HomeAnswersCardiologyechocardiogramI am worried about my electrocardiography reports. Kindly help.

When is serial echocardiography generally recommended?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At January 18, 2022
Reviewed AtJuly 19, 2023

Patient's Query

Hi doctor,

I am 30-year-old, and I have had two echocardiograms. There is no family history of heart disease. I have strong anxiety. I had an echocardiogram done recently, and the only note that was concerning in the report is "The sinuses of valsalva is dilated at 3.7 cm, unchanged from prior study." My doctor is not concerned about it. The same cardiologist did both reports. She did my report today and seven years back when I was 24-year-old. My question is why the sinus of valsalva is dilated now when it was unchanged from the last echocardiogram that was deemed normal?

Hi,

Welcome to icliniq.com.

The size of the aorta at sinus level (aortic root) is normal upto 4 cm. The good thing is that it has not changed in six years. It grows with age but grows very slowly in normal persons. If you have a family history of aortic root dilatation or aortic dissection, I suggest having serial echocardiography done every three years.

Patient's Query

Hi doctor,

Thanks for the reply. I have a few more queries. So is this finding normal? If it is normal, why did they report it as dilated? But, regarding family history, there is no history. So is there anything to worry about?

Hi,

Welcome back to icliniq.com.

It is very well within normal limits. There is nothing to worry about. I suggest that they have wrongly written dilated as aortic sinuses upto 40 mm in males and upto 36 mm in females is normal.

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

Dr. Muhammad Zohaib Siddiq
Dr. Muhammad Zohaib Siddiq

Cardiology

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