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What is Aortic Sclerosis?
The aortic valve is the valve that stops blood that is ejected from the heart to the body leaking backwards. If there were no aortic valve then all the blood that was pumped out of the heart from the body would be able to fall back in! There are two main problems that can occur with the aortic valve. The aortic valve can be leaky, in a condition known as aortic regurgitation or the aortic valve can become tight in a condition known as aortic stenosis. Aortic valve sclerosis is a condition whereby the aortic valve becomes thickened but does not significantly obstruct flow, unlike aortic valve stenosis, which does obstruct flow.
What it Looks Like
See the images below. The sclerotic aortic valve is thicker than the normal aortic valve. The sclerotic aortic valve has a more calcified brighter looking appearance on the heart ultrasound scan.
Symptoms
Aortic sclerosis is an asymptomatic disease, meaning it has no symptoms. It may be associated with the presence of a mild murmur that is picked up on examination. Often it may be found by chance in those having an echocardiogram for other reasons.
How Common is It?
Aortic sclerosis becomes more common with ageing, which makes sense as it is seen as a degenerative disease. In those less than 60 years of age, less than 10% of the population has aortic sclerosis. In those above 70 years of age between 20-40% of the population are found to have aortic sclerosis.
Will Aortic Sclerosis Become Aortic Stenosis?
Aortic sclerosis is thickening of the valve without any significant effect on the function of the valve itself. Aortic stenosis is thickening and tightening of the valve that leads to the heart having to work harder and the possibility of not enough blood being delivered to the body. The risk of aortic sclerosis progressing to aortic stenosis is low. The rate of progression to clinical aortic stenosis is under 2% per year.
Risk Factors
- Age
- Being Male
- High blood Pressure
- Diabetes
- Smoking
- Kidney Disease
- High Cholesterol
Is Aortic Sclerosis Dangerous?
Several studies have examined the association between aortic sclerosis and the development of cardiac events. The presence of aortic sclerosis is associated with increased risk of heart attack, stroke, dying from a heart attack, or just dying from all causes. This is not a cause for alarm and in fact not surprising when you look at the risk factors for aortic sclerosis. These are the many of the same risk factors associated with other forms of cardiovascular disease. The actual risk of developing these events is still relatively small. It just that those with aortic sclerosis have a higher risk of these events than those without. The implication of this is that those patients with aortic sclerosis should pay attention to controlling typical cardiac risk factors such as blood pressure, cholesterol, smoking, diabetes, diet and lifestyle.
Do You Need Echocardiogram?
Aortic sclerosis itself does not typically require surveillance and most patients don’t need to be scheduled for a follow-up study. In some cases of very thickened valves, or those nearing a diagnosis of aortic stenosis, the interpreting cardiologist may suggest a repeat study at some point particularly if the murmur worsens or symptoms develop.
Treatment of Aortic Sclerosis
There is no medical treatment for aortic sclerosis. The good news is that it is unlikely to progress to significant aortic valve disease. Those with aortic sclerosis are at higher risk of cardiovascular disease however and so they should pay special attention to cardiovascular risk factors. Recommendations would include to control blood pressure and cholesterol. Smokers should stop smoking. Diabetics need to ensure optimal control of diabetes. Attention should be paid to a healthy lifestyle. These measures will serve to reduce the risk of cardiovascular disease.
At myheart.net we’ve helped millions of people through our articles and answers. Now our authors are keeping readers up to date with essential information through twitter. Follow Dr Ahmed on Twitter @MustafaAhmedMD
Comments are purely for informational purposes and are not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Disclaimer
How do you determine if it is being caused by infection vs. kidney disease vs. autoimmune disease? If it is being caused by one of those things, what do you do?
Hello Jacqueline
In general infection or autoimmune disease will cause thickening and damage to the valve leading to outflow obstruction and this can be detected on an echocardiogram. Once flow obstruction is detected this rules out simple aortic sclerosis and more investigations can be done to determine the exact cause.
hello doc
my 2d echo conclusion is
concentric lef ventricular remodelling with adequate wall motion contractility systolic and diastolic function
aortic sclerosis,aortic annular calcification.
what does is it mean?thank you
The sclerosis is not a serious finding, as usual pay attention to standard cardiac risk factors.
