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Doctor insights on: How To Read Echocardiogram Results

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

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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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 dependant 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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Is it possible to alter echocardiogram results to make them false? And how? Just curious.

Many: Many things can alter some aspects of echocardiogram result including hemodynamic status, cardiac ischemia, and drugs to name a few but there are many more. Understand that the echocardiogram result is a picture of the heart function/structure at a given time, namely at the time the test is conducted. Although there is the capability to acquire 3 d images now, mostly the images are 2 dimensional and can capture misleading results if a thorough exam is not performed to get a complete picture. There are no "false" results per se just perhaps incomplete and at one point in time which may change at another time. ...Read more

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Can I masturbate even though I had a echocardiogram I haven't got results it's been 2 days? Would it be safe?

Hard to say: Since we have no idea what your state of health is or why you had the study, it is difficult to say whether any type of "workout" would be appropriate. ...Read more

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Echocardiogram results normal. But when he listens he hears murmur. What's up?

Echocardiogram results normal. But when he listens he hears murmur. What's up?

Echo: You were probably referred for an echo upon your physician hearing the murmur - if echo demonstrates normal cardiac structure and function, the murmur is what we refer to as an "innocent murmur" - this means it is being caused just by hearing the normal sound of blood going through the heart. Discuss your concerns/questions with your cardiologist. ...Read more

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I had an echocardiogram done recently, and the results showed that my septal wall measurement = 1.5. Is it possible that I have cardiomyopathy?

I had an echocardiogram done recently, and the results showed that my septal wall measurement = 1.5. Is it possible that I have cardiomyopathy?

Possible: But more complicated than merely a measurement. The quality of the echo image is crucial along with the rest of the cardiac findings. Then symptoms must be evaluated. This is very comprehensive and the conversation must be done with your cardiologist who has reviewed the echo. 1.5 cm is thick but must be placed in context. ...Read more

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Are the following results good & what do they signify from my echocardiogram? Health/mental stress test is normal, resistance stress is low.

Don't Understand: The types of stress listed in the question are unclear to me.

Usually an echocardiogram is done at rest, and sometimes at cardiac stress, with exercise, or more commonly, with a medicine to increase cardiac workload. ...Read more

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About 15 months ago I had an echocardiogram which led to good results. What is the likely of having heart problems since my last test?

Heart problems: There are many kinds of 'heart problems'. Having a normal echocardiogram rules out many of them and is unlikely to change without something happening to you and signalling its presence by symptoms. Those 'heart problems' not demonstrated by echocardiogram, of course, aren't included. ...Read more

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Recently sick & took Mucinex (guaifenesin)-D. I also had previously sched. Echocardiogram. I forgot to mention the Mucinex (guaifenesin) to cardio. Will it affect the results?

Unlikely: The decongestant ("D") in Mucinex (guaifenesin) D can cause vasoconstriction and increase the blood pressure. I would expect minor-to-no changes for the overall echo interpretation. You may mention this to the cardiologist at follow up (since s/he can use this information in the context of your history and findings). ...Read more

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An echocardiogram results says the basal septum is hypo kinetic. The rest was normal, BP etc normal. I am only 38 with no symptoms, what is thecause?

An echocardiogram results says the basal septum is hypo kinetic. The rest was normal, BP etc normal. I am only 38 with no symptoms, what is thecause?

Echo: The interpretation of the images on an echo has an element of subjectivity, if everything else is normal there may not be a problem. Discuss with your dr. More tests may be needed to clarify whether you have a problem causing the basal septum to appear hypokinetic. ...Read more

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Ekg and a echocardiogram and the test results were normal. Does this mean my heart is normal?

Ekg and a echocardiogram and the test results were normal. Does this mean my heart is normal?

Not necessarily: These tests can only pick up so many of the abnormalities. It is possible that you have narrowing of the coronary arteries but the blockage is not severe enough to show up in these tests. It would be prudent to discuss the matter with your doctor to see what are the results of other tests, including lab tests and what, if any life style changes or medications may be needed. ...Read more

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For palpitations, If my echocardiogram results were normal, can I completely rule out mitral valve diseases?

Yes: Assuming you had a decent image quality study an echo would be excellent at ruling in or out mitral valve disease. Sounds like you can put it out of your mind. Good luck with football. ...Read more

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Echocardiogram and cardiac MRI show very different results. Which is more accurate? Also, can loseing weight reduce size of left atrium?

Echocardiogram: The data obtained by echo and MRI is obtained in different way and each has its own sensitivity and specificity for various data. Without knowing more about your situation we can't comment on which study might be more cogent for what information is being sought in you. ...Read more

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I am 27 and have just been diagnosed with trivial mitral regurgitation but no mention of mvp on my echocardiogram results. Is this likely progress?

Don't worry: Trivial mitral regurgitation is just that - trivial. Do not worry too much about this very common finding. Just file the knowledge away, and if you ever have another echo (which you just might never need) you and your doctor can see if there has been any change. In all likelihood there won't be. ...Read more

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Echocardiogram results. Mildly thick mitral valve. Tricuspid valve structurally normal but, shows trace of regurgitation.?

Echocardiogram results. Mildly thick mitral valve. Tricuspid valve structurally normal but, shows trace of regurgitation.?

Both normal: Both are normal. All normal people have tricuspid regurgitation. This is a 100% normal finding. Thickening of the mitral valve is over-read. It appears in many reports. It has absolutely no clinical significance. Honestly! Please don't give it another thought. ...Read more

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Is it possible to develop heart failure within 7 months of having normal Echocardiogram? Waiting results of blood work for related symptoms.

Is it possible to develop heart failure within 7 months of having normal Echocardiogram? Waiting results of blood work for related symptoms.

Yes: About half of patients with symptoms of heart failure have normal echocardiogram, as determined by a measurement called ejection Fraction. This is called Heart Failure with Preserved Ejection fraction. It is frequently seen in the elderly, women, hypertensive or Diabetic. Inspite of normal echo their blood test called naturetic peptides are elevated suggesting their heart is in stress. ...Read more

Dr. Rick Koch
389 Doctors shared insights

Echocardiogram (Definition)

Ultrasound ...Read more