Memorial Regional Medical Center                                           HEALTHCARE/ALLIANCE NAME

                              ____________________________________________

                                      HOSPITAL MEDICAL CENTER NAME

 

                                                        

ECHOCARDIOGRAPHY REPORT

 

PATIENT INFO:

 

Patient: ECHO PATIENT                                                    Patient ID #: 12345678-EH

Exam date: 5-28-02                                                               Echo #:           02-321

Sex: Male                                                                               DOB: 01-02-1947     Age: 55

Height: 66.0  inches                 Weight: 166 lbs.                  BSA: 2.23

Billing modifier: (distinctive procedure (-59)                      Study location:  Noninvasive Cardiology

Referring M.D.: Dr. Echo                                                      Ref. Site: Cardiology Associates

 

STUDY: Treadmill Stress Test                                            Study Quality: Excellent             

           

PATIENT HISTORY:

Cardiac:  Transient Ischemia attack

Non-Cardiac: COPD

 

INDICATIONS/REASON FOR STRESS TEST:

The patient was referred to the Echocardiography Department for evaluation of transient ischemia attack.

 

STUDY SUMMARY

 

A treadmill exercise test was performed utilizing the Bruce protocol for 7 minutes achieving a peak exercise heart rate of  112 beats per minute, which is 65% of the maximum predicted heart rate of 165 bpm at 7.0  METS. The blood pressure changed from 104/70 mm/Hg at baseline to 160/90 mm/Hg at peak exercise.

Maximum stage achieved was 4 at a speed of 6 mph and a grade of 12%.

Reason for ending test: patient developed chest pressure.


 

The resting ECG showed normal rhythm. The peak exercise ECG showed ST abnormalities.

 

ECHOCARDIOGRAPHY FINDINGS

 

GENERAL OBSERVATIONS

 

LEFT VENTRICLE:                                                               LEFT ATRIUM

Normal to mild left ventricular dilatation                               The Left Atrium size is normal

LVD: 63 mm

LVS 32 mm

LV mass: 388 grams

 

AORTIC VALVE:                                                                   MITRAL VALVE:

Structure function: Normal                                                     Structure function: Normal

 

REST:                                                                                    PEAK EXERCISE:

HR: 85   BP: 104/70                                                                                     HR: 112   BP: 160/90

EF: 56%                                                                                                                        EF: 53%

 

SEGMENTAL WALL MOTION:

The mid anterior septum is hypokinetic.                                The mid anterior septum is hypokinetic.

The Mid anterior wall is Akinetic.                                          The Mid anterior wall is dyskinetic.

                                                                                                The Apical septum is hypokinetic

                                                                                                The Apical anterior wall is akinetic.

                                                                                                The apical inferior wall is hypokinetic.

 

ECHOCARDIOGRAM IMAGES (Click on image to run clip):

Resting Stage                                                                   Peak Exercise

 

 

Diagram illustrates segmental wall motion abnormality in red

                   Parasternal long-axis view       Parasternal short-axis view         Four chamber view       Two chamber view

 

CONCLUSIONS:

Wall motion score index: 1.72 (Normal: 1.00 Markedly abnormal >1.99)

Up Arrow Callout: Click here to return to report menuThe left ventricle demonstrates segmental wall motion abnormalities suggestive of LAD disease and possible compromise of the right coronary artery.

In addition to a written summary, a comment may be heard when reviewing the report with a computer.

 

 

 

Physician:_______________________

                                                                                                            Physician’s signature