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Aortic valve sclerosed and left ventricle block 40% then what it would be suitable for stunts
Echo results showed mild aortic valve thickening. Ava vti was 2.45cm. What does that mean and is 2.45cm bad. I know normal is 3 to 4 cm
My mom’s X-ray impressions includes cardiomegaly and there is a calcified aorta. What does it mean doc? I am so worried. She is 50 years old.
My father was diagnosed with a cardiovascular disease 6 months back in march and he was treated through angioplasty and a stent was inserted in his left artery.
None of his past echo cardiogram reports showed aortic problem, but today’s report suddenly shows aortic sclerosis, moderate aortic regurgitation and mild increased thickening or intraventricular septum and left ventricular posterior wall.
Doctor, please kindly explain how do we interpret this and everything is safe or not.?
Are there any complications involved?
His age is 48 years.
Thank You.
Recently I was diagnosed of moderate aortic sclerosis (minor involvement of 2 leaflets or extensive involvement of 1 leaflet). There is mild aortic cusps calcification and no aortic stenosis nor aortic regurgitation but with trivial mitral and tricuspid regurgitation. There is no heart murmur found.
My age is 53 years.
The rest of the diagnosis test are normal .
KiDoctor, what does that interpret in the medical findings report. Thanks
Recently I was diagnosed of moderate aortic sclerosis (minor involvement of 2 leaflets or extensive involvement of 1 leaflet). There is mild aortic cusps calcification and no aortic stenosis nor aortic regurgitation but with trivial mitral and tricuspid regurgitation. There is no heart murmur found.
My age is 53 years.
The rest of the diagnosis test are normal .
Doctor, what does that interpret in the medical findings report. Thanks
There is no cause for concern based on your echocardiogram report. Your valve is a little calcified but there is no evidence of tightening. The chance of this progressing to significant disease is relatively small and the best thing to do is to simply continue routine medical follow up.
Hi doc my 2d-Echo was found
– Sinus Tachycardia
– Concentric Left Ventricle Hypertrophy, Multisegmental wall motion abnormalities, Mild Depressed Overall systolic function
– Mitral Valve Sclerosis, Mild Mitral Regurgitation
– Mild Pulmonary Hypertension 32mmHg
what does mean doc ?
Its not normal, there are areas concerning for poor blood supply and consultation with a cardiologist is recommended.
You can follow our twitter at @MustafaAhmedMD
Disclaimer: The comment response is opinion and in no way affiliated with my employer. It is a vague response that is not to be used as direct medical advice and in no way should replace the opinion of a medical provider.
My ecg report says. :sclerotic aortic valve, no significant gradient or regurgitation , what does this mean ?
I think you meant your echocardiogram. Your findings would suggest that you have no significant issue with your valve.
My 2d echo report taken october 31, 2015 says: aortic sclerosis with trivial aortic regurgitation; trivial mitral regurgitation. Doctor, what does this mean?
Pls favor me your immediate reply. Im 48 yrs old, female, from the Philippines.
It means, as far as the echo report shows, you have absolutely nothing to worry about.
As per my “ECHOCARDIOGRAPHY REPORT” taken at NH Multispeciality Hospital, Bangalore dated 17-Dec-15 shows as “Arotic valve: Sclerotic”
Doppler Data:
Arotic Vavle: Vel -1.4m/sec,Peak Gradient – 7mmHg, No AR
When I saw the website I understood that the thickness of arotic valve is increased. Please suggest what all complications I will have with this issue. Also suggest what food diet I have to follow to avoid heart attack complications.
You have aortic sclerosis and not aortic stenosis. There is no significant tightening of the valve and this should cause no complications.
my mother was diagnosed with acute coronary syndrome her jaw and neck was very painful what can i do
Have her seek urgent attention so her risk and further management plan formulated.
