Was the echo normal, and what tests are recommended?

Question

Hello doctor,

I went to a doctor, got my echo test done, she wrote the prescription, and my echo test got misplaced by them. I am unable to read the prescription.

On the left-hand side of the prescription, they have written what was in my echo report. Can you please tell me if it was normal? Also, can you please tell me what tests they have written that we have to perform?

Please help.

Thank you in advance.

Answer 1

Hi,

Welcome to icliniq.com.

I read your query and can understand your concern.

Regarding your echo report, the findings indicate no regional wall motion abnormality (RWMA- the abnormal or absent movement of a specific segment of the heart's muscular wall (myocardium) during contraction), an ejection fraction or EF (a measurement of how much blood the heart pumps out with each contraction, specifically from the left ventricle) of 65 percent, normal pulmonary artery systolic pressure (NR PASP), and trace mitral regurgitation (MR) with anterior mitral leaflet (AML) prolapse, this is a a heart condition where the mitral valve, specifically its anterior leaflet, does not close properly during heart contraction.

Overall, these findings are largely normal and do not suggest any major issues. "No RWMA" means your heart muscle is contracting normally, and an ejection fraction of 65 percent is considered healthy. Normal pulmonary artery systolic pressure is also a good sign. While there is AML prolapse, the accompanying "trace regurgitation" is minimal and typically not a cause for concern.

As for the blood tests, the prescription does not specify the reason for each test. However, most of them appear to be routine screening labs. For example, a CBC (complete blood count) checks for anemia, HbA1c (glycated haemoglobin) screens for blood sugar levels, TSH (thyroid stimulating hormone) evaluates thyroid function, and vitamin D and B12 levels assess for deficiencies. Renal and liver function tests (RFT and LFT) provide insights into kidney and liver health. Your physician, who prescribed these tests, will be able to explain the specific reason for each one in your case.

I hope this helps.

Kindly revert so I can assist you further.

Thank you.

Answer 2

Hello,

Feeling a vibrating sensation in the chest could be due to many reasons, including atrial fibrillation. However, this is generally not life-threatening and is easily manageable. Other causes of this type of sensation include premature contractions, sinus tachycardia, or supraventricular tachycardia, all of which are also well-managed and not life-threatening. I would suggest you get an ECG (electrocardiogram) done, especially when you are experiencing this vibrating sensation.

I hope this information is helpful.

Thank you.