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Aortic Valve Stenosis

Member Forum >> Coronary Disease & Cholesterol Protocol >> Aortic Valve Stenosis

mgcolorado

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Posted: 9/28/2020 6:40:16 PM
 

Dr. Davis,

You might remember that I discussed my aortic valve stenosis finding on a Wednesday night meetup about a year ago. At that time, an EBCT scan indicated the possibility of aortic valve calcification and an echocardiogram was recommended. If I’m correctly interpreting the echocardiogram results of 07/12/19, my aortic valve area was 1.8cm. 

I had a follow up echocardiogram performed on 9/14/20 from a different source and technician. Again, I’m not sure I’m interpreting it correctly, but It seems to indicate that my aortic valve area increased to 2.1cm. I’m not sure whether or not I should be excited by this new result due to my lack of expertise in this area. 

My treatment included increasing my supplementation of 25-hydorxy vitamin D from 6000 IU/Day to 13000 IU/Day beginning in August, 2019 and continuing. On 1/13/20 my 25-hydroxy vitamin D blood level had risen to 85. Continuing with the same 13000 IU/Day on 8/28/20 it had risen to 92.

Below are the 2 echocardiogram results. Hopefully, they make sense. I had to copy and paste the information. I’d really appreciate your help in interpreting the results.

I have other interesting results related to my overall health.

Michael

============================================================================

ECHOCARDIOGRAM REPORT

 

Date 07/12/2019

Name  MICHAEL

Sex Male

Sonographer PORTER, RDCS ROMS RVT, ROBIN M

Referred By DR. GERBER, JEFFRY Birthdate 07/1961 Age57

 

Referral Reasons ABN STRESS, BRADY, CAO

Findings

ECG rhythm: Sinus rhythm. Study quality: This was a technically good study. 2D imaging, color flow and doppler were used.

Left Ventricle: LV size, wall thickness and systolic function are normal, with an EF of 60%. The diastolic filling pattern Is normal for the age of the patient

Left Atrium: The left atrial size is normal.

Right Ventricle: The right ventricle Is normal in size and function.

Right Atrium: The right atrial size is normal.

Aortic Valve: Trace amount of aortic regurgitation. Mild aortic stenosis with peak/mean pressure gradient of 29.11mmHg / 16.30mmHg, the aortic valve area by continuity equation is 1.8cm2. The dimensionless Index is 0.48.

Mitral Valve: The mitral valve is normal. There is trace mitral regurgitation.

Tricuspid Valve: The tricuspid valve appears structurally normal. Trace tricuspid regurgitation present. RVSP could not be measured due to inadequate TR.

Pulmonic Valve: Trace/mild (physiologic) pulmonic regurgitation.

Pericardium: There is no pericardia! effusion.

Aorta: The aortic root, ascending aorta and aortic arch are normal.

IVC/Hepatic Veins· The Inferior vena cava is normal. The hepatic veins are normal.

Summary

  1. LV size, wall thickness and systolic function are normal with an EF of 60%.
  2. Trace amount of aortic regurgitation.
  3. Mild aortic stenosis with peak/mean pressure gradient of 29.11 mmHg /16.30 mmHg, the aortic valve area by continuity equation is 1.8cm2.
  4. There is trace mitral regurgitation.
  5. Trace tricuspid regurgitation present.

    2D Measurements           Ejection Fraction                    Diastolic Function

IVSd

1.0cm

EF(Teich)

65 %

MV EVel

0. 72 mis

LVIDd

4.2cm

%FS

35%

MV DecT

295ms

LVPWd

1.1cm

 

 

MVA Vel

0.49mis

LVIDs

2.7cm

 

 

MV E/A R atio

1.46

LA Diam

3.4cm

 

 

E’

0.06mis

A oDiam

3.3cm

 

 

E/E’

12.02

LVOTDiam

2.1cm

 

 

 

 

RVDd

3.2cm

 

 

 

 

IVC

14.37 mm

 

 

 

 

 

Doppler Valvular Evaluation

LVOT maxPG          6.73mmHg

LVOT meanPG        3.43mmHg

LVOT VTI                 25.4cm

AVVmax                  2.70 m/s

AVVmean                1.91 m/s

AV maxPG              29.11 mmHg

AV meanPG            16.30 mmHg

AV VTI                     51.9 cm

AVA Vmax               1.7cm2

AVA (VTI)                 1.8cm2

PVVmax                  0.86 m/s

PV maxPG              2.92 mmHg

AVAI (Vmax)            0.00 cm squared /m squared

AVAI (VT)                 0.00 cm squared /m squared

 

