Echo report

Discussion in 'Health and medical' started by Vivian, Dec 16, 2003.

  1. Vivian

    Vivian Guest

    My mother has been feeling really exhausted and shortness of breath in
    the last few months and recently was hospitalized dur to fluid in
    lungs. Her echo test indicates that:

    IMPRESSION:

    There is mild degenerative valvular disease. There is hemodynamically mild aortic, mitral and
    tricuspid insufficiency. There is normal left ventricular function. Antibiotic prophylaxis against
    endocarditis is indicated.

    Could someone please explain to me in simpler language what all these means? Is her condition
    serious? Is this a congestive heart failure? My mom is 83 and she has been on blood thinner for a
    year and has high BP problem. She has difficulty breathing from time to time and is always tired.
    Her family doctor seems to think nothing can be done at this time to improve her condition and that
    its a matter of time. Naturally we are very worried. I would appreciate any advice that could help
    her to breathe easier. I suggested to give her oxygen through the nose but her doctor does not think
    its a good idea.
     
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  2. florald

    florald Guest

    On Sat, 15 Nov 2003 04:47:20 GMT, vivian <[email protected]> wrote:

    >My mother has been feeling really exhausted and shortness of breath in the last few months and
    >recently was hospitalized dur to fluid in lungs. Her echo test indicates that:
    >
    >IMPRESSION:
    >
    >There is mild degenerative valvular disease. There is hemodynamically mild aortic, mitral and
    >tricuspid insufficiency. There is normal left ventricular function. Antibiotic prophylaxis against
    >endocarditis is indicated.
    >
    >Could someone please explain to me in simpler language what all these means? Is her condition
    >serious? Is this a congestive heart failure? My mom is 83 and she has been on blood thinner for a
    >year and has high BP problem. She has difficulty breathing from time to time and is always tired.
    >Her family doctor seems to think nothing can be done at this time to improve her condition and that
    >its a matter of time. Naturally we are very worried. I would appreciate any advice that could help
    >her to breathe easier. I suggested to give her oxygen through the

    You did not mention diuretics. I always thought that they were given when there was fluid on the
    lungs but perhaps there is a contraindication because of her BP and her age. Perhaps the valves are
    not bad enough for replacement to be considered and it would be traumatic surgery at her age. I had
    three damaged valves but the mitral has been replaced and I am a lot younger than your Mum. I should
    have thought there was something to give her to help her breathing. It is so distressing and I hope
    that something can be done. Diana
    >nose but her doctor does not think its a good idea.
     
  3. vivian wrote:

    > My mother has been feeling really exhausted and shortness of breath in the last few months and
    > recently was hospitalized dur to fluid in lungs. Her echo test indicates that:
    >
    > IMPRESSION:
    >
    > There is mild degenerative valvular disease. There is hemodynamically mild aortic, mitral and
    > tricuspid insufficiency. There is normal left ventricular function. Antibiotic prophylaxis against
    > endocarditis is indicated.
    >
    > Could someone please explain to me in simpler language what all these means?

    The echo report describes only mild abnormalities.

    > Is her condition serious?

    Clinically, yes. Based on the echo impressions, no.

    > Is this a congestive heart failure?

    Clinically what you describe sounds like congestive heart failure. Because the echo report reports
    normal left ventricular function (presumably systolic), the problem is likely diastolic dysfunction.

    >
    > My mom is 83 and she has been on blood thinner for a year and has high BP problem. She has
    > difficulty breathing from time to time and is always tired. Her family doctor seems to think
    > nothing can be done at this time to improve her condition and that its a matter of time. Naturally
    > we are very worried. I would appreciate any advice that could help her to breathe easier. I
    > suggested to give her oxygen through the nose but her doctor does not think its a good idea.

    I suggest a second opinion from a cardiologist.

    Humbly,

    Andrew

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    http://www.heartmdphd.com/
     
  4. Vivian

    Vivian Guest

    Dr. Chung:

    Thank you very much for your response. I was quite distressed when I last posted and I had
    quoted my mother's test from Dec last year. The latest echo test was dated Oct 29 and the
    impression as follows:

    *Normal LV size and function. LA measures normal in size, but visually appears enlarged. Mild
    degenerative valvular changes.*

    From my own interpretation of the test results I also got the impression (hoping) that it wasnt
    really serious and the fact that she was discharged with no further warning from hospital doctor
    gave us hope that as long as her BP was under control she should be fine.

    We were shocked and upset that her family doctor was so pessimistic in the subsequent visit and
    hinted that my mother's days are numbered. The doctor never said anything in this concern and
    suddenly it came to this. She never referred my mother to a specialist until now, though my mom has
    been seeing her regularly for almost 10 years.

    Sorry for the rant but we don't know what else to do other than waiting to see the specialist end of
    month. My mother still has shortness of breath but her blood pressure seems fine. The family doctor
    did not like the idea of giving my mom oxygen through the nose thinking that she might depend on it
    too much. Thanks again for your help and time.

