Making sense of your echo report
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
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
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 ?
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.
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.
Im a newly qualified nurse and i work in a cardiac cath lab and your videos are very helpful .Thank you
thank you!
I am an echocardiographer. You taught me a few things! Excellent video! Thank you!
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 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.
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!
Your channel is where I come when I need a clear explanation of cardiac function. Thx
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
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 ❤!!
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.
So lucid, well-paced and illustrated, easy to understand. I shall study my imminent Echo report with less trepidation. Many thanks.
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.
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! 💕
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.
You're amazing and so kind for doing this for us all!! We've all learned so much by your videos ❤️
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
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
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…
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!
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. ♥️💔
Yrs later and your still helping people Gob bless you excellent information
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...
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♥️
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!! ❤️
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.
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.
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 .🙏
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..
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.
The best video I've seen so far on the subject. All my anxiety are gone. I wish you a brighter future
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.
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!
Thank you. I am scheduled for an echo next week, and I appreciate the explanations.
You are amazing and I feel so blessed to have found your channel. Thank you !!
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.
Just what I needed. Thank you, Sanjay!
5 years later, still great info! Thanks for doing what you do. Subscribed!
6 years later and I find your videos very informative. Thanks so much doc!!
Extremely clear and helpful. Thank you so much for posting this.
I’ve sat through countless echos. This is so helpful.
Thank you very much for the description of the echo tests.
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.
Thank you for your time on thorough and informative videos!
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!
What a down to earth guy and explains it all in a very easy to understand manner. Well done and thank you
Brilliant thank you for explaining the purpose of and difference between echo, ecg and angio.
You are doing a great service. Thank you so much
Thank you so much!!! This video was so informational! I really appreciate your time and efforts!
Thank you for your support
Great video. God bless you Dr. Gupta
Thank you! I was able to understand my report easily after watching this!
Excellent presentation. Informative and helpful!
Wow! Lots of good information explained in a way the patient can understand. Thank You, Doctor.
This was so wonderfully informative!!! Thank you SO much for all your videos!!!
Thank you for taking the time to breakdown such complex concepts! Your explanations are easy to follow and incredibly helpful!
Thank you for this excellent presentation. It is much appreciated.
Thanks for the lectures on reading echocardiograms...it was so easy to follow your notes and compare with the written notes.
Beautiful explanation Dr. Gupta.
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.
This was just a super explanation of the left side of the heart! Thank you so much.
EXCELLENT presentation & VERY MUCH appreciated !
Love him! He explains more to me then my doctors. ♡
Explanation of an echo was extremely informative. Thank you!!
Thank you very much sir. I wish you a long live and good health
Very informative, makes it easier to understand what's on paper, thank you
Brilliant informative video Thank you
Absolutely brilliant and crystal clear. Thank you so much.
Great explanation in plain language. Thanks!
Love your informative videos! Thank you so much for the value you provide to all of us.
Thank you, doctor!
Very helpful video. Thank you very much, Dr Gupta.
I appreciate so much what doctors do.....
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 !
Thanks so much,we should have more doctors like you!! Very educational God bless you!!
Excellent very understandable information. Thanks very much Dr.
Thank you so much for your videos. Many blessings from Ireland.
Excellent explanation of Echo results. I truly appreciate your sharing this information.
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 this thorough explanation.
Excellent information doc
Great explanation! It Cleared things up for me!
Thank you Dr. Gupta! You are a wonderful doctor and a gem for sharing..many blessings to you and yours!!
Many thanks, so clearly explained
thanks Harry
U r really helping to let people understand their problems better. The nhs has got a good doc in u
Very informative video's.. Keep up the good work.
So very infornative. Thank you so much for sharing your knowledge.
Thank You ! I will be having an echo next week and this provided much needed information. Your Vlogs are very beneficial and informative.
We thank God for your life and and also we wish your dad a speedly recovery
Beautiful explanation and comments to alleviate our concerns and fears of something wrong.
Excellent presentation for the layperson.Thankyou
You always present an excellent format of information not only for a patient but for retired medical professionals as well.God bless.
Thank you for all you do in helping nurses build their practice. This is a wealth of information. Thank you again Docotor.
Thanks so much. I have used your videos often while awaiting a follow-up with my cardiologist