Echo results

[miachic]

What is a normal LVEDD (left ventricular end diastolic dimension) and a normal LVESD (left ventricular end systolic dimension)? I just got my results back from my stress echo last week and was wondering what the normal limits are for these?

Emily

[JAMESFETT]

It is best to relate the left ventricular end-diastolic dimension (EDD) to body surface area, determined by height and weight. Criteria for PPCM diagnosis require an EDD of greater than 2.7 cm/square-meter body surface area. Should you like give me your height and weight, I'll apply it to a nomogram to determine your body surface area. In addition, if you wish, tell me your EDD and I will put the figure into comparison with that 2.7 normal figure. The left ventricular end-systolic dimension is then helpful to determine the fractional shortening, FS, an alternative to EF for determining systolic function.

JD

[miachic]

Height - 5'6" or 66 inches
Weight - 120 pounds

This is what my echo paper says:
ED Volume, EDv Index.........93 ml, 59 ml/m2 (m sqaured)
ES Volume, ESv Index.........43 ml, 27 ml/m2 (m squared)
Cardiac Output..................3.21 l/min
EF...................................54%
Myocardial Mass.................127 g
Summed WTHK Score...........12
Summed WMOT Score..........4

I'm not sure what those last measurements mean.

Also, it says:

Global Function.....Normal.
LV Volume............Mild enlargement.
Regional function...Normal.
RV Perfusion.........Normal.
RV Volume............Normal.
Regional Function..Normal.

Summary: Stress judged to be excellent. Stress had a normal BP response. Stress had a normal ST response. Chest pain did not occur.

LV myocardial perfusion was normal. LV myocardial perfusion was consistent with 0 vessel disease. Global LV function was normal. LV volume was abnormal. LV regional wall motion was normal.

RV perfusion was normal. RV volume was normal. RV regional wall motion was normal.

Scan significance was normal and indicates a very low risk for hard cardiac events.

That's all that it says. I understand most of it as I used to type these types of reports but don't understand the actual values.

Thanks again Dr. Fett! You're the greatest!

Emily

[JAMESFETT]

your body surface area by height and weight is approximately 1.6 meter squared. I see from their report that they calculate your body surface area as 1.58 meter squared. For that body surface area, any measure under 4.3 cms would be normal. Unfortunately, your report does not have the left ventricular end-diastolic dimension or end-systolic dimension, and therefore I cannot calculate fractional shortening. Instead it lists left ventricular volume. Normal LV volume at term would be approximately 102 ml =/- 13 ml. By that, your measure of 93 ml would be very close to normal. Should you find the other measure, please let me know. In any case, your echo is very encouraging.

JD

[miachic]

Thank you Dr. Fett! That encourages me. I will try to get the LVEDD and LVESD if I can. Their office isn't very good about records and this was about the fifth time I had to ask them to even get a copy of anything. I will be going for FU Oct 11 so maybe I can get something then. We'll see.

Thanks again! I'm glad that it's encouraging.

Emily