    Dr. Andrew B. Chung, MD/PhD wrote:
    >
    > vivian wrote:
    >
    > > My mother has been feeling really exhausted and shortness of breath in the last few months and
    > > recently was hospitalized dur to fluid in lungs. Her echo test indicates that:
    > >
    > > IMPRESSION:
    > >
    > > There is mild degenerative valvular disease. There is hemodynamically mild aortic, mitral and
    > > tricuspid insufficiency. There is normal left ventricular function. Antibiotic prophylaxis
    > > against endocarditis is indicated.
    > >
    > > Could someone please explain to me in simpler language what all these means?
    >
    > The echo report describes only mild abnormalities.
    >
    > > Is her condition serious?
    >
    > Clinically, yes. Based on the echo impressions, no.
    >
    > > Is this a congestive heart failure?
    >
    > Clinically what you describe sounds like congestive heart failure. Because the echo report reports
    > normal left ventricular function (presumably systolic), the problem is likely diastolic
    > dysfunction.
    >
    > >
    > > My mom is 83 and she has been on blood thinner for a year and has high BP problem. She has
    > > difficulty breathing from time to time and is always tired. Her family doctor seems to think
    > > nothing can be done at this time to improve her condition and that its a matter of time.
    > > Naturally we are very worried. I would appreciate any advice that could help her to breathe
    > > easier. I suggested to give her oxygen through the nose but her doctor does not think its a
    > > good idea.
    >
    > I suggest a second opinion from a cardiologist.
    >
    > Humbly,
    >
    > Andrew
    >
    > --
    > Dr. Andrew B. Chung, MD/PhD Board-Certified Cardiologist http://www.heartmdphd.com/
     
  5. Vivian

    Vivian Guest

    Hi : My mother was not given anything in hospital other than preparing her for a test. She bascially
    drained the fluid on her own. She is older so I think a surgery to repair her valves might be
    riskier. We are now hoping to get oxygen supply for her and hope it would help her. Good to hear you
    are doing great after the repair surgery. Have you been suffering long before surgery I would like
    to hear your experience.

    Rgds, V

    [email protected] wrote:
    >
    > On Sat, 15 Nov 2003 04:47:20 GMT, vivian <[email protected]> wrote:
    >
    > >My mother has been feeling really exhausted and shortness of breath in the last few months and
    > >recently was hospitalized dur to fluid in lungs. Her echo test indicates that:
    > >
    > >IMPRESSION:
    > >
    > >There is mild degenerative valvular disease. There is hemodynamically mild aortic, mitral and
    > >tricuspid insufficiency. There is normal left ventricular function. Antibiotic prophylaxis
    > >against endocarditis is indicated.
    > >
    > >Could someone please explain to me in simpler language what all these means? Is her condition
    > >serious? Is this a congestive heart failure? My mom is 83 and she has been on blood thinner for a
    > >year and has high BP problem. She has difficulty breathing from time to time and is always tired.
    > >Her family doctor seems to think nothing can be done at this time to improve her condition and
    > >that its a matter of time. Naturally we are very worried. I would appreciate any advice that
    > >could help her to breathe easier. I suggested to give her oxygen through the
    >
    > You did not mention diuretics. I always thought that they were given when there was fluid on the
    > lungs but perhaps there is a contraindication because of her BP and her age. Perhaps the valves
    > are not bad enough for replacement to be considered and it would be traumatic surgery at her age.
    > I had three damaged valves but the mitral has been replaced and I am a lot younger than your Mum.
    > I should have thought there was something to give her to help her breathing. It is so distressing
    > and I hope that something can be done. Diana
    > >nose but her doctor does not think its a good idea.
     
  6. vivian <[email protected]> wrote in message news:<[email protected]>...
    > Dr. Chung:
    >
    > Thank you very much for your response. I was quite distressed when I last posted and I had quoted
    > my mother's test from Dec last year. The latest echo test was dated Oct 29 and the impression as
    > follows:
    >
    > *Normal LV size and function. LA measures normal in size, but visually appears enlarged. Mild
    > degenerative valvular changes.*
    >
    > From my own interpretation of the test results I also got the impression (hoping) that it wasnt
    > really serious and the fact that she was discharged with no further warning from hospital doctor
    > gave us hope that as long as her BP was under control she should be fine.
    >
    > We were shocked and upset that her family doctor was so pessimistic in the subsequent visit and
    > hinted that my mother's days are numbered. The doctor never said anything in this concern and
    > suddenly it came to this. She never referred my mother to a specialist until now, though my mom
    > has been seeing her regularly for almost 10 years.
    >
    > Sorry for the rant but we don't know what else to do other than waiting to see the specialist end
    > of month. My mother still has shortness of breath but her blood pressure seems fine. The family
    > doctor did not like the idea of giving my mom oxygen through the nose thinking that she might
    > depend on it too much. Thanks again for your help and time.
    >

    You are very welcome.

    Glad to hear that the referral has been made for your mom to see a cardiologist.

    Things should work out fine. I am not sure why her family doctor was so pessimistic.

    Humbly,

    Andrew

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    http://www.heartmdphd.com/
     
  7. florald

    florald Guest

    Have you
    >been suffering long before surgery I would like to hear your experience.
    >
    >Rgds, V
    >
    I have tried to send you an email but there is something wrong. Will try again tomorrow. My story
    too long for group (and they have heard much of it before). Diana
     
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