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Doctor insights on: Radionuclide Ventriculogram Rvg

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Had a cardiac mri. Finding: mild lv cavity dilation, normal lv systolic function; lvef 62%.Trivial pericardial & pleural effusion?

Had a cardiac mri. Finding: mild lv cavity dilation, normal lv systolic function; lvef 62%.Trivial pericardial & pleural effusion?

Sounds pretty normal: Ef is normal, tiny effusions are nothing to worry about. Was valvular function normal - ie no stenosis or regurgitation? Also, how much dilation? Was a volume given? Would followup with a cardiologist and make sure you optimize your therapy for high blood pressure among other conditions. The lv dilation and pericardial effusions could be followed with echocardiography. ...Read more

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Ekg left atrial enlargement, nonspecific t wave abnormality, echo done trace mitral regurg, tricuspid regurg. Pericardial effusion global.Is my heart ok?

Ekg left atrial enlargement, nonspecific t wave abnormality, echo done trace mitral regurg, tricuspid regurg. Pericardial effusion global.Is my heart ok?

More info needed: I am assuming echo is showing pericardial effusion and global? Or maybe global hypohypokinesia? Any wall motion abnormalities? Ejection fraction? Do u have any symptoms? At rest or with activities? Any other risk factors? Smoker, overweight, dm, htn, high chol, family history heart attacks, sedentary life etc. Any prior heart attacks? Stress test done. Any recent viral infection? Pericarditis? ...Read more

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How are contrast ventriculography and radionuclide angiography different?

How are contrast ventriculography and radionuclide angiography different?

Ventrivculography: Both are different tests with different techniques. Contrast ventriculography is a cardiac catheterization procedures used to assess heart pumping function. Radionuclide angiography is a nujclear scan (muga scan) used to assess pumping function of the heart. Catheterization is an invasive procedure and muga scan is non-invasive procedure with minimal risk. ...Read more

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Cardiologist says very reassuringEcho? Trans V gradient 8mmHg LV Dimensionally Normal preserved Systolic Doppler Mild LV Diastolic dysfunction. Agree?

Cardiologist says very reassuringEcho?
Trans V gradient 8mmHg LV Dimensionally Normal preserved Systolic Doppler Mild LV Diastolic dysfunction. Agree?

Echocardiogram: The findings are not normal but have to be judged in context of your mitral valve repair. The abnormalities described are not hemodynamically significant and won't impact your performance status. I can understand why your cardiologist is reassured by your echocardiogram. ...Read more

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Does echocardiogram reliably diagnose rv hypotrophy?

Does echocardiogram reliably diagnose rv hypotrophy?

Yes: You probably mean hyper trophy which means thickened right ventricle. Either way, echocardiography is reliable. ...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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Echo1.Old myocardial infraction (inferior+posterior+antero septal+apical) 2.Severe left ventricular systolic dysfunction. What medicine you prefer?

Echo1.Old myocardial infraction (inferior+posterior+antero septal+apical)
2.Severe left ventricular systolic dysfunction. What medicine you prefer?

A few: Assuming no medication side effects and normal vital signs in addition to no comorbidities that may play into this- daily aspirin, a beta blocker, statin and often an ace inhibitor. Each patient may need different things based on what else is going on. Have a conversation with your doc about it ...Read more

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Per echo ef 50-55%, rv size upper limit of normal, mild mv regurge, mild-moderate tricuspid insufficiency, rvsp 44 mghg. Next step right heart cath?

Per echo ef 50-55%, rv size upper limit of normal, mild mv regurge, mild-moderate tricuspid insufficiency, rvsp 44 mghg.  Next step right heart cath?

No, unless: Unless you are having shortness of breath that does not improve with standard medical therapy , based on those echo findings there's no need for a right heart catheterization. Pulmonary hypertension and tailored management for pulmonary hypertension is another reason to perform right heart catheterization with testing during that procedure. ...Read more

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Whats the difference between contrast ventriculography and radionuclide angiography?

Whats the difference between contrast ventriculography and radionuclide angiography?

X-ray vs radioactive: Contrast ventriculography uses x-ray contrast material, and rnvg uses a radioactive tracer. Acquisition time is shorter with x-ray compared to nuclear imaging. Both are great, but nuclear probably more accurate. ...Read more

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When measuring ascending aorta size(horiz)from sinotobular junction to innominate artery is cardiac mri/mra for morphology more accurate test than cta?

When measuring ascending aorta size(horiz)from sinotobular junction to innominate artery is cardiac mri/mra for morphology more accurate test than cta?

Depends: Done properly, ideally with ECG gating, an aortic MRA is equivalent to an aortic CTA. The opinion from some vascular docs is an overestimation on MRA. This was probably from movement artifact and older scanners. The benefit of MRA is the lack of iodinated contrast and lack of radiation. It is in routine use at many large medical facilities to periodically track aortic enlargement- kids/adults ...Read more

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Can computed tomography angiography show heart problems right?

Can computed tomography angiography show heart problems right?

It depends: On regular contrast-enhanced ct exams, cardiac abnormalities including masses or thrombus can be detected, but little information regarding the coronary arteries can be obtained. On a dedicated coronary ct exam with contrast (ekg gated), the coronary arteries can be evaluated for narrowing or blockages. This is usually not possible on regular ct exams due to motion. ...Read more

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Summary of my resent echogram; 1-Low normal left ventricular function. Ejection fraction is est.52% 2-Mild left atrial enlargement. 3-Mild to moderate aortic valve regurgition. 4-Moderate aortic valve stenosis. 5-Mild tricuspid valve regurgitation. 6-Mode

Need cardiologist!: There are a number of concerning findings on your echocardiogram. The left ventricular function (how strong your pump is) is just a little low; I'm not that concerned about that. The valves, especially aortic, are the biggest problem: to have both aortic regurgitation (back flow across the valve) and narrowing (stenosis) is very concerning. Follow up soon with your cardiologist. Good wishes:) ...Read more

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Carotid doppler showed 50% bilateral blockage, mr angiogram was negative. Which is more accurate?

Carotid doppler showed 50% bilateral blockage, mr angiogram was negative. Which is more accurate?

Debatable: Few vascular surgeons make decisions on carotid artery stenosis based on mr, as carotid doppler (ultrasound) has been proven to be very reliable when a good technologist performs the study. From what you're describing, your carotid arteries are likely without disease as the reporting standards for ultrasound haven't quite been set. In my lab you'd likely be found to have no disease at all. ...Read more

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Echocardio results:concentric lvh w/ adeq systolic function, dilated left atrium, mild tricuspid reg, pulmonic reg. Is this normal?

Echocardio results:concentric lvh w/ adeq systolic function, dilated left atrium, mild tricuspid reg, pulmonic reg. Is this normal?

No.: This may be the result of longstanding hypertension. The doc who ordered your test should know more about how to interpret your results. ...Read more

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Could sestamibi nuclear stress test only evaluates left ventricular function?

Could sestamibi nuclear stress test only evaluates left ventricular function?

NO: Nuclear stress test are done to evaluate coronary circulation/ blockages/CAD. As lagniappe they provide info re LV function. However, there are less expensive and invasive test that evaluate LV function just as well or better, like echocardiography ...Read more

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Is nuclear stress testing or echo more accurate for calculating ejection fraction? Nuclear says 67 percent echo says 48.

Is nuclear stress testing or echo more accurate for calculating ejection fraction? Nuclear says 67 percent echo says 48.

EF: Ejection fraction can vary depending on the type of test done (echo vs. cath vs. gated nuclear stress). Nuclear MUGA scan is most accurate since is depends on counts rather than the geometry of the ventricle. ...Read more

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