COMBIS, LEONARDO

Ivsdd 1.1
Ivssd 1.2
Lvpwdd 0.8
Lvpwsd 0.9

2-DIMENSIONAL ECHO INTERPRETATION:

Dilated left ventricular dimension based on LVEDD/BSA with increased left ventricular mass index and normal relative wall
thickness with hypokinetic entire IVS, inferior, anterior and inferolateral walls from base to apex. The rest of the LV
segments contract adequately.
Dilated left atrial cavity size with LAVI of 38 ml/m2
Normal right atrium and right ventricle dimension with adequate right ventricular systolic function
Thickened mitral valve leaflets with no restriction of motion. Mitral annular calcification.
Thickened aortic valve cusps with calcified margins with no restriction of motion. Aortic annular calcification.
Structurally normal tricuspid and pulmonic valves
Normal-sized main pulmonary artery dimension
Normal aortic root dimension and proximal ascending aorta with thickened walls
Normal IVC without plethora.
Intact interatrial septum and interventricular septum.
No intracavitary thrombus and no pericardial abnormalities noted.

COLOR FLOW DOPPLER STUDY:

Pseudonormal mitral inflow E/A velocity ratio and reversed mitral annular velocities by TDI.
Normal deceleration time and isovolumic relaxation time.
Mosaic color flow display across the mitral, tricuspid and pulmonic valves
Normal mean artery pressure by RVOT acceleration time
Systolic pulmonary artery pressure of 26 mmHg by peak tricuspid regurgitant gradient

CONCLUSION:
Eccentric left ventricular hypertrophy with multisegmental wall motion abnormalities with slightly reduced systolic function with
doppler evidence of grade 2 diastolic dysfunction
Dilated left atrium
Normal right atrium and right ventricle dimension with adequate right ventricular systolic function
Mitral sclerosis with moderate MR
Aortic sclerosis
Mild to moderate TR
Atherosclerotic aortic root
Normal pulmonary artery pressure with moderate PR

Original signed by:

REDA SO-
GARROTE, MD, FPCP, FPCC, FPSE
Cardiologist – Echocardiographer