Medical transcription Cardiology procedure notes

ECHOCARDIOGRAM REPORT

INTERPRETATION: This study is technically satisfactory.

Left ventricular function is mildly impaired with probable anterior wall hypokinesis, ejection fraction at lower limit of normal to mildly depressed at 45% to 50%.

The mitral valve reveals mitral valve leaflet thickening, mild prolapse, and exogamous degeneration of the chordal apparatus, all consistent with mitral valve prolapse. I cannot rule out chordal rupture of the anterior mitral valve leaflet. There is, however, no evidence of a flail leaflet.

The aortic valve appears to be bicuspid. Tricuspid and pulmonic valves are unremarkable.

There were no space-occupying masses and there were no pericardial effusions.

Doppler assessment of the flow velocities reveals a trace of mitral regurgitation, and a trace of pulmonic regurgitation. There is no aortic stenosis or regurgitation.

CONCLUSIONS:

1. Mildly impaired left ventricular contractility, with ejection fraction of 45% to 50% and possible anterior wall hypokinesis.

2. Mitral valve leaflet thickening, mild mitral valve prolapse, redundant chordal apparatus, and ? anterior chordal rupture with only a trace of mitral regurgitation and no flail leaflets.

3. Mild aortic root dilatation (4.2 cm).

4. Possible bicuspid aortic valve without regurgitation or stenosis.

5. Trace pulmonic regurgitation.

6. Normal diastolic function left ventricle.

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