How to treat for abnormal echocardiographic observations?

Question

Hi doctor,

I am a 36-year-old male with two open heart surgeries for VSD and ASD closure, followed by aortic valve replacement. I have been on Acitrom 7 mg and Betaloc 100 mg daily once with a PT INR last reading of 2.11. Yesterday, I went for a checkup, and my echocardiogram has the following observations.

1. LV is normal. Mild concentric LVH. No RWMA at rest.

2. Fair LV systolic function. LVEF is 55%.

3. Reduced LV compliance.

4. LA is normal-sized. No intracavitary clot present.

5. RV and RA are normal-sized.

6. Prosthetic AOV seen in situ.

7. Mild MR, mild TR, and trivial AR.

8. IVS and IAS are intact.

9. No clot is present.

10. Mild PAH. ERVSP 35 mm Hg.

11. Pericardium is normal.

I am worried about the abnormal observations above.

Please provide comments on each of the observation points.

Thanks.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern.

Let us discuss the echocardiographic findings. LVEF (left ventricular ejection fraction) is 55 percent, which is good. It is the capacity of the heart. The IVS (intact ventricular septum) partition between the left and right ventricles and atrium is intact. The chambers of the heart's left ventricle, right ventricle, right atrium, and pericardium are normal. There is no blood clot. You must have consulted your cardiac surgeon as a regular follow-up. Has he said anything adverse? Your overall condition will be treated with medicine. Be on regular follow-up.

I hope this information will help you.

Thank you.