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What do SPAP and tricuspid regurgitation indicate on an ECG?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I recently underwent an echocardiogram (ECHO) and would like a more detailed explanation of the findings. Here are the results SPAP (Systolic Pulmonary Arterial Pressure) is estimated at 27 mmHg, Trace tricuspid regurgitation, Left atrium area: 15.5 cm², Left atrium volume: 37 ml / 19m/m², Left atrium dimension: 3 cm, Right atrium area: 13.9, Right atrium volume: 18 ml/m², Right ventricle TAPSE (Tricuspid Annular Plane Systolic Excursion): 25 mm, Right ventricle S velocity: 12.9 cm/s, LV (Left Ventricle) diastolic dimension: 3.55 cm, LV septum diastolic: 0.78 cm, LV PW (Posterior Wall) diastolic: 0.88 cm, LVOT (Left Ventricular Outflow Tract): 1.9 cm, LV systolic dimension: 2.68 cm, Estimated LV EF (Ejection Fraction) (percentage not provided), AO (Aortic Root) dimension: 3.1 cm, AV (Aortic Valve) cusp separation: 2 cm, AV peak velocity: 105 cm/s, AV peak gradient: 4.41 mmHg, LVOT peak velocity: 72.9 cm/s, TR (Tricuspid Valve) velocity: 244 cm/s, TR gradient: 23.81 mmHg, Estimated RAP (Right Atrial Pressure): 3 mmHg, Estimated RSVP (Right-Sided Ventricular Pressure): 27 mmHg, E septal velocity: 7.46 cm/s, E lateral velocity: 8.01 cm/s, E/E ratio: 6.7, MV (Mitral Valve) peak e-wave: 51.3 cm/s, MV peak a-wave: 41.5 cm/s, MV E/A ratio: 1.24. Kindly help.

Thank you.

Answered by Dr. Yash Kathuria

Education:

MBBS

Professional Bio:

Dr. Yash Kathuria is a dedicated and skilled physician specializing in Diabetology, General Medicine, Medical Gastroenterology, Neurology, Pulmonology (Asthma), and Internal Medicine. He focuses on personalized patient care, chronic disease management, early diagnosis, and preventive health strategies. His expertise spans diabetes control, cardiovascular health, kidney and liver-related disorders, and respiratory care, ensuring holistic and evidence-based treatment for every patient.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I understand your concerns regarding your echocardiography report. Upon reviewing the findings of the echo, I did not identify any abnormalities in your heart. The purpose of an echocardiogram is to assess various aspects of your heart, including the size of the chambers, the presence of any valve defects, the pumping capability, blood flow capacity, pressure in each chamber, and any thickening of the heart walls. Based on the values provided in the report, all measurements fall within the normal range, indicating no abnormalities present. The mention of trace tR(tricuspid regurgitation) in the report is likely due to an artifact, and it is not a cause for concern. Therefore, there is no need to worry as your heart appears to be in a healthy condition. May I ask if you are experiencing any symptoms, or was the echocardiogram performed as part of a routine health check-up?

I hope this answer helps you. Thank you.

Patient's Query

Hello doctor,

They did not say it was normal. I have swelling in my lower body, elevated intracranial pressure, and sometimes shortness of breath and bluish lips.

Thank you.

Answered by Dr. Yash Kathuria

Education:

MBBS

Professional Bio:

Dr. Yash Kathuria is a dedicated and skilled physician specializing in Diabetology, General Medicine, Medical Gastroenterology, Neurology, Pulmonology (Asthma), and Internal Medicine. He focuses on personalized patient care, chronic disease management, early diagnosis, and preventive health strategies. His expertise spans diabetes control, cardiovascular health, kidney and liver-related disorders, and respiratory care, ensuring holistic and evidence-based treatment for every patient.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome back to icliniq.com.

Given the above echo findings, your symptoms of lower body swelling, bluish lips, and other symptoms cannot be explained.

Have they commented on the septa of your heart?

And what is the final impression of the report?

Thank you.

Medically reviewed by Dr. K. Shobana
Published At July 27, 2023
Reviewed At November 5, 2024

Education:

MBBS

Professional Bio:

Dr. Yash Kathuria is a dedicated and skilled physician specializing in Diabetology, General Medicine, Medical Gastroenterology, Neurology, Pulmonology (Asthma), and Internal Medicine. He focuses on personalized patient care, chronic disease management, early diagnosis, and preventive health strategies. His expertise spans diabetes control, cardiovascular health, kidney and liver-related disorders, and respiratory care, ensuring holistic and evidence-based treatment for every patient.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Yash Kathuria is a dedicated and skilled physician specializing in Diabetology, General Medicine, Medical Gastroenterology, Neurology, Pulmonology (Asthma), and Internal Medicine. He focuses on personalized patient care, chronic disease management, early diagnosis, and preventive health strategies. His expertise spans diabetes control, cardiovascular health, kidney and liver-related disorders, and respiratory care, ensuring holistic and evidence-based treatment for every patient.

This doctor is not available for online consultations on the platform anymore.

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