4/12/2018 12:09 PM
Narrative
                                                   *Edward Hospital & Health
                                                                   Services*
                                                    801 S. Washington Street
                                                        Naperville, IL 60540
                                                              (630) 527-3000
----------------------------------------------------------------------------
Transthoracic Echocardiogram
Name:Fonorow, Owen R
Date: 04/12/2018 DOB:  01/02/1954 Ht:  (70in)  BP: 139 / 70
MRN:  0113475    Age:  64years    Wt:  (229lb) HR: 75bpm
Loc:  EDW        Gndr: M          BSA: 2.21m^2
Sonographer: [deleted]
Ordering:   [deleted] , MD
 
Referring:
----------------------------------------------------------------------------
History/Indications:  CP, hx of Pericardial Effusion, COPD, Obesity.
----------------------------------------------------------------------------
Procedure information:  A transthoracic complete 2D study was performed.
Additional evaluation included M-mode, complete spectral Doppler, and color
Doppler. Inpatient. Room 519. Comparison was made to the study of
06/05/2014.    This was a routine echocardiographic study. Transthoracic
echocardiography for ventricular function evaluation. Image quality was
adequate.
----------------------------------------------------------------------------
Conclusions:
1. Left ventricle: The cavity size was normal. Wall thickness was normal.
   Systolic function was normal. The estimated ejection fraction was 55-60%.
   There was no diagnostic evidence for regional wall motion abnormalities.
2. Mitral valve: There was mild regurgitation.
3. Left atrium: The left atrium was mildly dilated. The left atrial volume
   was mildly to moderately increased.
Impressions:  This study is compared with previous dated 6/5/14:
*
----------------------------------------------------------------------------
*
Left ventricle:  The cavity size was normal. Wall thickness was normal.
Systolic function was normal. The estimated ejection fraction was 55-60%.
There was no diagnostic evidence for regional wall motion abnormalities.
Left atrium:  The left atrium was mildly dilated. The left atrial volume was
mildly to moderately increased.
Right ventricle:  The cavity size was normal. Wall thickness was normal.
Systolic function was normal.
Right atrium:  The atrium was normal in size.
Mitral valve:   Structurally normal valve. Mitral valve demonstrates normal
thickness leaflets. Leaflet separation was normal.  Doppler:  Transvalvular
velocity was within the normal range. There was no evidence for stenosis.
There was mild regurgitation.
Aortic valve:   Structurally normal valve. Trileaflet; normal thickness
leaflets. Cusp separation was normal.  Doppler:  Transvalvular velocity was
within the normal range. There was no stenosis.  No regurgitation.
Tricuspid valve:   Structurally normal valve.   Leaflet separation was
normal.  Doppler:  Transvalvular velocity was within the normal range. There
was no evidence for stenosis. There was mild regurgitation.
Pulmonic valve:    Structurally normal valve.   Cusp separation was normal.
Doppler:  Transvalvular velocity was within the normal range. There was mild
regurgitation.
Pericardium:  There was no pericardial effusion.
Aorta:  Aortic root: The aortic root was not dilated.
Pulmonary artery:   The main pulmonary artery was normal-sized. Systolic
pressure was within the normal range, estimated to be 29mm Hg. Estimated
pulmonary artery diastolic pressure was 13mm Hg.
Systemic veins:
Inferior vena cava: The vessel was normally collapsible and normal in size.
The respirophasic diameter changes were in the normal range (greater than or
equal to 50%).
----------------------------------------------------------------------------
Measurements
 Left ventricle                                  Value        Reference
 LV ID, ED, PLAX                         (H)     6.3   cm     4.2 - 5.9
 LV ID, ES, PLAX                                 4.2   cm     ---------
 LV PW thickness, ED, PLAX                       0.9   cm     0.6 - 1.0
 LV PW thickness, ED                             0.9   cm     0.6 - 1.0
 IVS/LV PW ratio, ED                             1            ---------
 LV ejection fraction                            61    %      >=55
 LV E/e', lateral                                4            ---------
 LV E/e', medial                                 5            ---------
 
 Ventricular septum                              Value        Reference
 IVS thickness, ED                               0.9   cm     0.6 - 1.0
 
 Aorta                                           Value        Reference
 Aortic root ID, ED                              3.6   cm     <4.3
 
 Left atrium                                     Value        Reference
 LA ID                                           4.3   cm     ---------
 LA ID, A-P, ES                          (H)     4.3   cm     3.0 - 4.0
 LA ID/bsa, A-P                                  1.9   cm/m^2 1.5 - 2.3
 LA volume, S                            (H)     112   ml     18 - 58
 LA volume/bsa, S                        (H)     51    ml/m^2 16 - 28
 LA volume, ES, 1-p A2C                  (H)     112   ml     18 - 58
 LA volume/bsa, ES, 1-p A2C                      51    ml/m^2 ---------
 
 Mitral valve                                    Value        Reference
 Mitral E-wave peak velocity                     0.51  m/sec  ---------
 Mitral A-wave peak velocity                     0.75  m/sec  ---------
 Mitral E/A ratio, peak                          0.7          ---------
 
 Pulmonary arteries                              Value        Reference
 PA pressure, S, DP                              29    mm Hg  ---------
 
 Tricuspid valve                                 Value        Reference
 Tricuspid regurg peak velocity                  2.5   m/sec  ---------
 Tricuspid peak RV-RA gradient                   24    mm Hg  ---------
 Tricuspid maximal regurg velocity, PISA         2.47  m/sec  ---------
 
 Systemic veins                                  Value        Reference
 Estimated CVP                                   5     mm Hg  ---------
 
 Right ventricle                                 Value        Reference
 RV pressure, S, DP                              29    mm Hg  ---------
 
 Pulmonic valve                                  Value        Reference
 Pulmonic regurg velocity, ED                    1.38  m/sec  ---------
 Pulmonic regurg gradient, ED                    8     mm Hg  ---------
Legend:
(L)  and  (H)  mark values outside specified reference range.
----------------------------------------------------------------------------
Prepared and electronically signed by
[deleted] MD
04/12/2018 12:09
Lab and Collection
CARD ECHO 2D DOPPLER (CPT=93306) on 4/11/2018
Result History
CARD ECHO 2D DOPPLER (CPT=93306) on 4/12/2018
Owen R. Fonorow
HeartCURE.Info  CARDIO-C.COM VITC-STORE.COM
LifeWave.COM/vitamincfoundation (Partner ID 2486278) 
LifeWave.COM/inteligentVitaminC  (Partner ID 2533974)