What do SPAP and tricuspid regurgitation indicate on an ECG?

Question

Hello doctor,

I recently underwent an echocardiogram (ECHO) and would like a more detailed explanation of the findings. Here are the results SPAP (Systolic Pulmonary Arterial Pressure) is estimated at 27 mmHg, Trace tricuspid regurgitation, Left atrium area: 15.5 cm², Left atrium volume: 37 ml / 19m/m², Left atrium dimension: 3 cm, Right atrium area: 13.9, Right atrium volume: 18 ml/m², Right ventricle TAPSE (Tricuspid Annular Plane Systolic Excursion): 25 mm, Right ventricle S velocity: 12.9 cm/s, LV (Left Ventricle) diastolic dimension: 3.55 cm, LV septum diastolic: 0.78 cm, LV PW (Posterior Wall) diastolic: 0.88 cm, LVOT (Left Ventricular Outflow Tract): 1.9 cm, LV systolic dimension: 2.68 cm, Estimated LV EF (Ejection Fraction) (percentage not provided), AO (Aortic Root) dimension: 3.1 cm, AV (Aortic Valve) cusp separation: 2 cm, AV peak velocity: 105 cm/s, AV peak gradient: 4.41 mmHg, LVOT peak velocity: 72.9 cm/s, TR (Tricuspid Valve) velocity: 244 cm/s, TR gradient: 23.81 mmHg, Estimated RAP (Right Atrial Pressure): 3 mmHg, Estimated RSVP (Right-Sided Ventricular Pressure): 27 mmHg, E septal velocity: 7.46 cm/s, E lateral velocity: 8.01 cm/s, E/E ratio: 6.7, MV (Mitral Valve) peak e-wave: 51.3 cm/s, MV peak a-wave: 41.5 cm/s, MV E/A ratio: 1.24. Kindly help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concerns regarding your echocardiography report. Upon reviewing the findings of the echo, I did not identify any abnormalities in your heart. The purpose of an echocardiogram is to assess various aspects of your heart, including the size of the chambers, the presence of any valve defects, the pumping capability, blood flow capacity, pressure in each chamber, and any thickening of the heart walls. Based on the values provided in the report, all measurements fall within the normal range, indicating no abnormalities present. The mention of trace tR(tricuspid regurgitation) in the report is likely due to an artifact, and it is not a cause for concern. Therefore, there is no need to worry as your heart appears to be in a healthy condition. May I ask if you are experiencing any symptoms, or was the echocardiogram performed as part of a routine health check-up?

I hope this answer helps you. Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

Given the above echo findings, your symptoms of lower body swelling, bluish lips, and other symptoms cannot be explained.

Have they commented on the septa of your heart?

And what is the final impression of the report?

Thank you.