Making sense of your echo report
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- Опубликовано: 16 апр 2017
- This video is about Making sense of your echo report
Lets go through the information that the report will contain - When you have an echo you will also have a single lead ECG done at the same time and this is to allow the tallying of mechanical activity with electrical activity so usually the first thing on the echo report will be some mention of the heart rhythm and rate on the ECG during the scan.
Next: The left atrium: this structure is the left atrium and what we have started realising is that the left atrium gives you great insight into your overall heart health. Healthy hearts usually have normal sized left atria. What is normal? About 4 cm across. What does it mean if the left atrium is enlarged…usually it means that the heart is having to work harder than it needs to. Also patients who have AF will have larger left atria.Is it dangerous - no not at all but it does mean that you just need to work out why the heart is working harder and manage accordingly.
The next structure is the Mitral valve. This is this valve here. Now most normal valves are described as being thin and mobile. if the valve is described as being thickened, calcified and restricted then that tells you the valve is structurally abnormal. Either it has been subjected to wear and tear from old age or it has been damaged due to an infection such as rheumatic fever. Functionally valves can still be normal or they can be thickened to the point that they are narrowed and impede blood from passing through in which case they are described as being stenosed or stenosis.
The left ventricle. This is the most important chamber of the heart because it is responsible for pumping blood to the whole of the body and patients who have a weak left ventricle have a much worse prognosis than patients who dont.
So the echo will firstly comment on the size of the left ventricle. Normal size is dependant on body surface area but in general you want the left ventricle at its widest to be no more than 5.5 cm in women and 6 cm across in men. if the ventricle looks bigger than that then you worry that it is being stretched either because of a leaky valve or because it was damaged in some way. The problem is the more it stretches the more likely it is to lose its stretchability in the long run and therefore it can weaken.
So there will be some comment on the echo report on the size of the ventricle. As long as it is not dilated you can feel very comfortable and reassured. The second thing is a mention of something called regional wall motion abnormality. Different parts of the left ventricle receive blood from different blood vessels and therefore if a patient has had a heart attack because one of the blood vessels has blocked, then that part of heart muscle will die and therefore not contract normally whereas the other normal parts will and this is described as a regional wall motion abnormality. So if you have no regional wall motion abnormality then you dont have any substantial damage or scar in your heart.
There will also be a mention of function of the heart… how much blood does it pump to with every beat and this is called the ejection fraction. This is a very crude indicator which is usually visually assessed and the normal value is about 60%. if the heart is not pumping out as much blood as you would expect, it is described as left ventricular impairment. Mild left ventricular impairment is if the ejection fraction is 45-55%, moderate is 35-45% and severe is less than 35%. Now many people get very worried because they may have had 2 echo and they say well last time it was described as 62% and now it is 58% - does this mean that it has gotten worse and the answer is definitely not… the ejection fraction is a very crude measure and variations of 5-10% are completely acceptable.
Finally there will be a mention of the thickness of the walls of the feft ventricle. These should usually be no more than 12mm thick and if they are thicker than that it means that either the heart is working harder than it should (high blood pressure) or there is some form of muscle disease which has caused the heart muscle to be thicker than you’d expect and thickened walls are described as left ventricular hypertrophy. if one wall is thickened it is described as asymmetrical and if all walls are thicked it is described as concentric or symmetrical
I bet health anxiety would go down by 100% if people had doctors like you.
So true man!
Fully agree....
100 percent true
Thank You soooo much!!!🙏💕
I've had echo and they mentioned about AF
I am coming here to help read my Echo because my cardiologist has ZERO time for me. I cannot believe it took me this long to find your channel. REally helpful and I have shared and will continue to share. Thank you so much.
No doctors seem interested in anything or anyone at all anymore.
Realised that this video’s been up for 4 years, it must have benefitted tons of people. It’s heartbreaking to see you affected by the viewership rates. Please don’t feel distraught for the lack of subscribers, you are doing so much good via your channel. Please keep doing what you’re doing. Cheers mate.
Colossus is correct. I think people now only want superficial information - 1 minute or less. It’s sad that there are only so few of us that value a real explanation. Attention spans have become tiny. This is why TikTok is popular. I most definitely appreciate this channel! Excellent content.
great flow of information
You have reduced my anxiety levels by 60%. God bless you Dr Gupta. You are a gift to our generation.
