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Forum Name: Cardiology Diagnostics

Question: Mildly dialated left atrium


 rnclnc - Wed Apr 29, 2009 3:21 pm

Echocardiogram 9/30/08
Interpretation: normal study for age
IVSd: 1.0 cm
LVIDd: 4.5 cm
LVIDs: 2.9 cm
LVPWd: 1.1 cm
FS: 35%
EDV: 92ml
ESV: 33ml
Ao root diam 3.0 cm
LA dimension 3.6 cm

Echocardiogram 4/20/09
Interpretation: Left ventricular size, thickness and function are within normal limits. Ejection fraction 55-60%. No regional wall motion abnormalities noted. Left atrium in mildly dilated. Trace to mild tricuspid regurgitation.
IVSd: 1.00 cm
LVIDd: 4.9 cm
LVIDs: 3.2 cm
LVPWd: 0.88 cm
FS: 35%
EDV: 114ml
ESV: 42ml
Ao root diam 2.9 cm
LA dimension: 4.2 cm
Doppler
MV E point: 72cm/sec
MV A point: 59cm/sec
MV E/A: 1.2
PA V2 max: 67 cm/sec
PA max PG: 2.0 mmHg
TR Max vel: 222 cm/sec
TR Max PG: 20 mmHg

Considering my history of IDDM, Prinzmetal's Angina, Hypertension and subtle subendocardial ischemic changes per cardiac MR, what is the significance of the changes reflected in the most recent echo? Only 7 months have passed between.
 John Kenyon, CNA - Sun May 03, 2009 10:18 pm

User avatar Hi there --

Given your significant medical history the changes in your echo report are very subtle and trivial, within the range of chance we normally see from one time to the next. There is nothing there that raises any red flags, especially in light of your history. The left atrial dilation is an extremely common finding and probably is of little to no significance. Since you do have significant medical issues it is wise to continue to have at least annual followup echos, if not every six months, but so far I see nothing exciting. If changes progress beyond this point then there might be some cause for concern, but there's no reason to assume this will be the case, since we tend to see some up-and-down in the measurements from one test to the next as a rule. Almost no one's are rock steady, ever.

I hope this is helpful. Good luck to you and please follow up with us here as needed.
 rnclnc - Fri May 08, 2009 9:44 pm

Thank you so much for your opinion. I appreciate it. I just wanted to add that I have been experiencing flutters on the left side of my chest over the past month. I do not have other symptoms when this occurs.. just feels like butterflies. I have read about atrial fibrillation and wondered if this is related. Again thanks.

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