Hello doctor,
I had an echo done today because i had been under a lot of stress and was feeling palpitations. I have not spoken to the cardiologist yet but the NP gave me my results which was mild aortic valve thickening with possible trivial regurgitation and redundant mitral valve with trace regurgitation, no evidence of prolapse.
I am very confused with the Aortic reading and wondering if this is an error?
The aortic valve is pretty much normal as per this report, no cause for concern.
Given the large amount of people we have been able to help here, we are starting a twitter to help keep heart patients up to date with advances and relevant information. Mine can be followed at @MustafaAhmedMD
Oops. I forgot to mention that i am 38yrs old and when the palpitations were diagnosed my blood pressure was elevated. Never had any history or family history of either. The cardiologist at the time said it was all stress induced and then i had that echo…. :-/
Hello Doctor. My dad had a Echocardiography done recently and he’s been diagnosed with ‘Sclerotic Aortic Valve’ and after reading your article I kind of understand it. But I still can’t completely get it. Could you please explain it to me and suggest its consequences?
Doppler data:
Dimensions are normal.
Mitral Inflow Study E and A wave
E 0.8m/sec A 0.6m/sec
Trivial Mitral Regurgitation
Velocity Across The Pulmonary Valve 0.9m/sec
Trivial Aortic Regurgitation
Velocity Across The AV 1.2m/sec
Trivial Tricuspid Regurgitation
Impression
Left Ventricular Hypertrophy
No Regional Wall Motion Abnormality
Left Ventricle Normal in Size
Normal Left Ventricular Function
No LV clot
Trivial Mitral Regurgitation
Sclerotic Aortic Valve
Trivial Aortic Regurgitation
Trivial Tricuspid Regurgitation
No Pulmonary Artery Hypertension
No Pericardial Effusion
IAS/IVS Intact
There are no significant valvular abnormalities. He has some increased thickness of the heart muscle wall and the best treatment is to control his blood pressure if it is elevated.
Thanks so much for responding Doctor. I’m just wondering if we should be concerned of ‘Grade 1 DD and Grade 1 MVP (AML)’ ?
Can this cause you to have a problem with breathing? Getting short of breath ??
No, aortic sclerosis is not associated with symptoms. The shortness of breath would be from another cause.
If you have sclerotic can this cause problems breathing??
HiDr. Iam 61 yr old male. Under treatment for hypertension and high cholesterol for the last 11 years. Otherwise healthy. A recent Echo report is as follows:
There is mild concentric LVH
No regional wall motion abnormalities
LV systolic function is normal
There is Grade 1 LV diastolic diastolic dysfunction with E/A reversal
Sclerotic aortic valve with trivial AR
No PAH, PASP = 28 mm Hg
No clot/vegetation/pericardial effusion
DIAGNOSIS:
Concentric LV hypertrophy
No RWMA Rest
Normal LV systolic function
GR 1 LV Diastolic dysfunction
Sclerotic AV with trivial AR
No PAH.
Please advise.
The aortic sclerosis is of minimal significance and i wouldn’t worry about it. The concentric lvh means thickening of the heart muscle tissue and might be due to long standing high blood pressure in which case treatment of the blood pressure is the primary goal.
Thank you very much Doctor, for the comments and advise.
concentric LV hypertrophy,
Grade 1 diastolic Dysfunction
AV Sclerosis
now what i do…and how much dangrous….am from india..plz reply 2 me
The aortic sclerosis is of minimal significance and i wouldn’t worry about it. The concentric lvh means thickening of the heart muscle tissue and might be due to long standing high blood pressure in which case treatment of the blood pressure is the primary goal.
Sclerosis of the aortic valve with mild insufficiency, otherwise normal, this is my diagnosis. Does the mild insufficiency mean the valve is leaking?
Nothing too much to worry about and no treatment needed for that alone. Yes the leak is mild and of no real concern if that alone.
I have diagnos with aortic and mitral sclerosis, can this be cured
Sclerosis itself isn’t typically a cause for concern. There is currently no treatment to reverse it, but a treatment isn’t really needed.
Thank you for your very informative and helpful article.
I am a male 53. I used to experience palpitation occasionally. Experienced shortness of breath, visited Hospital, checked, everything seemed fine but GP suggested ECG. ECG queried Sinus Bradycardia. I was then referred to do echocardiography.