What happened about the other 40% ? Are u saying he ought to talk that much longer in his vlogs ?
wow I can't imagine any idiot putting a thumbs down on this Doctor, except a true beligerant ass. This Man is absolutely fantastic in his explantions and I for one would like to thank him for his time and knowledge and caring. Thank you Doctor.
There's always a few knuckleheads out there !😁
It's probably another doctor who doesn't appreciate sharing with patients.
😂😂😂 yes @@dorothybrown8859
Im a newly qualified nurse and i work in a cardiac cath lab and your videos are very helpful .Thank you
thank you!
Woah, this and part two gave such a clear understanding of heart problems. Thank you so much for taking the time to do this. Good teachers are in short supply.
Other cardiologists should take a page or two out of Dr. Gupta book. He clearly knows the heart and explains it so well. Has a calming way of expression in regard to one's heart. ❤️ this physician. Sincerely Paul J. Fasse a fellow open heart (genetic disease) survivor.
Paul Fasse $
Circumflx
Agree
I couldn't agree more
I am totally blown away by the in depth description you have provided. After my echocardiogram I received tons of data that meant nothing to me because I didn't know what each variable meant. I know doctors are busy but something as important as your heart should rate a longer discussion or at least a summary of what the results means. Thank you so much for explaining in such clear language what these results mean. I feel much better about about the test results and actually now I know what the results mean. You are doing a fantastic job. Thank you so much.
It's great that you trust the intelligence of the patients and help them to understand their results. It is a rare thing.
You are an excellent Doctor.
I fully agree. Before having Stress Echo test couple days ago, I viewed dr. Gupta videos and that helped me to understand what is going on. Incidentally, my outcomes were good and I'm no longer slated for ablation. Hurray!
I am an echocardiographer. You taught me a few things! Excellent video! Thank you!
I consult your channel ALL THE TIME. I have only 10 minutes with my cardiologist, 20 on a good day, which barely scratches the surface. You have filled in a lot of gaps and set my mind at ease often. Any doc who tries to scold for patients googling info should refer them to your channel and play it in their waiting rooms!
Yes! Great comment!
Mine didn't scold, but was cynical. For some reason he doesn't explain anything, but does not appreciate one who looks for answers on their own. My test results are apparently secret, but I am thankful for MyChart where I can get a copy of my tests results.
Dr. Sanjay Gupta is so appreciated! Thank you doctor for caring.
Much appreciation for quality information that doesnt over simplify and yet remains accessible. I firmly believe information helps me to not worry but also to understand better what my doctors are looking for and why.
As I watch this video as well as part 2 regarding the right side of the heart I had the results of my uncle before me. I was told the echo was excellent my injection fraction rate is 65-69%. You're absolutely brilliant. You remove my anxieties. I studied my echo. My cardiologist that I had for 9 years passed away his name was dr. Mohammed Latif, he had practice on of Winter Park Florida. My new cardiologist I'm still trying to get comfortable with. I found you during my learning stages after my inferior heart attack. It changed my life and gave me great anxieties. Your videos are where I want to learn and I found calmness. Thank you for all you do
Your channel is where I come when I need a clear explanation of cardiac function. Thx
So lucid, well-paced and illustrated, easy to understand. I shall study my imminent Echo report with less trepidation. Many thanks.
I thank God for doctors like you sir, I wish you were my doctor. May God bless you and your love for helping people!
Walkin’ Man , I agree completely
Dear doc, your humaneness is amazing.love and regards
God bless you.
Thank you Dr. My heart issues goes down listening to you.
@@olivia6063 👒
American RDCS here. Agree with everything you said except the part where you say needles are not involved. In a lot of cases a peripheral IV will need to be inserted to use an ultrasound enhancing agent such as Definity. This is a type of contrast for ultrasound which is not radioactive and is not a dye.
Patients sometimes come in for an echo and when they hear they have to have an IV, they are upset because they didn’t read anything about that online. In actuality, this is an extremely common tool that we use to enhance endocardial delineation. If you are going in for an echocardiogram, prepare for the possibility of a quick IV. You may be one of the few people who have other crystal clear images where it is not necessary, but it’s best to not get your heart set on that. This is especially the case if you have some other underlying heart disease such as atrial fibrillation, prior myocardial infarction, or systolic heart failure where there is much more risk for thrombus (blood clotting) within the heart. Ultrasound contrast can give us sonographers and cardiologists a much better idea of whether there is one hiding in your heart.
