An echocardiogram is an ultrasound scan of the heart. It uses sound waves to produce images of your heart. It can spot blood clots in the heart, the presence of fluid around the heart, cardiomyopathies, and problems in the aorta.

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My right ventricle was moderately dilated. Can I prevent right ventricle dilation from worsening or reverse it?

Query: Hi doctor, My right ventricle was moderately dilated at 3.7 cm, although my systolic function is normal, and my ejection fraction is 65 %. My inferior vena cava was also dilated, although it was less than 20 mm, which is typically based on what I have observed. My issue is, can I reverse right ventr...  Read Full »

Dr. Prashant Valecha

Answer: Hello, Welcome to I understand your concern. RV (right ventricle) and IVC (inferior vena cava) size are related to pulmonary pressures in a structurally normal heart. And their larger dimensions are completely reversible if the source is addressed unless they become too dilated. I do...  Read Full »

I have had mild AML prolapse in the echocardiogram. Why so?

Query: Hello doctor, I consulted a cardiac specialist and got an echocardiogram; the doctor said everything was normal, but the result showed mild AML (anterior mitral leaflet) prolapse. Kindly help.  Read Full »

Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to I read your query and understand your concern. The echocardiogram results are normal. However, mild MVP (mitral valve prolapse) is of no concern and is sometimes reversible. Gaining weight in low-weight people will help to resolve this. As your weight is low, it will be...  Read Full »

What are the typical symptoms of asthma?

Query: Hello doctor, A couple of months ago, I started feeling tightness in chest, shortness of breath, and overall fatigue. I went to a walk-in clinic, they did an EKG, and everything was fine. They asked me to follow-up with a physician. The nurse conducted a complete blood test and a chest x-ray, and ev...  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to My impression about your illness is gastritis and reflux disease, which is leading to reflux of acid into the lungs causing bronchoconstriction. This bronchoconstriction leads to shortness of breath and asthma-like pattern on the pulmonary function test (PFT). The pr...  Read Full »

I am still tired one week after an episode of left-sided chest pain. Do I need few more tests?

Query: Hi doctor,Last week at 4 am, I had an ache and pain on the left side of my chest. My whole body was shivering. I waited for 30 to 40 minutes and then went to the hospital. The doctor did a checkup, and all the reports came back normal. The ache lasted the whole day, and by evening the pain subsided ...  Read Full »

Dr. Ramesh Kumar S

Answer: Hello, Welcome to I have seen the reports (attachment removed to protect patient identity). Your ECG is not normal. There are significant Q waves in the left precordial leads and inferior leads, which can be an indicator of a heart attack. I suggest doing a 2D echo test to rule o...  Read Full »

How can I develop right ventricular hypertrophy (RVH) in just four months?

Query: Hi,I just had an echocardiogram that showed LVH, RVH, and RAE. Four months ago, an echo only showed LVH, and the right side was normal. My LVEF is 55 to 60. This new echo also showed mild systolic pumping in the RV. Is this heart failure? How could it change so much in four months? Thank you.  Read Full »

Dr. Vivek Pillai

Answer: Hello, Welcome to I read your query and understand your concern. The reason is your high BMI (body mass index). It comes to 42.4. Your ideal weight is between 145 to 170 pounds. This obesity is the cause of strain on the right heart and mild systolic dysfunction. Following a string...  Read Full »

Is the QRS contour abnormality normal for a patient with severe diabetes and hypertension?

Query: Hi doctor, My father experienced chest pain and back pain two days ago. He is 74 years old and diabetic. His BP was 130/84 mmHg and he takes medicine for high BP. His pulse rate was 95. His fasting sugar reading is 126 and PP is 154 with medication. We went for an ECG and something written on the gr...  Read Full »

Dr. Vivek Pillai

Answer: Hi, Welcome to Your doctor has done the right thing. All those abnormalities mentioned by the ECG machine including the so called inferior infarct are a consequence of hypertension (attachment removed to protect patient identity). The final call on the ECG has to be taken by the treat...  Read Full »

I have stage 4 liver cirrhosis and my BP is 99/68 mmHg. Is this normal?

Query: Hello doctor,Is a BP of 99/68 good in case of stage-4 cirrhosis and liver failure? I am currently on Dopamine, Potassium chloride and Albumin human 25.  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to You have mentioned that you are on Dopamine, which is a medicine to increase the BP (blood pressure). So, if we decrease the dosage of Dopamine, the BP may fall. Also, whether the BP is good or not depends on the functioning of other organs like whether there is urine ...  Read Full »

My echo report shows MVP with mild MR. What does it suggest?

Query: Hi doctor, I have done ECG, echo, TMT, and all blood tests. All reports are normal, and my echo showing, MVP with mild MR. I feel anxiety and stress. Please check my reports and give me your opinion, sir. I am taking Petril Beta 10 tablet. And I feel atypical chest pain for anxiety. Sir, that day yo...  Read Full »

Dr. Prashant Valecha

Answer: Hi, Welcome to Read your echo (echocardiogram) report "Interpretation summary." There is no MR in your echo report. It is a good thing that there is no MR (mitral regurgitation) with MVP (mitral valve prolapse). The only thing you can do is take medicine to control heart rate and anx...  Read Full »

Can you please suggest from the reports if I need angioplasty?

Query: Hello doctor, I have breathlessness while walking or taking stairs, chest congestion at times, and sleeplessness. I am diabetic and take Insulin twice a day. Please find the attached reports of ECG, echo, and angiography. Is angioplasty required? Can blockage be tackled with medicines alone?  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to I have seen the reports (attachment removed to protect patient identity). Yes, you should undergo angioplasty because¬†you are having symptoms on exertion. The ECG changes are suggestive of deficient blood supply. Also, the blockage is significant 80 %. At this moment,...  Read Full »

The doctor suggested that I undergo a 2D echocardiogram. What does my ECG report indicate about my health?

Query: Hello doctor, I have no complaints, but I am submitting my electrocardiogram (ECG) report. The doctor suggested that I undergo two-dimensional (2D) echocardiogram. Please let me know if I am healthy.  Read Full »

Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to I request you to share the electrocardiogram (ECG) report. I would also like to know about your symptoms and cardiac problems. For example, do you have hypertension, diabetes, or a family history of cardiac diseases?  Read Full »

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