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| Joe's wife
- Tue Aug 07, 2007 8:01 am
My husband has been having CT scans twice a year for the past seven years since being diagnosed with MCL. He had chemo, Rituxan and radiation therapy and has been in remission for seven years. An EKG after chemo showed he had experienced a heart attack which we were not aware of. He had surgery for an abdominal aortic aneurism three years ago, a shoulder replacement and has high blood pressure which he has been on medication for and in control for years. He also has sleep apnea and used a CPAP
His last CT scan this past July showed an enlarged heart for the first time and it was recommended he have an echocardiogram. He is 65 years old. The interpretation is as follows:
1. mitral valve shows minimal regurgitation
2. aortic valve has 3 cusps, is not stenotic, there is
mild to moderate regurgitation
3. the left ventricle is dilated, there is no regional wall
wall abnormallity, the ejection fraction appears
normal, there is hyperotrophy
4. the tricuspid valve shows mild regurgitation
5. there is biatrial enlargement
6. the right ventricular systolic pressure is estimated
to be 20 mmHg plus the right atrial pressure
We were told these results all look okay and there is no recommended follow-up. We do not have a cardiologist in the area to interpret the results.
Do these indeed fall in the normal range or should we be going elsewhere for an opinion.
Thank you, Joe's wife
| John Kenyon, CNA
- Thu Aug 09, 2007 11:45 pm
Hello - The results, while not textbook perfect, do seem, in and of themselves, pretty innocuous. The reports generated by technicians and doctors can be terribly intimidating and almost all of them sound ominous when read by a layperson. However, there is nothing in there that would of itself set off any alarms. There are some things which probably bear prudent follow-up in a year or two and thereafter, but nothing that sounds grossly abnormal (the tricuspic aortic valve duly noted).
Regarding what may have been a "silent" myocardial infarction, not only do these events sometimes take place during a vigorous course of chemotherapy, but they can also show up only to normalize later (whereas a true heart attack will leave permanent changes in the EKG and echocardiogram). If one did take place it seems not to have caused any major damage.
Hopefully Joe is doing well on all fronts and it would seem the echocardiogram allows one less thing to worry about. Good luck to you both.
| Joe's wife
- Sat Aug 11, 2007 6:56 pm
Thank you so much for your reply. I will rest easy now and put this latest issue (thankfully a non-event) aside. Joe has had so many issues in the past seven years that everything terrifies me with the thought that I might lose him.