HomeAnswersCardiologyechocardiogramI had an echo done recently. Please review my reports.

How to interpret if the echo results are normal for my age?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At March 6, 2023
Reviewed AtAugust 4, 2023

Patient's Query

Hello doctor,

I would like you to review my echo test that was performed yesterday. Is it normal for my age?

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern. Your echocardiography report (attachment removed to protect the patient's identity) is normal. Chamber sizes and function is normal. Valves are also normal. Do you have any symptoms? Why ECG (echocardiogram) was done? Is any previous ECG available? Hope this helps. Thanks and take care.

Patient's Query

Hello doctor,

Thank you for your reply. I had PVCs and a BNP level of 430. No other symptoms. I am a very active fit person who works out daily. All other blood tests were normal, as well as chest X-ray. Two ECGs were both normal. Should I be worried about anything? Based on this report, do you think I have an increased risk of heart issues such as PH or anything else?

Hello,

Welcome back to icliniq.com.

I read your query and can understand your concern. BNP (brain natriuretic peptide) levels have good negative predictive value, but the positive predictive value is not as good. It rules out heart failure if negative, but positive does not always mean heart failure. You did a good job of having echocardiography (ECG). Echocardiography is the next test if BNP or NT-pro BNP levels are raised. Echocardiography is normal, so there is no need to worry. Regarding PVCs (premature ventricular contractions), these can be normal findings in most healthy people. Other causes are excessive caffeine intake, anxiety, fever, and electrolyte imbalance, such as potassium, magnesium, and calcium levels. Ischemic heart disease is also a cause, but as your echo is normal and you are fit, it is almost ruled out. If PVCs are frequent and persistent for weeks to months, you should have Holter monitoring to record ECG for 24 hours to count total PVCs in 24 hours. If echocardiography is normal, electrolytes are normal, PVCs burden on Holter is not high, and PVCs are still causing bothersome symptoms, then beta-blocker medicines are started to suppress PVCs. Hope this helps. Thanks and take care.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Muhammad Zohaib Siddiq
Dr. Muhammad Zohaib Siddiq

Cardiology

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