Sanjay, don't feel unappreciated! In time, viewers will grow and many will benefit from your generosity. I wish you could find a better platform. You have so much more to offer. As necessary as you are, you're not just a doctor and you'll find your niche! 💕
I am having an echo in 3 days and your video was very informative! Thank you so very much for explaining everything so well. I was able to understand everything. Thanks again!! Keep your videos coming ❤!!
Thank you so much for this informative video. My husband and I watched it shortly before his echo a few days ago. It gave us a better understanding of the measurements being taking and the comments passed between the technician and the cardiologist. We will watch it again when we receive the results. It is so good of you to give of your time to educate not just your own patients but anyone suffering from heart problems. God bless you.
Thank you so much, Dr Gupta. I've just had a letter with my echo results and this video helped me to understand it, whereas I would have stumped. Please keep up with this vital flow of information. In these times with so much strain (in the UK) on doctor's appointments and very long waiting times for hospital appointments, your videos are a vital source of information to reassure people. Again, thank you so much.
I am having an echocardiogram tomorrow due to mitral valve regurgitation causing breathlessness and fatigue. I found your video very useful in understanding what is going on in my heart. Many thanks.
What came out of your test. I found out I have this the past 5 years and my dr never told me. Plus thickening of the left side
Excellent presentation - took the mystery out of my echo report. Unfortunately, nobody explained anything to me when I had it done, which only increased my anxiety... I think most doctors like to keep patients mystified to keep us looking to them as the only ones who can understand these things... again, a great explanation that put me at ease...
As a Novice in the Echo study, I'm so glad i listened to you before hand. So informative. Thank you so much Doc
I have a question sorry just a little nervous and you seem like you may know about echos
Thank you Thank you Thank you Dr. Gupta. I would be lost without you now that I found you last year. You are a REAL doctor. I was investigating the history of the MD designation and found that it means teacher. Poet Maya Angelou said it well when she once told a graduating class:
“When you get, give. When you learn, teach.”
That's beautiful and suits Sanjay. He chooses to give what he received with blood, sweat and money!
Yrs later and your still helping people Gob bless you excellent information
Dr Gupta ur explanations r simply superior!!!🙏🏼💯🙏🏼 I am having a marathon on watching all ur videos! LOL I can’t get enough of ur info. I am soooo grateful that u make these for us. I at age 46 (5 years ago) was diagnosed with an ascending aortic aneurysm size 8.7 cm and had emergency 10 hour operation, followed by a month in an induced coma. I have a mechanical valve and a pacemaker. Right after surgery I also had a defibulator and I was on the heart transplant list for just over 2 years. And on an IV drip/port of Dobutamine for those 2 years as well. Fast forward to now, I never received a heart transplant and no longer need one. Whew! Imagine if I had one and never really needed one with time.... scary to think about.
I am extremely healthy otherwise ( always was I am a personal trainer & health coach). Moving forward what research is currently underway to improve the quality & duration of my life????? Thank u for all u do and I wish to someday give u a big big hug of gratitude & love for u♥️
Thanks doctor Gupta, don't be disheartened by the decreased of your subscription..Doctor's like you are very important to us..We value every information that you share.. I've learned a lot in a little bit of time on your video. I recently had an echocardiogram, results are pending..This video prepared me for the results.. Thanks again..
There are no words to describe the appreciation I have for you and I’m sure many feel the same way…Thank You! Thank You! Thank You! so much for taking the time out to explain all that you do in such depth…I don’t think doctors realize the type of anxiety patients and their families go through when they found out they have heart failure or any kind of life changing diagnosis. My son was diagnosed with heart failure at 30 and it has been beyond stressful trying to understand all that is going on with him. You have been a huge help for me in n understanding. I wish you were his cardiologist…
I just had an echo report and of course my heart doctor didn't say much about it other than it looked ok. I want to thank you for going into depth on how to read my echo report. Now I understand it and can sleep much better now.
You're amazing and so kind for doing this for us all!! We've all learned so much by your videos ❤️
Thank you for making cardiology something the layman can understand. I wish you could be my cardiologist! You are the best of the best because you are so kind! God bless you and your work!! ❤️
Just wonderful teaching. Thank you.
