ECHOCARDIOGRAM FINDINGS:  Burton Danet

11/29/2002 (Midway Hospital Medical Center)  Age 63

INTERPRETATION:  ABNORMAL ECHOCARDIOGRAM

1. M-mode measurements of left ventricle not obtainable due to cardiac position.

2.  Normal left ventricular chamber size, systolic function and wall motion to the extent visualized.

3.  Left ventricular ejection fraction estimated to be 60-65%.

4.  Left ventricular hypertrophy by 2-D.

5.  Anterior echo-free space, may be due to pericardial fat or effusion.

6. All other cardiac chamber sizes are within normal limits.

7.  Thickened mitral valve leaflets with normal excursion.

8.  Thickened aortic valve with adequate excursion

9.  Normal tricuspid valve structure.

10.  Pulmonic valve not visualized.

11. A color flow spectral Doppler study was performed and revealed:

a.  Trace mitral regurgitation.

b.  Mitral diastolic velocities suggest reduced left ventricular relaxation (diastolic dysfunction).

c.  Normal transvalvular gradients.

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STRESS ECHOCARDIOGRAM REPORT

03/06/2006 AGE 66

EKG: The 12-lead resting EKG is normal.  Maximum predicted heart rate is 154.  90% is 139 and 85% is 131.  Rhythm strip shows no changes while sitting or standing.  Resting blood pressure is 160/90.

Pre-Exercise Echocardiogram:  A four-view echocardiogram was performed showing uniformly good wall motion and normal ejection fraction.

TREADMILL STRESS TEST:  Bruce Protocol for 7 minutes achieving heart rate of 157.  No chest discomfort. 

INTEPRETATION OF THE TREADMILL:

1.  Maximal test, achieving his maximum predicted heart rate.

2.  Objectively positive by strict EKG criteria for ischemia.

3.  Subjectively negative:  No chest discomfort.

4.  No arrhythmogenesis.

5.  Adequate blood pressure response.

6.  Perceived exertion:  Significant.

7.  Very good exercise capacity.

Postexercise Echocardiogram:  On the four-view echo, there is unformly good wall motion and normal ejection fraction (75% - n 55-70).

CONCLUSION:  Overall normal stress echocardiogram.