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When is serial echocardiography generally recommended?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am 30-year-old, and I have had two echocardiograms. There is no family history of heart disease. I have strong anxiety. I had an echocardiogram done recently, and the only note that was concerning in the report is "The sinuses of valsalva is dilated at 3.7 cm, unchanged from prior study." My doctor is not concerned about it. The same cardiologist did both reports. She did my report today and seven years back when I was 24-year-old. My question is why the sinus of valsalva is dilated now when it was unchanged from the last echocardiogram that was deemed normal?

Answered by Dr. Muhammad Zohaib

Education:

MBBS

Professional Bio:

Dr. Muhammad Zohaib Siddiq is a skilled cardiologist with 13 years of clinical experience. He specializes in diagnosing and treating heart disorders, including congenital heart defects, coronary artery disease, heart failure, valvular heart disease, and electrophysiology, providing comprehensive care for cardiovascular health.      

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

The size of the aorta at sinus level (aortic root) is normal upto 4 cm. The good thing is that it has not changed in six years. It grows with age but grows very slowly in normal persons. If you have a family history of aortic root dilatation or aortic dissection, I suggest having serial echocardiography done every three years.

Patient's Query

Hi doctor,

Thanks for the reply. I have a few more queries. So is this finding normal? If it is normal, why did they report it as dilated? But, regarding family history, there is no history. So is there anything to worry about?

Answered by Dr. Muhammad Zohaib

Education:

MBBS

Professional Bio:

Dr. Muhammad Zohaib Siddiq is a skilled cardiologist with 13 years of clinical experience. He specializes in diagnosing and treating heart disorders, including congenital heart defects, coronary artery disease, heart failure, valvular heart disease, and electrophysiology, providing comprehensive care for cardiovascular health.      

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

It is very well within normal limits. There is nothing to worry about. I suggest that they have wrongly written dilated as aortic sinuses upto 40 mm in males and upto 36 mm in females is normal.

Medically reviewed by Dr. K. Shobana
Published At January 18, 2022
Reviewed At July 22, 2024

Education:

MBBS

Professional Bio:

Dr. Muhammad Zohaib Siddiq is a skilled cardiologist with 13 years of clinical experience. He specializes in diagnosing and treating heart disorders, including congenital heart defects, coronary artery disease, heart failure, valvular heart disease, and electrophysiology, providing comprehensive care for cardiovascular health.      

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

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

Education:

MBBS

Professional Bio:

Dr. Muhammad Zohaib Siddiq is a skilled cardiologist with 13 years of clinical experience. He specializes in diagnosing and treating heart disorders, including congenital heart defects, coronary artery disease, heart failure, valvular heart disease, and electrophysiology, providing comprehensive care for cardiovascular health.      

This doctor is not available for online consultations on the platform anymore.

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