuspid Annular Plane Systolic Excursion, a crude indicator of ventricular diastolic & systolic function. ...Read more

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The echocardiogram report says ischaemis disease, Do I need to have an angiography after that?

The echocardiogram report says ischaemis disease, Do I need to have an angiography after that?

Echo: Without knowing more about you and seeing the actual echo study, a clear answer isn't suggested. You should discuss with your doctor who knows you and presumably had a reason for ordering the echo study. We make these decisions based on the individual patient, not on words on a report. ...Read more

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My echocardiogram report stated that i have stage1 abnormal diastolic funtion is this somthing to worry about and can it be reversed?

My echocardiogram report stated that i have stage1 abnormal diastolic funtion is this somthing to worry about and can it be reversed?

Maybe; yes.: Early stages of diastolic dysfunction (heart stiffening) may be attributable to hypertension (high blood pressure) depeding on your medical history. If so, certain blood pressure medications like enalapril, lisinopril, (the "-prils"), or losartan, valsartan (the "-sartans") at RIGHT DOSE can reverse this condition over time. You are at stage 1 ( the earliest stage) so you probably don't have symptoms. ...Read more

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My echocardiogram report says LVEF "reasonable to good" what does this mean Ejection fraction wise? 30% 40% 50% 60%?

Echocardiogram: "Reasonable to good" is that reader's usage and you'd have to ask that reader to be sure what was meant. In my view 50-55% is reasonable to good. ...Read more

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I had an echocardiogram and the right ventricle was not "well visualized". There was no report on it. Why would that happen and what should happen?

I had an echocardiogram and the right ventricle was not "well visualized". There was no report on it. Why would that happen and what should happen?

There are lots of: reasons that the right ventricle may not have been well visualized and the most likely is your body habitus (that means your size and anatomic configuration) as well as your lung position with respect to the heart. Unless you have a specific cardiac problem it is unlikely to be of any significance. I doubt anything else needs to be done. Trust your health care provider to decide what else to do. ...Read more

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My echocardiogram reports shows mildly dialated ra/rv and mild tr/ estd rvsp of 36mmhg, cause unknown, what may be the reason & what's are the risks?

My echocardiogram reports shows mildly dialated ra/rv and mild tr/ estd rvsp of 36mmhg, cause unknown, what may be the reason & what's are the risks?

Not sure: Without knowing more about your medical history and habits, it would be hard to know the cause. Mild dilatation of the ra/rv can be due to several problems, including chronic lung disease, pulmonary hypertension, tricuspid valve disease, a defect (hole) in the atrial or ventricular septum of the heart, abnormal arterial blood flow to the heart muscle, and severe obesity being just a few. ...Read more

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I had an echocardiogram done and I need help reading the results. What is mistral and aortic valve leaflet calcification?

I had an echocardiogram done and I need help reading the results. What is mistral and aortic valve leaflet calcification?

Actually: You and your doctor need to review this together. We may able to define these terms for you — but we do not know the context they are in. This should be done between doctor and patient. Not between patient and an unknown, online medical provider who does not have your history. ...Read more

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Had doppler echocardiogram. Report says "mild aortic insufficiency andtrace tricuspid insufficiency". Doc says this is normal findings. Any worries?

Had doppler echocardiogram. Report says "mild aortic insufficiency andtrace tricuspid insufficiency". Doc says this is normal findings. Any worries?

Probably: For a woman of 49 years old, your results are probably not "clinically" significant. This means that although your results are not entirely normal, they (the mild aortic and trace tricuspid insufficiency) do not contribute to any of your symptoms in a significant way. ...Read more

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I had a CT scan which reported increased liver arterial pressure. I then had an echocardiogram which reported mild right atrium enlargement. Does this sound consistent with pulmonary hypertentsion? I have no other pulmonary symptoms such as difficulty

I had a CT scan which reported increased liver arterial pressure.  I then had an echocardiogram which reported mild right atrium enlargement.  Does this sound consistent with pulmonary hypertentsion?  I have no other pulmonary symptoms such as difficulty

Investigate more: Both of these could be signs of pulmonary hypertension, but could also be signs of liver problems, left heart failure, and so on. A right heart catheterization plus other testing of your heart and liver should be performed. See a pulmonologist who specializes in pulmonary hypertension to help make the diagnosis first. ...Read more

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The colour doppler echocardiography final diagnosis report: septal thickening, diastolic dysfunction. What does this mean?