 

 

=================================================================================================

ECHOCARDIOGRAM REPORT

MICHAEL 
September 14, 2020

MRN:

3598

DOB:

1961-07

Gender:

M

HR:

189

Height:

67in

BSA:

1.87m2

BMI:

25.07

Age 59, weight 160 lbs

Left Ventricle                                                       Normal

LVEDV(A4C)                          94.1 ml                      (62-150)

LVEDV(A4C)/BSA                   50.26 ml/m2             (34-74)

LVESV(A4C)                          45.4 ml                      (21-61)

LVESV(A4C) BSA                   24.25 ml/m2              (13-29)

LVEDV                                91.8 ml                     

LVESV                                  21.6 ml

EF                                        76.0%                       (52 72)

IVSd                                     0.8cm                         (0.6 - 1)

LVIDd                                   4.5cm                       (4.2 - 5.8)

LVIDd/BSA                            2.40 cm/m2            (2.1 – 3.1)

LVPWd                                 0.8cm                       (0.6 - 1)

LV FS(midwall)                       45.0%                       (14 22)

IVSs                                     1.4cm                       (0.8 1)

LVIDs                                   2.5cm                       (2.5 4)

LVPWs                                  1.4cm                       (0.9 1.8)

IVRT                                    96.0 ms                     (60 88)

LVRWT                                 0.34

LV Length D                           8.3cm

LV length S                            6.1cm

Right Ventricle

RV                                       3.2cm                      

     Left Atrium

LA(Mm)                                 3.0cm                       (3 4)

LA                                        2.8cm                       (3 4)

LA /BSA                                1.50cm/m2              (1.5 – 2.3)

 

     Mitral Valve

     MV PkE Vel                           0.8 mis                  (0.7 1.2)

MV PkA Vel                            0.7 mis                      (0.4 0.7)

MV E/A Ratio                         1.0                            (0.78 1.78)

MV Decel Time                         186.0ms                (143 219)

Septal e’                                8.41 cm/s                  (7.6 16.8)

Septal Ele’                               9.1                            (<8)

 

Tricuspid Valve

TR Pk Ve l                              2.2 mis

TR Pk Grad                              19.2 mmHg

RVSP                                     24.4 mmHg               (18 25)

 RAP                                     5.0 mmHg                    (<5)

 

     Aorta

AoD                                          2.5cm

AoD(Mm)                                   2.5cm

 

 

Aortic Valve                                          Normal

LVOTDiam             2.1cm                        (1.8-2.2)

LVOTPkVe l           1.13 mis

     LVOTPkGrad         5.1 mmHg

LVOTVTI               25.8cm                         (18-22)

     LVOTSV               70.2 ml

LVOTCO               16.7 Umin

AV Pk Vel              2.00 mis

AV Pk Grad           16.0 mmHg                (<10)

AV Mean Grad       9.1 mmHg                  (<=40)

AV VTI                    42.3cm                      (18-22)

AVA(VTI)               2.1cm2                           (>1)

AVA / BSA             1.12cm2/m2                  (>0.6)

 

Pulmonary Valve

PV PkVel               0.8 mis

PV PkGrad            2.4 mmHg

Left ventricle cavity is normal in size. Normal global wall motion.

Doppler evidence of grade I (impaired) diastolic dysfunction.
Calculated EF 76%.

Trileaflet aortic valve with trace regurgitation. Moderate aortic valve leaflet calcification.
Trace aortic valve stenosis.
Structurally normal mitral valve with trace regurgitation. Structurally normal tricuspid valve with trace regurgitation.

 

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Dr. Davis

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Posted: 9/29/2020 10:13:32 AM
 
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mgcolorado

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Posted: 9/29/2020 12:37:05 PM
 
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Posted: 9/29/2020 3:30:29 PM
 
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Dr. Davis

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Posted: 9/29/2020 6:24:59 PM
 
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mgcolorado

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Posted: 9/29/2020 6:50:54 PM
 
Ok. Thanks for all the advice.


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Bob Niland

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Posted: 9/29/2020 6:53:37 PM
 
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