Aura King

 

PATIENT: Aura King 16134

HISTORY: not herself, increased respiratory rate noted by owners. RR 60 and crackles on auscultation, HR 180, systolic murmur g3 PMI L apex

CHARGES: echocardiography

Abdominal U/S

Not Applicable

Echocardiography

SUMMARY

There is acquired degenerative mitral and tricuspid valve disease here with associated severe mitral and moderate tricuspid regurgitation, and eccentric dilation of the left side which is fairly marked. Systolic function is good. Irregular beats are noted and ECG would be advisable. Thoracic radiography is warranted to assess the expected congestive heart failure in this case.

B-MODE

 

Comments: the mitral and tricuspid valves are thickened and irregular. There is left sided eccentric dilation with slightly thin-walled left ventricle and a moderately to markedly dilated left atrium. the right side of the heart appears subjectively very mildly eccentrically dilated also. Systolic function is hyperdynamic. The heart rate is approximately 160bpm, with irregular beats noted.

LA:Aortic ratio (RPS SA, normal <1.6) 2.9

 

LA:Ao ratio (RPS LA, normal <2.5) 3.6

 

M-MODE

 

FS 39%, EPSS 0.1cm.

 

WALL THICKNESS AND CHAMBER DIMENSIONS COMMENTS: lvdd 5.15cm

 

COLOUR DOPPLER

 

severe mitral regurgitation, mild pulmonic insufficiency, moderate tricuspid regurgitation

 

SPECTRAL DOPPLER

 

MITRAL INFLOW: E and A merged 0.6m/s. Mitral Regurgitation? yes 4.4m/s

 

AORTIC OUTFLOW: Max Velocity 0.9m/s. Aortic Insufficiency? no

 

TRICUSPID INFLOW: Tricuspid Insufficiency? yes 2.4m/s

 

PULMONIC OUTFLOW Max Velocity 0.9m/s. Pulmonic Insufficiency? yes mild

 


U/S Guided Samples: Results

Not Applicable.

ECG
Not Applicable.

Endoscopy
Not Applicable.

Other

Not Applicable

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