Here’s my echo recently, have had weird fatigue and decreased exercise tolerance. Compared to 6 months ago which had 55-60 EF, 4.58 LVIDd and 3.22 LVIDs which seems like a drastic increase in my LV volume with thinning wall. Any insight is appreciated.
2D & Doppler Measurements
LVIDd: 5.5 cm (Ref: 4.2 - 5.8)
LVIDs: 4 cm (Ref: 2.5 - 4)
LVEDV: 147 cc (Ref: 65 - 193)
LVESV: 70 cc
LV EF: 52.4% (Ref: 52 - 72)
LV CO: 87.3 cc/s
LV CI: 2.4 l/min/m²
LV SV: 77 cc
LA Dd: 2.7 cm
Left Atrium s: 4.9 cm
LA Area sys: 19.5 cm²
LAVol4C: 60.6 cc
Left Atrium: 27.3 ml/m²
IVSd: 0.7 cm
LVPWd: 0.8 cm
Ao Rtd: 3.4 cm
IVS/LVPW: 0.9
LA/Ao: 0.8
LV EDV: 145 cc
LV ESV: 70.2 cc
LV EF: 51.6%
LV SV: 74.8 cc
IVC Diam: 1.6 cm
Doppler Measurements
AV mnPG: 3 mmHg
AV TVI: 24.3 cm
AV pkVel: 118 cm/s (Ref: 100 - 170)
AV pkPG: 6 mmHg
MV DeRt: 319 cm/s²
MV mnPG: 1 mmHg
MV TVI: 25.5 cm
MV pkPG: 3 mmHg
MVA AP½t: 3.1 cm² (Ref: 4 - 6)
Image 2: Summary and Hemodynamics
LVOT & Right Heart
MV pkVel: 56.5 cm/s
MV E/A: 2
LVOT TVI: 22.2 cm
LVOT pkPG: 5 mmHg
LVOT mnPG: 2 mmHg
LVOT SV: 85 cc
LVOT CI: 107 cm/s
RA Press: 3 mmHg
Right Vent: 14.3 cm/s
TAPSE: 2.28 cm
Summary Findings
LV chamber size: Normal.
LV wall thickness: Normal.
LV systolic function: Borderline decreased.
LV ejection fraction: 50-55%.
No regional wall motion abnormalities.
LV diastolic function: Normal.
RV size: Normal.
RV systolic function: Normal.
Tricuspid Valve: Insufficient TR jet to estimate RV/PA systolic pressure.