ECHO report: Normal cardiac chamber dimensions, has mild posterior wall hypertrophy. LV and RV ejection fraction is preserved with normal fractional shortening both showing good systolic function. However there is grade 1 LV diastolic dysfunction. No regional wall motion abnormality. No shunt defects, no pericardial effusion and no evidence of intra-cardiac clot formation. There is aortosclerosis with raised aortic pulse wave velocity an indication of vascular aging. Assessment: Vascular aging (with central aortic hypertension).
Please advise
My echo cardiogram conclusion
Diastolic function is I/IV, impaired relaxation ( what is normal ? )
Aortic valvular sclerosis
I also have a kidney function GFR 24
My main concern is I get so out of breath , can hardly walk & am so fatiqued.
Diastolic dysfunction stage 1, in your case, likely mild and not the cause of major symptoms, rather a normal sign of heart aging, however i would need to see the pictures to tell you with accuracy, the aortic valve sclerosis is not significant in your symptoms, have other causes of shortness of breath been ruled out?
thank you dr.very useful article. UR-Tamilnad,India
Minimal Aortic Sclerosis,Otherwise normal 2D & M mode echocardiography.
Good LV Systolic function(EF-66%).
Is it Risk?What is the advise For me?Please tell.
No real risk to worry about
Sir, What is the advise for me? I need your advise.
Minimal Aortic Sclerosis Otherwise Normal 2D & M Echocardiography. LV systolic function is good (EF-66%)
Is it risk for me? What is the advise
Hi Doctor my brother was diagnose with the following according to the result of echocardiography and dopler study.Dilate left atrium with increased volume index.dilated rt.ventricular dimension with depress systolic function.dilated rt.atrium and main pulmonary artery pressure.Mitral valve sclerosis with severe mitral regurgitation.Aortin annular calcification.Severe tricuspid regurgitation .dilated tricuspid annulus.moderate pulmonary hypotension with pulmonic regurgitation.Doctor I’m also a nurse but I need your advise please and what is the cause of it?hope you can help me please.thanks
He has some significant cardiac issues going on and needs an opinion from a valve specialist i suspect. What is his heart function?
Doctor at the moment he is waiting for angiogram.on I litre fluid restriction.doctor is it dangerous?they prescribed him digoxin too.doctor says the blood flow is going back due to enlarged heart.he is fine at the moment not short of breath since he was on fluid restriction.thank you for making attention on my notes.need more advice doctor.thanks
Minimal Aortic Sclerosis, Otherwise Normal 2D & M Echocardiography.
LV systolic function is good(EF-66%)
Is it risk? Please advise me
I am 67 and been on diet went from 210 to 156 lbs. I had a Eco because of dizziness.I have had chest pain for years! I was told heart mumer and aortic valve sclerosis. I was told thicking of value and follow up with Eco next year with no info on diet or any info. Not a big deal! So is there any MEDS or special diet? What to do and answer in further??? Value replacement? Just uneasy!
You will not need valve replacement for aortic sclerosis, only for severe aortic stenosis, i would say most people at 67 have some degree of sclerosis of the aortic valve.
When I find an ejection systolic murmur in aortic area, and is non radiating murmur in 70 year old asymptomatic man ➡Aortic sclerosis.So what is the action then? 1- is it an emergency to do echocardiography, or elective. 2- Or I have to admit the patient for further evaluation
Elective echocardiography
Hi Doctor,
My mom under gone with 2D Echo cardiography and colour doppler scan today the results came as mentioned below;
1. SCLEROTIC AORTIC VALVE -NO AS/ AR
2.NORMAL CHAMBERS
3.NORMAL LV FUNCTION(EF-58%)
4.NO REGIONAL WALL MOTION ABNORMALITIES AT REAT
Kindly please make me understand the above conclusion matrix in layman language.
It is basically normal
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Disclaimer: The comment response is opinion and in no way affiliated with my employer. It is a vague response that is not to be used as direct medical advice and in no way should replace the opinion of a medical provider.