No words, you are amazing. Come to Australia. 🇦🇺 I’m just an elder lay layperson with absolutely no medical knowledge but even I was able to absorb what you were saying. I certainly won’t remember it but have you on replay and will now watch it over and over and try to impress my Cardiologist in three weeks time. ♥️💔
Thank you. I am scheduled for an echo next week, and I appreciate the explanations.
Thank you so much Dr. Gupta. I enjoyed your articulate presentation of the Echocardiogram and the function of two heart valves,specifically The Mitral and Aortic Valves. Most interesting to learn the important significance of the ejection fraction. I’ll be checking in again to hear more cardiac lectures.
On 6/30/2021 I ended up in Emergency with what was diagnosed as Atrial Flutter (114/80/157). I'm really grateful to you for your videos, as now I'm in process of rapid knowledge acquisition on everything cardiovascular. I'm going for Stress Echo tomorrow so I really appreciate this and the next video. Thank you again. Greetings from Southern California. God bless you for your videos and publicizing your knowledge to thousands of people world-wide.
the moment Dr Gupta said trivial mitral valve regurgitation is normal I had a sigh of relief cos that's what my echo report say....thank you so much
Just had this echo done as my doctor wanted a better look at what might be causing stage three kidney failure disease or whatever and I’m uneducated as to the body’s function with the two, heart and kidney. But YOU dear sir, with this video has been absolutely helpful to the common ear! You’ve made it all understandable. I can’t say how thankful I am to have come across this video! Sincerest of appreciation of your giving of your time in sharing your knowledge! Very grateful. Don’t stop sharing your educated insight with those of us who know nothing about the echo read, the function in simple but defined detail! I thank you! Happy good heart health to you sir!
What an excellent teaching session, thank you so much. I have had a CABG and other heart problems this last eighteen months and wanted so much to learn more about it. Atlast, a doctor who can explain clearly. Why can't they all be like this! I've subscribed.
Hello from Toronto /Canada . Thanks for the simple method of explaining the function of the mitral valve regurgitation. I have just had a echo stress test & keeping my fingers crossed for a favourable reply from my GP .🙏
6 years later and I find your videos very informative. Thanks so much doc!!
You are amazing and I feel so blessed to have found your channel. Thank you !!
Many thanks to you sir for putting such a vital information in public domain. Great treasure to see few non-commercial people like you, who take time in explaining things as it is, without creating a sense of panic.
The best video I've seen so far on the subject. All my anxiety are gone. I wish you a brighter future
Thank you for taking the time to breakdown such complex concepts! Your explanations are easy to follow and incredibly helpful!
5 years later, still great info! Thanks for doing what you do. Subscribed!
What a down to earth guy and explains it all in a very easy to understand manner. Well done and thank you
This was just a super explanation of the left side of the heart! Thank you so much.
Thank you for taking the time to help in our understanding of an EchoCardio test. Well done and most informative. I just received my test results (which were all good) and you answered my questions. Thank you again!
You are doing a great service. Thank you so much
PS I subscribed to your wonderful videos. I have a medical background and have many physicians in my family. You are excellent and a credit to your profession. I think you have a real gift in explaining the various intricacies of heart disease. I had an MI (LAD Stent) about 9 weeks ago which led me to your VLOG. Keep up your excellent work.
Just what I needed. Thank you, Sanjay!
Thank you for your time on thorough and informative videos!
Hi..doctor your videos are very informative..Generally cardiologist dont get enough time to answer the queries of their patients.....so your videos are really a blessing to get a general awareness of the cardiac issues...Thanks a lot doctor and may God bless you always.🙏
We thank God for your life and and also we wish your dad a speedly recovery
Thank you for taking the time to educate us, in a way that is detailed, yet easy to comprehend. I certainly learned a lot. You have a good, positive delivery !
I’ve sat through countless echos. This is so helpful.
Extremely clear and helpful. Thank you so much for posting this.
Thank you! I was able to understand my report easily after watching this!
Just had an echo today. I'm looking forward to the visit with my primary care and a cardiologist. Thanks for the vid.
Thank you for this excellent presentation. It is much appreciated.
It is a delight to listen to Dr SG. Explains so well! Makes a huge difference to the patients and their families. And also ensures better compliance from patients because of better understanding of their situation.🙏🙏
Thanks for the lectures on reading echocardiograms...it was so easy to follow your notes and compare with the written notes.
