Answered by Dr. Yash Kathuria

Answered by Dr. Yash Kathuria

What do SPAP, tricuspid regurgitation, atrial or ventricular measurements, and other findings on an echocardiogram indicate?

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.

19 May 2024 - 1 min read

What causes breathlessness and left arm and neck pain?

Hello doctor,

I have been suffering from bronchiectasis for the past many years. I also have an undoubtful history of cervical spondylosis. I suffer from breathlessness on exertion. I had neck pain and was not able to move my neck along with left arm pain a month ago. Why so?

Please help.

16 May 2024 - 1 min read

What are the possible causes of bitter taste and malaise in the mouth?

Hi doctor,

I recently had a bitter taste in my mouth for three days, but it seems to have subsided a bit, although I am feeling a bit of a malaise. I also started developing pins and needles around my body on and off for three days. It has been relatively continuous but feels like shocks or a tingling sensation. This is ongoing. The doctor said that it is a viral infection.

Kindly help.

14 May 2024 - 1 min read

What do the abnormalities in EKG activity indicate?

Hello doctor,

I had two EKGs one before the activity and one after it. I am attaching the reports of it. Kindly review and confirm if there is any abnormality.

13 May 2024 - 1 min read

Can a person with past kidney disease take creatine?

Hi doctor,

Is creatine safe for someone to take for workouts or for performance purposes who had kidney disease in the past? I suffered from childhood nephritis and focal segmental glomerulosclerosis, potentially triggered by a mold infestation around ten years ago at my home. After a biopsy, I took steroids and diuretic medications for some years until remission. I have been in remission and off medication for over ten years. I never needed a transplant and now have normal protein or creatinine ratios.

Please help.

Thank you.

10 May 2024 - 1 min read

Dr. Yash Kathuria
Family Physician

Education

MBBS., DNB FAMILY MEDICINE., CERTFICATION COURSE NEPHROLOGY., CERTIFICATION COURSE CARDIOVASCULAR DISEASES AND STROKE., MRCP

Specialties

Family Physician

Specialized Treatments

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