Report: The wall between the right and left ventricles is called the septum. This was thicker than normal. The relaxation function of the muscle is not normal, this is the diastolic dysfunction mentioned. ...Read more

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Is it ok that a board certified cardiologist read my echo, but he is not board certified in echocardiography... Results were normal.

Yes: All cardiologists are trained in reading echocardiograms. Board certification does add on to that training but is not required to read echocardiogram. An experienced cardiologist need not be board certified in echocardiography to be good at it. ...Read more

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I got the results for an echocardiography report and it says on one of the summaries mild concentric left ventricular hypertrophy what those it means?

Thick walls: It means that the measurement of the wall thickness is increased. If you have had uncontrolled high blood pressure, that may make sense. IF not, it's possible the echo is over-reading it. One millimeter of increased thickness can result in the report saying "mild LVH". The test isn't super accurate for subtle changes. ...Read more

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Echocardiography report, left ventricle, prominent septal bulge 1.2cm without tract obstruction, also resting wall motion abnormalities were present, spectral doppler shows impaired lv diastolic filli?

Complicated : To understand a report one needs to talk with one's physician. Resting wall motion abnormalities means areas of the heart are damaged and not contracting or squeezing normally. That is the heart "walls" are not moving correctly. Sometimes this can cause the wall inside the heart that separates the right and left side to "bulge". Impaired filling means the heart does not "relax" normally. ...Read more

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Does insurance cover echocardiograms?

Does insurance cover echocardiograms?

Maybe: You need to contact your insurance company and see if your benefits cover the exam. Most will, but how much they will pay for and what you will need to pay varies. ...Read more

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What does an echocardiogram do?

Images the heart: An echocardiogram uses ultrasound waves to deliver a set of moving images of the heart. It gives us a lot of information about the function (and the strength) of the heart, its valves and the blood flow through the chambers. ...Read more

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What does an echocardiogram show?

What does an echocardiogram show?

Several things: The heart muscle, the valves, arteries such as the aorta, the four chambers of the heart, fluid around the heart if present, how hard the heart is contracting, whether it is too weak or too thick. ...Read more

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How does an echocardiogram function?

Doppler effect: The echocardiogram utilizes ultrasound and a principle called the doppler effect. Doppler effect means sound waves are reflected at different velocities and this information is electronically transformed to allow visualization of structural details and provide information about blood flow velocities. ...Read more

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How do you falsify an echocardiogram?

Not sure: What you mean. The ekg has two readings. The computer generated read is immediate and not always correct. Then an over read by a physician is made and agrees with or corrects and improves the accuracy of the reading. A wrong computer generated read is not a falsification but a weakness in the technology at this point. ...Read more

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What does an echocardiogram look for?

What does an echocardiogram look for?

Echo: Echo shows cardiac structure and function. It gives a lot of information about the heart. It is a basic test used in cardiologic evaluation and is indicated in many conditions including ischemia. ...Read more

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What is getting an echocardiogram like?

What is getting an echocardiogram like?

Echocardiogram: This is a non-invasive heart examination with ultrasound much like an obstetric ultrasound study except that it is directed at the heart. It is generally painless and involves no radiation exposure. Of all cardiac studies, it probably tells us more about cardiac structure and function than any other cardiac test. Don't worry about having one done! ...Read more

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When does someone need an echocardiogram?

Ask your Doctor: Echocardiogram is an ultrasound exam of your heart. It looks at the heart valves, heart muscles, blood vessels, and how they function. The exam is used when the doctor things there may be a problem with your heart muscle, valves, or blood vessels. There are too many indications to list, but your doctor or a cardiologist can determine if you should get one. ...Read more

Dr. Rick Koch
389 doctors shared insights

Echocardiogram (Definition)

Ultrasound ...Read more