Skip to content

We value your privacy

We use cookies to enhance your browsing experience, serve personalized ads or content, and analyze our traffic. By clicking "Accept All", you consent to our use of cookies.

Customize Consent Preferences

We use cookies to help you navigate efficiently and perform certain functions. You will find detailed information about all cookies under each consent category below.

The cookies that are categorized as "Necessary" are stored on your browser as they are essential for enabling the basic functionalities of the site. ... 

Always Active

Necessary cookies are required to enable the basic features of this site, such as providing secure log-in or adjusting your consent preferences. These cookies do not store any personally identifiable data.

No cookies to display.

Functional cookies help perform certain functionalities like sharing the content of the website on social media platforms, collecting feedback, and other third-party features.

No cookies to display.

Analytical cookies are used to understand how visitors interact with the website. These cookies help provide information on metrics such as the number of visitors, bounce rate, traffic source, etc.

No cookies to display.

Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors.

No cookies to display.

Advertisement cookies are used to provide visitors with customized advertisements based on the pages you visited previously and to analyze the effectiveness of the ad campaigns.

No cookies to display.

Right Heart Asessment with Trivial regurgitation

Sonopath Forum

Sonopath Forum

Right Heart Asessment with Trivial regurgitation

Thoughts? 3yr,25lb male, Cushionoid WHWT chronic cough. Sept.CT; alv consolidation vent lobes, mild Br. thickening, diffuse inst. pattern rest of lung parenchyma, mass assoc. R adr. Recent rads; inst. Pattern(on AB’s). R Hrt large. Echo: Mobitz type2 block?, trivial MV and TV reg, LV mildly increased(CI=1.7),LA:AO=wnl, AO=1.5m/s,E:A=1.1,Evel=.93m/s. RV=NAF?,no sig. RV pressure(TVreg 3m/s (poor) RPADI normal,no septal flattening/PSM, PA:AO=NAF).RV outflow was 1.0m/s with some slight notching, no hepatic congestion. Adrenals( brief- needs sed)LAdr= NAF, RAdr=round- no sig TD,1.45cm dia

Comments

Dan lynn
October 20, 2024 at 3:53 pm -

Age typo. This fellow is actually 13 yrs. Thanks for having a look!

Peter
October 21, 2024 at 6:03 pm -

Hi Dan!

Not much to see here. Certainly no clinically relevant PHT. The most obvious change ist the AV-Block. I would always perform an atropine test to rule out vagal stimulation. If the patient is not collapsing, I would not do much in terms of his heart. The septum is rounded, so pressures in the RV are likely not significantly increased. If the patient collapses and the block ist not atropine-responsive, I would try Theophylline before I recommend a pacemaker.
Does this answer your question?

best wishes,

Peter

Subscribe

Leave a Reply