Sample Echo Cardiography Report

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Sample of Echo Cardiography Report #2 and Quiz

 

By: Joe Hing Kwok Chu

(This is a photo copy of an actual report.)

Below is a retyped report. ( of this old female patient)

Clinical indication: recurrent pulmonary edema. Known diastolic dysfunction.

This is an excellent study.

The aortic valve leaflets are thickened with fairly well preserved leaflet mobility. Forward flow velocity is increased with a calculated peak gradient of 33 mmHg and a mean gradient of 21 mmHg. The increased forward flow velocity is probably due to the mild to moderate aortic regurgitation.

The left atrium is normal size.

The mitral leaflets are slightly thickened and there is calcification seen in the region of the mitral annulus. Forward flow velocity is characterized by almost equal E and A waves and normal pulmonary venous flow pattern is seen. The deceleration time is 160 msec. peak indication marked improvement in the previously prolonged deceleration time indicative of diastolic dysfunction.

The left ventricle shows concentric hypertrophy with well preserved systolic function. Ejection fraction is well over 60-70%.

Right sided chambers are normal size. The tricuspid valve morphology is normal. Tricuspid forward flow suggests diastolic compliance abnormality of the right ventricle with a pattern suggesting diminished passive filling. A trace of tricuspid regurgitation is present with a right ventricular systolic pressure estimated at 49mmHg plus the right atrial pressure. The pulmonic valve appears normal.

IMPRESSION: SINCE THE PRIOR STUDY OF 12-23-93, THERE HAS BEEN FURTHER IMPROVEMENT IN THE DECELERATION TIME, AND THE FINDINGS OF POSSIBLE RIGHT VENTRICULAR DIASTOLIC DYSFUNCTION HAVE APPEARED. THE AORTIC GRADIENTS, DEGREE OF AORTIC REGURGITATION, AND THE RIGHT VENTRICULAR SYSTOLIC PRESSURE ARE SIMILAR ON THE PRESENT STUDY TO THE PRIOR STUDY.

 

Medical Application of Qigong Lecture #1

Quiz (for my students who have attended my Continuing Education Credit class for licensed acupuncturists offered by American College of TCM of San Francisco, California in cooperation of Qigong Institute, Menlo Park, California):

When this 83-year-old retired nurse came to me, she did not have a pulse in her right arm. She told me that as  no pulse reading could be obtained,  it was impossible to obtain a blood pressure reading  from that side. There had been a stenosis on that side for more than two years when she came to see me.

After using waiqi therapy the pulse came back.

What waiqi maneuver was used?:

Which channels and  points were used? How to use pu (tonic), xie (purging) in this case?

(1)  Please compute the following:

         (a) the stroke volume   (b) ejection fraction. (c) LV End DiastolicVolume     (d) LV End Systolic Volume

(2)  What do you want to find out from this patient?

(3)  What Qigong therapy should be used?

(4)  What herbal formulae do you think are appropriate?      

If you fail to answer the above questions, it can be because the instructor  failed to  communicate or failed to use the time allocated efficiently in the lecture. It will not affect the benefit of learning and practising qigong.     teacher: Joe H.K.Chu

 Back to echocardiogram

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