Love him! He explains more to me then my doctors. ♡
Excellent explanation of Echo results. I truly appreciate your sharing this information.
Very informative, makes it easier to understand what's on paper, thank you
Thank you Dr. Gupta! You are a wonderful doctor and a gem for sharing..many blessings to you and yours!!
Wow! Lots of good information explained in a way the patient can understand. Thank You, Doctor.
Brilliant thank you for explaining the purpose of and difference between echo, ecg and angio.
Oh my...thank God I just ran across this video because I'm scheduled for this test early tomorrow morning. Your video has helped me a lot. Thank you.
Thank You ! I will be having an echo next week and this provided much needed information. Your Vlogs are very beneficial and informative.
you are so good , thank you for helping me understand my report you covered everything and explained with such clear egoless and helpful kind of way , thank you
Absolutely brilliant and crystal clear. Thank you so much.
Thank you very much for the description of the echo tests.
I truly wish you were my cardiologist. You are very knowledgeable. Thank you for the video. God bless you
he virtually is. you don't need to listen to the jerk you have.
Thank you so much for this clear, concise explanation of the echo report. You have such a pleasant way of explaining things.
Thank you for all you do in helping nurses build their practice. This is a wealth of information. Thank you again Docotor.
Thank you so much for your very thorough explanation of what an echocardiogram reveals. I have had several and no one ever went over them with me. they just said it was OK, no change since the last one. So, I'm very grateful to you for your very informative video.
Yes, an exercise test at the doctor's office during your routine exam. I think it would be a wake up call to many. Due to your videos, I attend the gym more regularly now and enjoy my 3 to 5 mile walks. At 48 yro, I am feeling better with more energy! Thanks again! God's many blessings sent your way!
thank you charni!!!
@@YorkCardiology sir having frequent swelling of ankles ,feet ,legs ,abdomen ..and acute pain in left arm ,neck n leg sometimes ,dizziness in Complete LBBB patient with normal heart functions in echo report too is dangaerous or not ..or what condition this all symptoms indicates ???
Im so glad came across this video. ❤
Thank.you for spreading such heartfelt knowledge out to the general public...
you're generating positive karmic happenings by doing this.
You always present an excellent format of information not only for a patient but for retired medical professionals as well.God bless.
Hey everyone. I have what I think you all would agree is a great idea. :) Dr. Sanjay has many of us that love him. Let's all share our favorite video on our Facebook or favorite social media. Some of our friends would also consider this channel a great find. And for our good doctor I say -- perhaps adding a super simple 1 minute intro with a short explanation for all the folks that can't handle too much information. With time they too will be able to play the entire video and learn more but initially at least they would subscribe and start learning. Just a thought. Special thanks to our favorite doctor, Dr. Sanjay!!!! We love you.
Thanks so much,we should have more doctors like you!! Very educational God bless you!!
This was so wonderfully informative!!! Thank you SO much for all your videos!!!
Many thanks for all your videos and taking time to explain. It really helped me to understand the complexity of my abnormal echo results.with moderate leaky mitral valve etc. will continue to follow you.
Thank you so much!!! This video was so informational! I really appreciate your time and efforts!
U r really helping to let people understand their problems better. The nhs has got a good doc in u
Learnt a lot about the heart.....thanks for your energy on this.....
Thankyou so very much for taking the time to explain how this test is done, really interesting. I had a heart attack 2015 had two echo's done. watching your video really help me as a layman understand the report. Many thanks
I wish a few docs were like you......simple, yet very detailed......so appreciate your videos. Presently awaiting an eco, a sonogram n more. Knowledge gained while waiting.
This my first time on your channel. It was very informative. I had an echo done 3/4/21 and this is4/1/21 and hasn't gotten an explaination of the results. He is just sending meds to pharmacy.
I so which you were my doctor. May God bless you.
Handsome, smart, well spoken and generous! Thank you, Sanjay, for the time and effort to inform us and help us understand our heart health. You have quieted my anxiety many times.
Very helpful, I wish my cardiologist would explain it as well as you have. Thank you for making this video.
Thank you Dr Gupta, your explanation of the heart echo cardiogram result is very clear. I've learned a lot, keep up the good work.
Great video. God bless you Dr. Gupta
Helped so much. Learned echo thoroughly and so fast. Thank you Doc
Thanks so much. I have used your videos often while awaiting a follow-up with my cardiologist
I appreciate so much what doctors do.....