[homemaker]

Well I got my echo back...at least my heart is not enlarged...but who knows about the other stuff...I know it is good to have good ejection fraction but not good to have it over 70%
We will see...

Two-dimensional and M-mode measurements:
RVd 2.5 cm (0.9-2.6)
IVSd 1.0 cm (<1.1 cm)
LVd 3.1 cm (3.6-5.6)
LVs 1.9 cm
LVPWd 1.0 cm (<1.1 cm)
Aod 2.5 cm (2.0-3.8 cm)
Las 3.1 cm (2.0-4.0)
LVOT not applicable cm (1.8-2.2 cm)
EPSS 0.3 cm (<0.8 cm wnl)


LV Normal left ventricular size and wall thickness. Hyperdynamic left
ventricular systolic function with ejection fraction greater than 70%. No
evidence of regional wall motion abnormalities.
LA Normal left atrial size.
RV Normal right ventricular size and systolic function.
RA Normal right atrial size.
Aorta Normal aortic root dimension.
AOV Grossly normal aortic valve architecture. No evidence of stenosis or
insufficiency on color Doppler flow imaging.
MV Grossly normal mitral valve architecture. Tracemitral regurgitation is
noted on color Doppler flow imaging.
TRIV Normal tricuspid valve architecture. No evidence of stenosis or
insufficiency on color Doppler flow imaging.
Pulm V Grossly normal pulmonic valve.
PE Mass. Thrombus No evidence of intracardiac mass or thrombus.
Pericardium No evidence of pericardial effusion.
Doppler flows:
Unremarkable.


CONCLUSION:
1. Normal left ventricular size and wall thickness with hyperdynamic left ventricular systolic function.
2. Trace mitral regurgitation.

[Jeff]

My cardiologist made an off-hand comment the last time I saw her, when I was asking about ejection fractions. I told her I thought the higher the better (even though I knew better; I wanted to hear her take on it) - she said that some people with much higher ejection fractions might be "running dry," which I took to mean dehydrated. And that maybe being dehydrated increases ejection fraction.

Did they indicate how much over 70% it was? Because there's a margin of error for those things, too. If you were at 72%, I'd say there's nothing to worry about at all - you have a healthy heart. If it's 95%, then I imagine the doctors will want to run another test or two.

But I'd gauge the relative danger by their reaction - are they bringing you in within the next 48 hours for more tests?

[homemaker]

Thanks Jeff for your insight...I know I was not dehydrated during the echo...but I am so pleased that there was no enlarged heart noted. But I do have out of control blood pressure which perhaps is tied up with this all and my abnormal ECG's. So I guess I will wait...I don't think my pcp has seen the echo yet...it was just posted on my online medical records. I really do trust my new pcp..she is fantastic...meanwhile I sit with my king of hearts monitor...and press the button over every little thing...I figure the more the better...jeezzz I am paying for it right? LOL

[Jeff]

I told my cardio two weeks in that I was only pressing the button for the "big things." She stopped me and said "press it for everything. Record everything. Let ME figure out what's important and what's not. That's MY job. Not yours."

So I listened. And I recorded everything. You should, too.

[homemaker]

Thanks Jeff...yeah it was the cardiac tech I talked to on the phone when I sent my info in that said to press it for every little thing...so that is what I am doing...at first I felt like that they would think I was a nut case for pressing the button for every little heart quiver...but I am in the place now of what the h**l just press the darn button... LOL