Freya Rumis

 

PATIENT: Freya Rumis 1966

HISTORY: precordial thrill noted by owners, previous echo showed eccentric mitral regurgitant jet ?mild jet but perpendicular to MV – hypothesised that direction of jet is causing thrill.

CHARGES: echocardiography

Abdominal U/S

Not Applicable

Echocardiography

SUMMARY

No change here in cardiac dimensions. No progression. Annual echocardiography recommended.

B-MODE

 

Comments: the mitral valve is thickened; the free wall leaflet is more difficult to semonstrate prolapse motion today. The remainder of the heart cha,bers / valves a/ outflow tracts appear normal. systolic function is good. patient unsedated, tense, heart rate 100bpm, sinus rhythm

LA:Aortic ratio (RPS SA, normal <1.6) 1.5

 

LA:Ao ratio (RPS LA, normal <2.5) 1.8

 

M-MODE

 

FS 34%, EPSS 0.1cm.

 

WALL THICKNESS AND CHAMBER DIMENSIONS COMMENTS: lvdd 3.4cm

 

COLOUR DOPPLER

 

mitral jet, mild but eccentric

 

SPECTRAL DOPPLER

 

MITRAL INFLOW: E 0.8m/s A 0.4m/s. Mitral Regurgitation? ys mild 4.2m/s

 

AORTIC OUTFLOW: Max Velocity 1.0m/s. Aortic Insufficiency? no

 

TRICUSPID INFLOW: Tricuspid Insufficiency? no

 

PULMONIC OUTFLOW Max Velocity 0.9m/s. Pulmonic Insufficiency? no

 


U/S Guided Samples: Results

Not Applicable.

ECG
Not Applicable.

Endoscopy
Not Applicable.

Other

Not Applicable

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