jm's Adventure with Multiple Myeloma: 2nd ASCT - Day 24 - Repeat Echocardiogram June 11 2012

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Tuesday, June 12, 2012

2nd ASCT - Day 24 - Repeat Echocardiogram June 11 2012


CARD DX ECHO COMPLETE TTE TRANSTHORACIC STANDARD
Narrative
Study ID: 141916

Echocardiography Laboratory
                                        
Adult Echocardiography Report

Name: Malkiewicz, Judith A       
Study Date: 06/11/2012 09:29 AM        BP: 107/67 mmHg
MRN: 535166                       
Patient Location: ECHO                 HR: 72
DOB: 12/08/1950                  
Gender: Female  Age: 61 yrs                                                              
Reason For Study: Multiple Myeloma 203.00, Clot 410.90                   BSA: 1.7 m2
Authorizing Physician: Myint, Han


Conclusions 
Left ventricular systolic function and size are normal with no regional wall motion
abnormalities. The transmitral spectral Doppler flow pattern is suggestive of impaired
LV relaxation.
The right ventricular systolic function and size are normal. Right ventricular systolic
pressure is normal.

Echodensity noted in superior aspect of RA most likely small thrombus on PICC line.
Previously measured approximately 1 cm, now is .89 cm in maximum dimension.
Compared to echo of 5/2/12, no significant change.


Procedure Summary
 A complete two-dimensional transthoracic echocardiogram was performed (2D, M-mode,
Doppler and color flow Doppler).


Left Ventricle
 The left ventricle is normal in size. Left ventricular systolic function is normal with
no regional wall motion abnormalities. The transmitral spectral Doppler flow pattern is
suggestive of impaired LV relaxation.


Right Ventricle
 The right ventricle is normal size. The right ventricular systolic function is normal.


Atria
 The left atrium is normal size. The right atrium is normal. Echodensity noted in
superior aspect of RA most likely small thrombus on PICC line. Previously measured
approximately 1 cm, now is .89 cm in maximum dimension.


Mitral Valve
The mitral valve is structurally normal with no evidence of stenosis or regurgitation.


Tricuspid Valve
The tricuspid valve leaflets are thin and pliable and the valve motion is normal. There
is trace tricuspid regurgitation. Right ventricular systolic pressure is normal.


Aortic Valve
The aortic valve is tri-leaflet with thin, pliable leaflets that move normally. There is
no aortic stenosis. No aortic regurgitation is present.


Pulmonic Valve
The pulmonic valve is not well seen, but is grossly normal. There is no pulmonic
valvular regurgitation.


Great Vessels
The aortic root is normal. The inferior vena cava is normal in size with respiratory
collapse, indicating a right atrial pressure of approximately 3 mmHg.


Pericardium
There is no pericardial effusion.

MMode/2D Measurements  and  Calculations
IVSd: 0.81 cm      LVIDd: 3.7 cm        FS: 46.9 %                 
RVDd major: 7.2 cm
                   LVIDs: 2.0 cm                                   
RVDd minor: 1.8 cm
                   LVPWd: 0.87 cm
         _______________________________________________________________________

Ao root diam:      asc Aorta Diam:      EDV(MOD-sp4): 36.1 ml       EDV(MOD-sp2):
2.8 cm             2.9 cm               ESV(MOD-sp4): 16.3 ml       33.1 ml
LA dimension:                           EF(MOD-sp4): 54.9 %         ESV(MOD-sp2):
2.9 cm                                                              10.9 ml
                                                                    EF(MOD-sp2): 67.0 %
         _______________________________________________________________________
                   LAV(MOD-sp2): 21.9 mlEDV index(MOD-bp):          RVDd base: 3.1 cm
EDV(MOD-bp):
43.5 ml                                 24.9 ml/m2
ESV(MOD-bp):
13.7 ml
EF(MOD-bp): 68.6 %

Doppler Measurements  and  Calculations
MV E max vel:        MV dec time:         Ao V2 max:         LV V1 max PG: 4.6 mmHg
43.9 cm/sec          0.22 sec             140.7 cm/sec       LV V1 max: 106.7 cm/sec
MV A max vel:                             Ao max PG: 7.9 mmHg
65.1 cm/sec
MV E/A: 0.67
         _______________________________________________________________________
PA V2 max:           TR max PG: 19.4 mmHg RAP systole:       Aortic Valve Velocity
87.3 cm/sec          RVSP(TR): 22.4 mmHg  3.0 mmHg           Ratio: 0.76
PA max PG: 3.0 mmHg

         _______________________________________________________________________
E' Lateral Vel:      E' Septal Vel:       E/E' Lateral: 4.8  E/E' Septal: 8.9
9.1 cm/sec           4.9 cm/sec

_________________________________________________________________________________________

Reviewed and Interpreted By:     Jennifer Dorosz, MD  on 06/11/2012 02:23 PM

Sonographers: Grass, Allison, RCS
Component Results
There is no component information for this result.
General Information
Collected:
6/11/2012  9:29 AM
Resulted:
6/11/2012  2:21 PM
Ordered By:
MYINT,HAN, MBBS
Result Status:
Final result

1 comment:

  1. jim mcclure - akron ohJune 13, 2012 at 3:33 PM

    Was this a routine follow-up on that clot? You haven't blogged for a few days.

    ReplyDelete