Can someone please talk to me about my Echocardiogram results......

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ScottieC
New Member


Date Joined Nov 2009
Total Posts : 3
   Posted 11/17/2009 8:24 PM (GMT -7)   
Just got the results back from my Cardiologist..... he says everything is fine, I have no condition or restrictions, no meds prescribed, and no followup appointment needed.

He said anything/everything found was benign, and nothing to concern myself with. He went on to tell me that just like bone structure, or facial structure, everyone's bodies are a little different.

Anyway the results:
Perfect Left Ventricle side
Normal Systolic Function
Injection Fraction 66%
Machine suggested mild Systolic Prolapse of the front Mitral valve leaflet.
Possible congenial abnormal aortic valve
Unremarkable color Doppler

No remarks, nothing to denote any concern.

I talked to my Cardio briefly on the phone..... I am a 31 year old male, very athletic, have worked out religiously since I was 16.... so some of things sound odd to me...he assures me they are nothing, and I could live to be 100 with these things with no issues or symptoms.

Can any of you shed some light on what some of this means?
So...of course, what concerns me is this:
 
1) Do these results mean I likely have mitral valve prolapse?
2) Possible congenial abnormal aortic valve? Does this mean I probably have a bicuspid valve?
 
What prompted the Echo, and blood work, and EKG, and chest xray in the first place was that I was having dizzy spells, which led to panic attacks and anxiety.
 
My cardio (who is a EP as well) believes my symptoms are 99% psychological and claims nothing on my heart work up would cause any of the symptoms I had..... he gave me no restrictions, and said to follow up with another echo in 2 or 3 years.
 
I am scared to death.... and the heart doc acts like I have a hang nail.
 
Please advise!!

stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 11/20/2009 5:45 AM (GMT -7)   
Good Morning and I am sorry to hear you are feeling so stressed re the results of your Echo. If you went in with complaints as you described I am sure your Cardiologist did the echo to rule out any serious condition and according to your report you are healthy and the echo did not show anything that should slow you down. In other words you had a medical screening exam to make sure you did not have any serious cardiac problems.


I do believe your physician may be right and what you may have is a nasty case of Health Anxiety. We have a great Anxiety Forum here and you may find posting your fears and feelings in that forum will help you learn ways to deal with Health Anxiety.



You are not alone as many millions of people have Health Anxiety so know we are here for you and we do care.



If you still doubt your normal tests you could seek out a second opinion but I suspect you will get the same response from another physician.



Try not to over think the results and just accept that you are OK.



I wish you peace,



Kitt

Loudie
New Member


Date Joined Nov 2009
Total Posts : 4
   Posted 11/21/2009 6:11 PM (GMT -7)   
Did you have any other tests done?
Treadmill stress test?  24 hour monitor?  Do you have irregular heart beats (arrhythmias)? 
Any other symptoms? Heart fluttering? Chest discomfort?  Difficulty breathing?
 
From the echo test results you quote, it sounds like your heart function is excellent.  (Called ejection fraction, by the way) 50% or greater is considered normal. This means the blood is being circulated by a healthy strong heart muscle (Left ventricle is the main pump of the heart, that provides oxygen rich blood to the body).
Many people have prolapsed valves that don't need to be treated. Congenital refers to a condition at birth.
 
It would be a good idea to ask the cardiologist how often you might need to check an echo again, or have other tests periodically.
In my experience ( as a cardiac nurse ), most physicians won't treat valves until there are significant problems. 
If the test said something like 3+ mitral regurgitation and you had significant symptoms, then that would be a point at which they would evaluate for intervention.
 
Also, if you continue to have dizziness or new and more frequent symptoms, you should go back to the cardiologist or your family physician.  It also never hurts to get a second opinion, if you are uncomfortable.  You could also go back to have more time for questions with this doctor.  It is good to write down all your questions before hand, and just ask for an appointment to clarify.
 
Hope this helps.
 
Edit:  Good information however please do be aware of the rules and guidelines of HW.  Many of us have initials behind our names however this is a peer support forum not a medical site.
 
20. Do not use the forum to give professional medical advice. If you are a medical professional, please remember the forums and chat are for patient support and not to be used for distributing professional medical advice and/or using the forum to represent your professional services.
thank you in advance for your understanding of the need to keep this a nonprofessional peer support group.
Kitt
 

Post Edited By Moderator (stkitt) : 11/21/2009 6:37:30 PM (GMT-7)


ScottieC
New Member


Date Joined Nov 2009
Total Posts : 3
   Posted 11/21/2009 7:49 PM (GMT -7)   
Did you have any other tests done?
Yes
Treadmill stress test?
Scheduled, but a panic attack stopped this from happening. 
24 hour monitor?
3 in three months.
Holter 1- Virtually no PVC's, but showed 13 beats of non-sustained v-tach..... was taken off Zoloft.... Cadiologist did not seem concerned.
Holter 2- Clear.... no PVC's or anything else
Holter 3- Clear with the exception of some PVC's
Do you have irregular heart beats (arrhythmias)?
No 
Any other symptoms?
Heart fluttering?
No
Chest discomfort?
No 
Difficulty breathing?
When anxiety is at its peak, getting air feels difficult. 
From the echo test results you quote, it sounds like your heart function is excellent. 
My cardio said the same thing. 
Many people have prolapsed valves that don't need to be treated. Congenital refers to a condition at birth.
At this point, he wouldnt even diagnose me with MVP, as I have no clicking, or murmur.... the echo simply said "mild leaflet prolapse suggested"
 
It would be a good idea to ask the cardiologist how often you might need to check an echo again
He said in a couple years.
In my experience ( as a cardiac nurse ), most physicians won't treat valves until there are significant problems. 
He said that he couldn't even confirm that I have a bicuspid, nor would he confirm MVP.... he predicted that neither will amount to anything in my lifetime.
 
