Doctor insights on:
Double Outlet Right Ventricle
See below:: It's a congenital heart disease in which the aorta rises from the right ventricle (the chamber of the heart that pumps blood to the lungs), instead of from the left ventricle (the normal pumpng chamber to the body). Both the pulmonary artery (which carries oxygen-poor blood to the lungs) and aorta (which carries oxygen-rich blood from the heart to the body) comefrom the same pumping chamber. ...Read more
Abnormal shunt left to right atrium suggestive small atrial septal defect can this make the shunt also go right to left if so is it dangerous?
If RA>LA pressure: Shunt flow will direct from the higher pressure chamber to the lower pressure one. This usually results in left to right shunting across an asd. Over time, as flow into RA is increased, a corresponding increase in pulmonary blood flow will lead to pulmonary hypertension. The subsequent rise in right sided pressures will lead to reverse shunting (r to l) with cyanosis (eisenmenger). ...Read moreSee 2 more doctor answers
With right ventricle dilatation where would your Apex beat be if it was misplaced because of the right ventricle dilatation? Left or Right side?
Left side: Left side of the chest, slightly more medial than the usual place for the Left ventricular apical impulse. Either way: why would you like to palpate right or left ventricle if you are not a professional? It is not helpful to (mis)interpret medical findings/tests when you do not have the knowledge of the "big picture", nor it is to read technical details that are not going to make you feel better. ...Read more
The left side of my heart is smaller than the right on echo surely it should be the other way round? I have no c.myopathy but abnormal septal motion
PAH*, ASD: PAH has to be ruled out. Also, ASD. Some ASD's may be overlooked as the echo findings are challenging. Specifically sinus venosus and unroofed coronary sinus. Finally, it could be ARVC, but that is seen less on echo. I would order a TEE and/or cardiac MRI. If they are negative, a right heart cath can measure the pressure on the right side of your heart. *PAH -- pulmonary arterial hypertension ...Read more
What does this mean? Is my ovary still functioning? Faint Doppler flow noted to the left ovary with color flow identified. Sig. of this is uncertain.
Background info: It sounds like perhaps this is form a radiology report. Maybe this is form a sonogram report. In order to interpret a radiology report the doctor needs to know the clinical background information such as who the patient is and why the particular study is being done. Without that an accurate analysis can not be done. Check with the doctor who ordered the test and ask for the interpretation ...Read more
Is it normal for blood pressure to be slightly higher in left arm than right arm? Left: 106/66 right: 100:64 what does that mean?
Yes. Normal: Like any measurement, sphygmomanometry is only as accurate as the instrument being used and its operator. There is a certain amount of normal variability in blood pressure. Larger differences can be due to certain conditions. The difference you describe can probably be accounted for by the inherent variability of the machinery. ...Read more
If your ECG says right axis deviation is this a hypertrophy of the right ventricle or dilatation? Or is both possible?
Neither or both: RAD occurs due to RV pressure or volume overload which can be acute or chronic. Long term pressure overload will eventually lead to RVH. Long term volume overload will eventually lead to dilation. But you can have RAD acutely with neither. An example of that is acute pulmonary embolism. ...Read more
DORV surgery: Surgery is the main treatment where the left ventricle is connected to the aorta, and the right ventricle is connected to the main pulmonary artery for the most common type. Variations on this are done depending on the sub-type of the defects. ...Read more
U r reading too much: You read technical phrases on an echocardiogram that by itself and without a clinical context has very little meaning. Discuss the whole report with the person who ordered it and DO NOT waste time, energy and anxiety reading technical jargon that may not mean much. ...Read more
Why is it that propranolol, a beta-blocker drug is given to a patient with double outlet right ventricle?
To relax the heart: Some patients with double outlet right ventricle have abnormally thick muscle bundles that block the flow of blood to the lungs when the heart contracts. When the blockage is severe the oxygen level in the body can drop to dangerous levels. Beta blockers such as Propranolol reduce the strength of the heart's contraction allowing more blood to pass to the lungs and can improve the oxygen level. ...Read more
What does preserved left ventricular function mean on an echo? Is this something that is normally recorded if everything is normal?
Is rv hypertrophy often missed on 2d echo? Or is it usually discovered? I know right heart is hard to visualize but does it miss hypertrophy?
It depends: The right heart is usually well visualized on 2d-echo, it is just that the right ventricle has long been neglected due to attention given to the left heart. If a physician is not looking for it and the sonographer lacks familiarity with ultrasound techniques to evaluate the rv, hypertrophy can be missed. There is a push from the echo society to pay more attention to the rv. ...Read moreSee 1 more doctor answer
In addition to mild hypokinesis of the left ventricle when ejection fraction is 48% and left atrium is moderately dilated, what could that indicate?
EF: What this means is that there is a region of your heart that is not moving properly. This likely secondary to impaired irrigation from a possible stenosis vessel. Depending on the reason you could have diastolic/systolic dysfunction. Giving the dilated atrium. You should likely be on bblockers, acei, Aspirin, ...Read more
What is the normal size of the rv in a adult? Right ventricular its 2.7 to what? And at how big is it dangerous?
Depends: It depends on where you are measuring the RV from. As based on the low normal your report, this is likely a mid RV diameter measure. At this point in the heart, normal is from 2.7- 3.3cm. In regards to dangerousness, this is a complicated answer. It depends on why it's enlarged but also how the function(pumping ability) is too. ...Read moreSee 1 more doctor answer
How is possible to have a heart rate different in right and left arm?Measured at the same time, right arm is alw. Slowly.I.E. Right arm 65, left arm 69
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