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Heart Disease (Expert Forum)
afib episode
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afib episode
by scag, Oct 07, 2003 12:00AM
hi first of all i would like to thank all the doctors on here for there time and there great help,i am a 29 year old male that went to the er 5 months ago with an episode of afib,my heart ratewas 188 at the time the paramedics came,when i got to the er i was checked thouroughley had an echo all lab tests,ekg, etc... everything came back normal and i followed up with my primary care doc and saw thew cardio 1 more time said i was fine and put me on 50 mg of atenolol and said it might help keep my heart rate down ,but was told that i had a lone episode of afib? my echo report is as follows i want to know if this is normal
aortic valve-normal
mitral valve-mild mr
pulmonic valve-normal
tricuspid valve-mild tr pasp=33 mmhg plus cvp
aortic root-3cm
left atrium-4.8 cm
right atrium-mildey enlarged
pulmonary artery=normal
inferior vena cava-normal
left ventrical-normal systolic function
left ventricular ejection fraction-65%
lv end diastole-5.1cm
iv septum end diastole-1.2cm
lvpw end diastole-1.1cm
right ventrical-normal
pericardial effusion-none
also after chest xrays it said that 2 views of chest were obtianed and findings are as follows a heart which is borderline in size,there are no pulmonic infiltrates and the visual axial skeleton is normal,now i asked my doc about the borderline thing and he told me my heart is normal just at the upper and of normal(could you specify that please?)all and all left both docs and was told i was fine,again thanks for your time its greatley appreciated!
scag
aortic valve-normal
mitral valve-mild mr
pulmonic valve-normal
tricuspid valve-mild tr pasp=33 mmhg plus cvp
aortic root-3cm
left atrium-4.8 cm
right atrium-mildey enlarged
pulmonary artery=normal
inferior vena cava-normal
left ventrical-normal systolic function
left ventricular ejection fraction-65%
lv end diastole-5.1cm
iv septum end diastole-1.2cm
lvpw end diastole-1.1cm
right ventrical-normal
pericardial effusion-none
also after chest xrays it said that 2 views of chest were obtianed and findings are as follows a heart which is borderline in size,there are no pulmonic infiltrates and the visual axial skeleton is normal,now i asked my doc about the borderline thing and he told me my heart is normal just at the upper and of normal(could you specify that please?)all and all left both docs and was told i was fine,again thanks for your time its greatley appreciated!
scag
Doctor's Answer
by CCF-M.D.-RCJ, Oct 07, 2003 12:00AM
Scag,
Thanks for the post.
Asking what constitutes a normal echo or chest xray is like asking what is a normal hair color. Is red hair normal? Certainly not as many people have red hair, but I think that all of us would agree that it is still part of the normal human experience.
From the information you provided, your echo is almost normal. The mild mitral regurgitation could be within normal limits or not, depending on what the echo lab where the test was done defines as normal. Every echo lab defines its own limits.
Your left atrial size is a little larger than normal for most labs, which may indicate that the mitral regurgitation is more than mild. I can't tell without inspection of the echo. If indeed the LA size is larger than normal, and the mitral regurgitation is significant, then these could be contributing to the afib.
Chest x-rays are not useful for determining the heart size once the echo is known.
Have another center take a look at your echo.
Good luck.
Thanks for the post.
Asking what constitutes a normal echo or chest xray is like asking what is a normal hair color. Is red hair normal? Certainly not as many people have red hair, but I think that all of us would agree that it is still part of the normal human experience.
From the information you provided, your echo is almost normal. The mild mitral regurgitation could be within normal limits or not, depending on what the echo lab where the test was done defines as normal. Every echo lab defines its own limits.
Your left atrial size is a little larger than normal for most labs, which may indicate that the mitral regurgitation is more than mild. I can't tell without inspection of the echo. If indeed the LA size is larger than normal, and the mitral regurgitation is significant, then these could be contributing to the afib.
Chest x-rays are not useful for determining the heart size once the echo is known.
Have another center take a look at your echo.
Good luck.
Member Comments (2)
by scag, Oct 07, 2003 12:00AM
To: dr 1 more thing please
ok so except for the la size and mr everything else is normal?what size should the la be? i dont see anything on the ecvho report for the amount of mr is does that mean another echo is needed?also my dr cardio said that he has never seen an echo without some mr is this true? thanks
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