Heart Disease and Heart Attack Forum - Questions About My Echo And Ekg Results And Lvh

Ok, so I got my echo results back... And it was after the doc sent me
for one after finding possible lvh strains in my ekg's and having tachycardia..

Of anywhere between 120-158 bpm's, and palpitations.. Shortness of
breath, flushing, etc.

The echo came back negative for lvh though. Now, on some of it, they
couldnt get a "good visualization" of certain parts of the heart. Could
this mean a possible ling issue causing problems seeing? Or my body
itself? It makes no sense tho, because the other things they could see
okay.. But not these other ones? Huh?

Hey did blood tests.. And im not anemic.. Nor do I have any
thyroid problem. They tested me after I had the echo done to make sure.

Just got these results given to me today, actually.

They want me to see an electrophysiologist... Due to the holter
readings I had, found 117 skipped beats.

And the tachycardia. She seems to think my hearts just hypersensitive
to.. Adrenaline, or stress.. Or hormones... Because I have some
hormonal disorders. Otherwise.. At times.. When feeling okay.. And
calm, my bpm will actually be normal. Anywhere between 80 and 90.

They wanna try me on toprol for a while, too. 25mg.

I'm a 25 year old female, with a history of hormonal problems (polycystic ovarian syndrome, hyperinsulinemia, and a connective tissue disorder with high ana, non-specific diagnosis, borderline for lupus though)

used to be pretty active, but not so much the last few years.

I'm 118 pounds and 5 foot 2.. And of a very small build.

Heres some of the results I typed up:

*******echo test

echo results:

m-mode results:
lv diameter (diastole) (3.7 - 5.4 cm) = 4.3
lv diameter (systole) = 2.1
septal thickness (diastole) (0.1 - 1.1cm) = 0.4
lv posterior wall (diastole) (0.7cm - 1.1 cm) = 0.4
la diameter (systole) (0.9 - 4.0 cm) = 2.4
aortic root diameter (2.0 - 3.7 cm) = 2.4
visualized ascending aorta diameter = 2.1
rv diamater (diastole) (0.5 - 2.5 cm) = 1.8
aortic cusp separation = 1.6

echo summary:

echo summary:
overall left ventricular function is hyperdynamic. No significant
valvular stenosis or insufficiencies. Technically difficult study due
to patients body habitus.

Left atrium:
the left astrium is normal.

Mitral valve:
the mitral valve is normal. Mitral valve prolapse is not noted. By
color/pulse wave/continuous wave doppler mitral regurgitation is trace.

There is no mitral stenosis.

Right atrium:
the right atrium is normal.

Tricuspid valve:
the tricuspid valve is normal. By color/continuous wave doppler
tricuspid regurgitation is physiologic. There is no evidence of
pulmonary hypertension.

Pulmonic valve:
the pulmonic valve is not well visualized. By continuous wave doppler
significant pulmonic valve stenosis is not demonstrated.

Pulmonary trunk and arteries:
the pulmonary trunk and arteries are not well visualized.

Aorta:
the aortic root dimension is normal. The ascending proximal thoracic
aorta is normal in dimension. The aortic valve is not well visualized.

By continuous/pulse wave doppler no aortic stenosis is present. By
color/continuous wave doppler no aortic regurgitation is present.

Aortic arch:
the aortic arch is not well visualized.

Rght ventricle:
the right ventrical is normal.

Left ventricle:
the left ventrical is normal in size. There is no left ventricular
hypertrophy present. No regional wall motion abnormalities are present.

Overall left ventricular function is hyperdynamic. The estimated lvef
is 70%. By continuous/pulse wave doppler diastolic dysfunction is not
suggested.

Pericardial effusion:
there is no pericardial perfusion.

Intracavitary mass:
there is no evidence for intracavitary mass.

Congenital findings:
by color/pulse wave doppler there is no evidence in this study for
asd/pfo.

---------------

stress test:

resting echocardiogram:
hyperdynamic lv function.

Stress ecg revealed non-specific st-t wave changes. There were no ecg
changes diagnostic for ischemia.

Was 130/80 before stress test. Went down to 120/80 after.

Bpm: 158 bpm

****************************************** ***

also, on my 24 hour holter reading.. It picked up these:

" ventricular ectopic activity consisted of 117 beats, of which, 2
were in couplets, 74 were single pvc's, and 41 were ve's.

Supraventricular ectopic activity consisted of 1 pac. "

she says missed beats and such like these are.. Normal? I wanted to ask
her all about these, but, like I said.. She didnt have the time and
pretty much messed me off.

What would you make of those?

And about these readings:
septal thickness (diastole) (0.1 - 1.1cm) = 0.4
lv posterior wall (diastole) (0.7cm - 1.1 cm) = 0.4

arent these rather thin? And the lv posterior measurements. I spoke to someone earlier and they said that this was erroneous criteria?

What would you make of this whole overall report/exam?

Thanks so much in advance!

It also says on my stress echo report that during the stress electrocardiogram, as I was on the tradmill...This:

"stress electrocardiogram":

"stress ecg revealed non-specific st-t wave changes. There were no ecg changes diagnostic for ischemia."

i'm assuming they mean the actual electrocardiogram they gave me as they were doing the stress echo.

What could this mean whole st-t wave thing mean, exactly?

On my ekg (electro) that I had in the office a week prior to this stress echo, had these notes written on the sheet:

1. Early transition - rsr mv2 -? Mild rv strain
2. Nsst d
3. Borderline rae

what are those?

Sorry for all the questions.