HomeAnswersCardiologyleft ventricular hypertrophyMy carotid duplex scan report shows a 10 % luminal area reduction on the right side. Should I be concerned about it?

What does borderline left ventricular hypertrophy indicate?


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 May 24, 2022
Reviewed AtJuly 24, 2023

Patient's Query

Hello doctor,

I am a 30-year-old male and had a full body scan done with a local imaging center. My current medication includes Rosuvastatin. The report was sent back to me, and I am having a hard time deciphering whether the findings are of concern. My carotid duplex scan showed a 10 % reduction in the luminal area at the bulb, proximal external carotid, and internal carotid artery (ICA). The Doppler indicated normal flow, and internal carotid artery or common carotid artery (ICA or CCA) ratios were normal. Also, a 10 % luminal area reduction on the right side was seen at the bifurcation of internal and external carotid arteries. On my echocardiogram report, the radiologist noted that the Doppler analysis revealed a trace of mitral tricuspid regurgitation jet. In addition, the reading reported that I had borderline left ventricular hypertrophy (LVH) and mild mitral valve prolapse. The report stated that my right ventricular wall motion and pulmonary pressure were normal, and no remarkable intracardiac thrombi, mass, vegetation, and pericardial effusion were noted. It stated that the mitral valve, the tricuspid, and pulmonic excursion and morphology appeared normal. It stated that the right ventricle, left atrium, right atrium, left ventricle and left ventricular wall motion were normal. Lastly, dyskinesia of left ventricular systolic (LVS) wall motion was seen, and the estimated ejection fraction was around 69 %. The measurements are listed below, LVEDV (left ventricular end diastolic volume) : 6.3 centimeters, LVSV (left ventricular stroke volume): 3.4, IVSd (intraventricular septum thickness in diastole):1.1, IVS (intraventricular septum): 1.3, PWD (posterior wall thickness during diastole): 1.1, PWS (posterior wall thickness during systole): 1.3, Ao (aortic root):3.6 centimeters, ACS (acute coronary syndrome): 1.9 centimeters, LA (left atrium):3.0 centimeters, RA (right atrium): 2.9 centimeters, RVD (right ventricular dysfunction):3.3 centimeters, EPSS (E-point to septal seperation): 1.0, EF (ejection fraction): 69 %. The Doppler measurements are listed below. Maximum velocity of tricuspid regurgitation: 3.1 cmm/s, MVP1/2 (mitral valve prolapse): 101 (microvascular) MV, Maximum decreasing slope: 59 cm/s2, RA (right atrial) pressure: 10 mm of Hg, MV mean PG (microvascular mean pressure gradient): 4.6 mm of Hg, RVSP (right ventricular systolic pressure): 24 mm of Hg.


Welcome to icliniq.com.

Some narrowing is seen from the reports attached (attachments removed to protect the patients' identity), which is not significant. You are already on Rosuvastatin, so nothing alarming is present. The echocardiogram appears normal, but some physiological variations can be seen. Therefore, I suggest you can undergo an electrocardiogram (ECG) and treadmill test (TMT) for a complete cardiac examination.

Patient's Query

Thank you doctor for the reply,

Is the borderline left ventricular hypertrophy (LVH) of any concern?


Welcome back to icliniq. com.

I suggest you monitor your blood pressure because it should be close to 120/80 mm of Hg. If it is in between 120/80 to 129/89 mm of Hg, exercise and diet are helpful. If it is more than this, then you may need medications. Your radiologist used the term dyskinesia of intraventricular septum (IVS), which does not fit here as the whole report is normal. We do not use this term in normal reports as it can be a paradoxical septal motion of IVS. I feel that an echocardiogram should be done by a cardiologist or a cardiac sonographer. If you control blood pressure by exercising and keeping salt intake in moderation, then left ventricular hypertrophy (LVH) can be reversed. Currently, it is not of concern in your case.

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

Dr. Prashant Valecha
Dr. Prashant Valecha


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