לחץ דם ראתי אשמח לדעת מה לעשות?

לאמא שלי יש לחץ דם ראתי היא עברה לפני מס' שנים צינטור שאראה שיש לחץ דם שהשתפר בזמן נתינת חמצן לכן כרגע לא מטופלת אלא נמצאת במעקב בלבד לפני חודש עשתה אקו חדש -אשמח לדעת איך המצב כרגע ומה צריך בנתיים לעשות היות והתור עוד כחודשיים Summary l The estimated right ventricular systolic pressure is 80 mmHg. l The left ventricular diastolic function is moderately abnormal (Grade II, pseudonormal). Findings Left Ventricle The left ventricle is normal size. The left ventricular systolic function is normal, estimated LVEF 60-65%. Basal septal knuckle. The left ventricular diastolic function is moderately abnormal (Grade II, pseudonormal). Right Ventricle The right ventricular cavity size is borderline enlarged. Normal right ventricular systolic function. Left Atrium The left atrium is mildly dilated. Right Atrium The right atrium is moderately dilated. Aortic Valve The aortic valve is trileaflet. There is aortic sclerosis (no significant stenosis). Generalized mild thickening & calcification of the coronary cusps. There is mild aortic regurgitation. Pulmonary Valve There is mild pulmonic regurgitation. Mitral Valve The mitral valve leaflets are mildly thickened. There is mild to moderate mitral regurgitation. Tricuspid Valve There is moderate to severe tricuspid regurgitation. The estimated right ventricular systolic pressure is 80 mmHg. Aorta The aortic root is normal in size measuring 2.5 cm. Inferior Vena Cava The IVC is normal in size (< 2.1 cm), > 50% respiratory variance, RA pressure normal at 5 mmHg. Pericardium/Pleura There is a minimal anterior pericardial effusion. 2D Measurements Name Value Normal Name Value Normal Parasternal 2D IVS Diastolic Thickness (2D) 0.7 cm 0.6-0.9 LVID Systole (2D) 2.6 cm 2.2-3.5 LVID Diastole (2D) 4.2 cm 3.8-5.2 LV Fractional Shortening (2D) 37 % 27-45 LVIW Diastolic Thickness (2D) 1.0 cm 0.6-0.9 LA Dimension (2D) 3.5 cm 2.7-3.8 Mitral Valve Measurements Name Value Normal Name Value Normal MV Doppler MV E Peak Velocity 133.0 cm/s MV Decel Slope 859.00 cm/s2 MV A Peak Velocity 83.9 cm/s MV PHT 45 ms MV E/A 1.59 MV Area (PHT) 4.9 cm2 4.0-5.0 MV Decel Time 155 ms >200 MV Annular TDI MV Lateral e' Velocity 10.0 cm/s ≥10.0 MV E/e' (Lateral) 13.30 ≤8.00 Tricuspid Valve Measurements Name Value Normal Name Value Normal TV Regurgitation Doppler TR Peak Velocity 417.0 cm/s PA Systolic Pressure 79.6 mmHg <36.0 TR Peak Gradient 69.6 mmHg RV Systolic Pressure 79.6 mmHg <36.0 RA Pressure 10.0 mmHg echocardiogram is performed. Summary l The estimated right ventricular systolic pressure is 80 mmHg. l The left ventricular diastolic function is moderately abnormal (Grade II, pseudonormal). Findings Left Ventricle The left ventricle is normal size. The left ventricular systolic function is normal, estimated LVEF 60-65%. Basal septal knuckle. The left ventricular diastolic function is moderately abnormal (Grade II, pseudonormal). Right Ventricle The right ventricular cavity size is borderline enlarged. Normal right ventricular systolic function. Left Atrium The left atrium is mildly dilated. Right Atrium The right atrium is moderately dilated. Aortic Valve The aortic valve is trileaflet. There is aortic sclerosis (no significant stenosis). Generalized mild thickening & calcification of the coronary cusps. There is mild aortic regurgitation. Pulmonary Valve There is mild pulmonic regurgitation. Mitral Valve The mitral valve leaflets are mildly thickened. There is mild to moderate mitral regurgitation. Tricuspid Valve There is moderate to severe tricuspid regurgitation. The estimated right ventricular systolic pressure is 80 mmHg. Aorta The aortic root is normal in size measuring 2.5 cm. Inferior Vena Cava The IVC is normal in size (< 2.1 cm), > 50% respiratory variance, RA pressure normal at 5 mmHg. Pericardium/Pleura There is a minimal anterior pericardial effusion. 2D Measurements Name Value Normal Name Value Normal Parasternal 2D IVS Diastolic Thickness (2D) 0.7 cm 0.6-0.9 LVID Systole (2D) 2.6 cm 2.2-3.5 LVID Diastole (2D) 4.2 cm 3.8-5.2 LV Fractional Shortening (2D) 37 % 27-45 LVIW Diastolic Thickness (2D) 1.0 cm 0.6-0.9 LA Dimension (2D) 3.5 cm 2.7-3.8 Mitral Valve Measurements Name Value Normal Name Value Normal MV Doppler MV E Peak Velocity 133.0 cm/s MV Decel Slope 859.00 cm/s2 MV A Peak Velocity 83.9 cm/s MV PHT 45 ms MV E/A 1.59 MV Area (PHT) 4.9 cm2 4.0-5.0 MV Decel Time 155 ms >200 MV Annular TDI MV Lateral e' Velocity 10.0 cm/s ≥10.0 MV E/e' (Lateral) 13.30 ≤8.00 Tricuspid Valve Measurements Name Value Normal Name Value Normal TV Regurgitation Doppler TR Peak Velocity 417.0 cm/s PA Systolic Pressure 79.6 mmHg <36.0 TR Peak Gradient 69.6 mmHg RV Systolic Pressure 79.6 mmHg <36.0 RA Pressure 10.0 mmHg

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