Also, if you continue to have dizziness or new and more frequent symptoms, you should go back to the cardiologist or your family physician. 
If I went to a doctor everytime I am dizzy.....thats all I would get done.
It also never hurts to get a second opinion, if you are uncomfortable.  You could also go back to have more time for questions with this doctor. 
I've seen the cardio 6 times, family doctor 7 times....in 5 months....they're both sick of me. The family doctor is a 31 year old rookie fresh outta med school who will schedule 7 tests if you describe a hangnail, the cardio is a 61 year old veteran from the Cleavland Clinic.... who thinks I am a hypochandriac.
 It is good to write down all your questions before hand, and just ask for an appointment to clarify.
I always do. Thanks for your reply.
 

Loudie
New Member


Date Joined Nov 2009
Total Posts : 4
   Posted 11/22/2009 3:48 PM (GMT -7)   
Sorry Didn't mean to break the rules. Hard to separate "professional" from support giving. I guess I will have to avoid this category altogether, as I would feel compelled to help those crying out for advice. I'm definitely not soliciting. My intention was to help, but won't do it again.
 
 PJ had Robotic prostatectomy on 10-21-09.  Gleason was 3/3. T1c. All cancer cells confined to prostate.  Pathology post op all clear.  UTI treated with Cipro.  Occ use of Ibuprofen for pain. Pain persists deep rectal area, especially with urinating.  Some razor sharp penile pain intermittently.  He is 4 weeks post op.  Back at work 1 + weeks post op. He is in healthcare.  Had poor communication from 1st urologist.  He had to hunt down results of pre op testing on his own, and the urologist never called him to tell him he had cancer.  Very frustrating start to it all.  He has 2 girls, ages 12 and 14.  My children are 19 and 22.  We are both previously divorced.  We have been together for 5 years.
 
 


ScottieC
New Member


Date Joined Nov 2009
Total Posts : 3
   Posted 11/22/2009 6:47 PM (GMT -7)   
Loudie,
I had no problem with your advice, in fact, it is much appreciated.
I would be interested in anything else you have to say in this matter.
Thank you

stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 11/22/2009 7:28 PM (GMT -7)   
Sorry Loudie, the rules are there to protect the members. I am a Crit Care/ Emergency Dept CCRN with 26 years of experience but on here I am a peer and do not tell members that I am a professional as this is a peer support forum.


The rules are those of Administration and I am simply a moderator who attempts to maintain the rules. I have no special authority.



You are right it is hard to separate being a professonal from being a support person. I am sure you are an excellent nurse. Thank you for your understanding and I have read your posts in Prostate Ca as my husband had a radical Prostatectomy a year ago. We have a bit in common. :)



With sincere regards,


Kitt

jo1972uk
Regular Member


Date Joined May 2010
Total Posts : 74
   Posted 5/4/2010 9:31 AM (GMT -7)   
hi there,, i to have dizzy spells, and was having palpataions,, went to docs with them,, i also have (colitis ) the docs checked me told me i have a slight heart murmour,, sent me to hospital, i had an echo scan of the heart and was sent home with a 24 hour monitor, and the consultant said my heart murmour was very slight, and he told me to lay off caffeine, so i have decaff tea now,, my results came back and the doc said they was all fine and not to worry,,, i too have panick attacks and anxiety,, but when they found out i had this heart murmur i was convinced i did not suffer panicks and that it was my heart making me breathless etc,,, but yet results all fine,,, hmmmmm i still get these palpatations but told not to worry,,,and still dont really know how this heart murmour can affect me, if at all,, the doc said cause its a slight one i need not worry it wont cause me problems,,,, i hope not :( i still get dizzy spells but dont know if thats my colitis causing it,,, geee why is everything so complicated lol x
hi i,m female age 37, stopped smoking 8 yrs ago, was diagnosed colitis i think 2008 ony ever had it under control once and flared up again 4 weeks ago (april 2010) trying to get it back under control,,, had 2 colonoscopy's and they want me to have another, i am  waiting on appointment (may 2010)
medication : pentasa 2 tabs twice a day and mesalazine enema once daily


vikx
New Member


Date Joined Jan 2010
Total Posts : 9
   Posted 5/6/2010 12:52 AM (GMT -7)   
I certainly appreciate supportive advice more than ((HUGS))...

jujub
Forum Moderator


Date Joined Mar 2003
Total Posts : 10405
   Posted 5/6/2010 6:24 AM (GMT -7)   
Jo, it sounds as if you may have what's called an "innocent" heart murmur. It's a sound that most people don't have when their hearts beat, but it doesn't denote any problems with the heart function. It's sort of like a person having one green eye and one brown eye: not the norm, but completely harmless.

And I'm sure you know anxiety often causes palpitations and feelings of breathlessness. Perhaps this is causing some of your issues?

stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 5/6/2010 6:28 AM (GMT -7)   
I am not sure what your comment is referring to but if you have any questions re HW and the rules and guidelines set forth by the Administration please do email me and I will do my best to explain.



Respectfully,

Kitt

jo1972uk
Regular Member


Date Joined May 2010
Total Posts : 74
   Posted 5/6/2010 9:33 AM (GMT -7)   
Hi judy2 thanks for that,, yeah my doc said there harmless, but u know when you just want others to say it too? to make you feel better,,, so thanks xx much appriciated jo x
hi i,m female age 37, stopped smoking 8 yrs ago, was diagnosed colitis i think 2008 ony ever had it under control once and flared up again 4 weeks ago (april 2010) trying to get it back under control,,, had 2 colonoscopy's and they want me to have another, i am  waiting on appointment (may 2010)
medication : pentasa 2 tabs twice a day and mesalazine enema once daily

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