Hi Dr. Mustafa, I’m Anna, 44 years old from Philippines. Last 2012, I had my Echocardiography done but I did not see my doctor and have it interpreted. After four years, just last week I decided to have my Echocardiography done again and went to see my doctor. She gave her explanation but I would like to have your opinion.
Here’s the result last 2012:
– Normal LV dimension with adequate wall motion and contractility.
– Normal LA. RA, RV, main pulmonary artery and aortic root dimensions.
– Thickened Mitral valve leaflets without restriction of motion.
– Structurally normal tricuspid, pulmonic and aortic valve.
DOPPLER:
– Reversed mitral E/A ratio
– No abnormal color flow display
– Normal pulmonary artery pressure
Conclusions:
– Normal left ventricular dimension with adequate systolic function with doppler evidence of diastolic dysfunction.
– Mitral sclerosis
And here’s my recent result:
– Thickened anterior mitral valve leaflet which is restricted at its tip and with diastolic doming motion. Thickened and slightly restricted posterior mitral valve leaflet. Partially fused commissures. Moderate subvalvar involvement. Moderate calcification along both leaflet margins. Mitral valve area of 1.04 cm by planimetry.
– Thickened aortic valve cusps without restriction of motion.
– Structurally normal tricuspid valve and pulmonic valve.
– Normal left ventricular geometry (left ventricular mass index=94g/m: relative wall thickness=0.39) with adequate wall motion and contractility.
– Normal left atrial dimension and left atrial volume index(26.04 ml/m).
– Normal right atrium, RV, main pulmonary artery and aortic root dimensions.
COLOR FLOW DISPLAY STUDY:
– Mitral valve of 1.18 cm by pressure half time with mean gradient of 9mmHg.
– Tricuspid regurgitation, mild.
– Pulmonary artery pressure of 38mmHg peak TR velocity.
CONCLUSIONS:
– Rheumatic heart disease.
– Mitral stenosis, moderate, with mitral valve area of 1.04 cm by planimetry and 1.18 cm by pressure half time with mean gradient of 9mmHg.
– Tricuspid regurgitation, mild.
– Normal left ventricular geometry with adequate contractility and systolic function.
– Mild pulmonary hypertension.
Medications:
– Nevibolol (Nebilet)
– Clopidogrel (Clopivas)
Doc, am I in a delicate situation? What foods, beverages and activities should I avoid?
Please help me. Thanks.
If you have symptoms then you may need to have a procedure performed known as mitral valvuloplasty.If you have no symptoms then i wouldn’t really worry about diet. Unfortunately medicines do not really prevent the progression of mitral valve disease. The good news is that the procedures are effective.
Thank you Doc for replying. I have these symptoms- shortness of breath, palpitation of hearth, few times I have these swelling of legs and ankle. I also have this pain of the left-side breast and would carry on up to my back left portion.
Are there any other option which I can have aside from valvuloplasty procedure? And which foods should I avoid?
helo! doc what kind of food i need to eat, im anemic and high blood,also high in uric acid and cholesterol
Hi Dr. Ahmed, my father had a 2d exho and here are the results:
– mitral sclerosis
– aortic sclerosis
– dilated left ventricle and atrium
– signs of left ventricle dysfunction
– lft ventricular posterior wall hypertrophy
– aortic insufficiency 1+
– mitral valve regurgitation, moderate
– pulmonic regurgitation, mild
With these results, i really just want to know in layman’s term what it means? And is it critical to my father’s health? Is he likely tp get a stroke? Appreciate your response.
Itas difficult to tell you much without looking at the pictures.
The aortic valve has some thickening and mild leak only and its not a significant issue
The mitral valve has moderate leak, it needs to be watched over time
The pulmonic valve has a mild issue and is no issue
The main pumping chamber of the heart is impaired and enlarged, it doesn’t report the degree,
The next tests should focus on identifying the underlying cause of the abnormalities. Also medicine that can treat this should be started.
