Luke Hogg

PATIENT: Luke Hogg

HISTORY: malaise, auscultatable arhythmia with pulse deficit

Abdominal U/S

Not Applicable

Echocardiography

SUMMARY

There is no underlying cardiac disease here however there are very frequent VPC’s with predominantly a trigeminy pattern (every third beat is a VPC) although couplets and triplets are seen making this patient at risk for runs of ventricular tachycardia.  Common causes for VPCs in the absence of primary cardiac disease are renal failure, splenic masses, and other systemic or abdominal disease.  Blood sampling and abdominal ultrasound are recommended to evaluate for these potential causes and if normal Holter monitoring may also be advisable to evaluate for symptomatic VTach so that therapy may be initiated.

B-MODE

Comments:  cardiac chambers, valves and outflow tracts appear normal and systolic function is good.  Heart rate is approximately 100bpm, underlying sinus rhythm.

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

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

M-MODE

FS 53%, EPSS 0.1cm.

WALL THICKNESS AND CHAMBER DIMENSIONS COMMENTS: lvdd 4.1cm

COLOUR DOPPLER

No abnormal jets or turbulent flow demonstrated

SPECTRAL DOPPLER

MITRAL INFLOW: Mitral Regurgitation? no

AORTIC OUTFLOW: Max Velocity 1.95m/s. Aortic Insufficiency? no

TRICUSPID INFLOW: Tricuspid Insufficiency? no

PULMONIC OUTFLOW Max Velocity 1.4m/s. Pulmonic Insufficiency? no


U/S Guided Samples: Results

Not Applicable.

ECG

trace quality : good

HR: underlying sinus rhythm 108bpm, frequent VPCs, every third beat, occasional couplets, triplet

complex sizes and durations within normal limits

Endoscopy
Not Applicable.

Other

Not Applicable

Leave a Reply