My father is 68 years old diabetic and diagnosed with sever LVSystolic dysfunction LVEF 20% ,Stage 3 diastolic dysfunction and AV sclerosed other cardiac valves are normal.He is on medication
hello doc. i already done in 2D echo 3 times to clarify,.. cause i have a murmur other doctor said thats why they recommend to have a 2D echo with doppler,..
normal left ventricular with normal wall motion, contractility and systolic function
Thickened aortic valve with moderate aortic valve regurgitation
Mild tricuspid valve regurgitation
Normal pulmonary artery pressure
doc what is all about? by the way im athletic doc, playing basketball everyday etc,, and the other reason is i want to go abroad thats why i proceed to 2D ECHO.. thank you
You have a leaky aortic valve, at the moment it is not serious, it should be followed regularly with a echocardiogram every 1-2 years, your heart appears to be handling it well, no need for medicine to any intervention, you should have no exercise limitation, this does not limit you traveling.
thank you doc.. how about playing basketball? i played everyday,, often 2 games in a day.. and what i mean doc is working abroad…. thank you once again
hello doc. i already done in 2D echo 3 times to clarify,.. cause i have a murmur other doctor said thats why they recommend me to have a 2D echo with doppler,..
normal left ventricular with normal wall motion, contractility and systolic function
Thickened aortic valve with moderate aortic valve regurgitation
Mild tricuspid valve regurgitation
Normal pulmonary artery pressure
doc what is all about? by the way im 28 yrsl old, athletic doc, playing basketball everyday etc,, and the other reason is i want to go abroad thats why i proceed to 2D ECHO.. thank you
thank you doc.. how about playing basketball? i played everyday,, often 2 games in a day.. and what i mean doc is working abroad…. thank you once again
Hi Doc
My mother had a 2d echo exam and here is the result, Concentric left ventricular remodeling with normal contractility and systolic function, mitral sclerosis with mild mitral regurgitation, aortic sclerosis, mild tricuspid regurgitation, normal pulmonary artery pressure with pulmonic regurgitation.
I would like to seek and give more clarifications on the conclusion of her exam.
Thank you.
She has some thickening of the heart muscle, I’m not sure of the exact amount from this report, it is typically caused by high blood pressure, the best treatment is blood pressure control and adressing other risk factors.
Her valves are fine and nothing to worry about.
Hi Doctor,
I’m a 46 year old male with high blood pressure.I recently had an EKG, Stress test, and an echocardiogram with Doppler, these tests were performed all in one day. I had two of the 3 test results before I left the cardiologist office. the EKG and stress test came up great and the doctor said I’m cleared to do whatever exercise I want, that my tests went well. So I left on a happy note and went back to get my Echo results, of course the cardiologist was not in so now I’m reading these results and feeling quite ill.
Clinical indications: Hypertension, Essential (primary), Dyspnea on exertion, No previous echo for comparison, Murmur, Cardiac
Conclusion:
Cardiac chambers are normal size.
Normal Left ventricle wall thickness
Left ventricular ejection fraction is 60-65%
Aortic leaflet sclerosis.
Mild nonspecific mitral leaflet thickening with mild mitral regurgitation.
Nonspecific tricuspid leaflet thickening with mild tricuspid regurgitation.
No pulmonary hypertension.
How bad is my situation, it seems scary to me and I haven’t had a chance to speak with any doctor.
I see it also has in the measurements grade 1 diastolic dysfunction (impaired relaxation)
IVS diastolic Thickness 1.3 cm 0.6-1.1
LVPW Diastolic thickness 1.2 cm 0.6-1.1
What exactly do these results mean, is there a better way to treat something like this other than 50mg of metoporol and 10 mg of Lisinopril, I’ve also recently been put on 10mg of Atorvastatin. these meds are all prior to this test.
What now doctor, at 46 years old i’m feeling like I received some very bad news.
Your echo is basically normal, you don’t have any significant issues based on that echo report.
what should I think of the diastolic dysfunction numbers, looking at the internet would make me think I was in heart failure. as you can see my ranges were IVS Diastolic thickness 1.3 and LVPW was 1.2 , the ranges stated at normal for both are 0.6 – 1.1 ,
At what degree should I be concerned about those numbers, I’ll be honest Doctor, that scared the heck out of me. What can I do to prevent a problem in the future, what is the best medication to treat the problem along with my high blood pressure. Does having those numbers mean I will have a problem at some point. I’m a bit worried.
First step is to call and ask the physician reading the study to read it again, chances are the technician put those values and they have not been checked closely. I sincerely doubt there is an issue. The single best thing in this case seems to be control of blood pressure with the use of standard medications. You honestly have nothing to worry about, and you now have impetus to pay very close attention to blood pressure.
Hello again Doctor,
Just wanted to thank you for your input, you were absolutely correct in your assessment of my situation, the diastolic dysfunction numbers were off. I wish more doctors would take the time that you do to address patients concerns. I was calling my local cardiologist for days and couldn’t get answers. I come to this page and write to you, whom I haven’t paid a dime, and get productive answers. I commend you sir and I really do wish you had a practice here in New Jersey, I would be at your office, your patients are lucky to have someone that is so dedicated. Thank you again.
Hidoctor My father In law takes Echo On 12 sep 2016 report is Aortic valve Sclerosis
HI Doc,
My mother is 53 years old and she had an X-ray result. I would like to ask what is the explanation for the following findings.
Pleural thickening is seen in the apices.
The rest of the lungfield is clear.
Heart is not enlarged.
Aorta is sclerotic.
Diaphragm and sulci are intact.
Impression:
BI-APICAL PLEURAL THICKENING
ATHEROMATOUS AORTA
The aorta has become hardened likely due to buildup of plaque that has subsequently calcified. It is a form of peripheral vascular disease, and it shares the same risk factors as most cardiovascular disease, smoking, cholesterol, diabetes, blood pressure etc. Controlling these will be key in arresting disease progression.
Good day Dr.
Im alemar from philippines & Im 23 years old. I had a medical last oct 13 2k16 & the result of my ECHO was I have a Moderate Sclerosis wt mild mitral regurgitation,Concentric left ventricular remodeling wt normal contratility & systolic function& normal pulmonary arterial pressure.what was this mean all about doc? My last medical was on may 2015 & i have no finding about my heart. These last october only. Please answer my problem doc @ my email. Thank you ?
You don’t have much to worry about with regard to the valves. You do have concentric left ventricular remodeling which means you really need to make sure that if you have high blood pressure then it is controlled well.
Hi Doctor, I had my 2D echo and showed, thickened right coronary cusp and non coronary cusp without restriction of motion. I know that it is common in elderly, but I’m only 30 years old. What does it mean? Do I need some treatment or follow up? What is the cause of it?
it also says in my 2D echo result that I have
-thickened mitral valve leaflets
– mild mitral and tricuspid regurgitation
Thank you.
You don’t have any significant valve disease.
Often i’ve seen the techs doing the study and put in findings and the reviewing cardiologist doesn’t change the when they should be. Most the time this doesn’t really mean anything significant, unless the patient takes a special interest in the report. Your valve opens well, i cant comment on the sclerosis without seeing the images. If you did have some mild sclerosis 1) don’t worry 2) pay attention to traditional cardiac risk factors (cholesterol, hypertension, smoking, diabetes, exercise, healthy lifestyle etc.)
wow, thank you doctor, because i have GERD, and i’m having this chest pain and most of the time at the left side of my chest and i cannot breath, it’s like there’s something stock on my throat, headache also. I wonder if it is because of my GERD or the mild prolapse, because i did echo again and showed mild mitral valve prolapse. The doctor saw me told the same thing and she said I’m also anemic. So at least it is clear to me that my heart is good. Thank you so much. It helps a lot Doctor Mustafa.
Hi Doctor, I had my 2D echo and showed, thickened right coronary cusp and non coronary cusp without restriction of motion. I know that it is common in elderly, but I’m only 30 years old. What does it mean? Do I need some treatment or follow up? What is the cause of it?
it also says in my 2D echo result that I have
-thickened mitral valve leaflets
– mild mitral and tricuspid regurgitation
I answered this just on the other duplicate message
Sir my father having chest pain radiating to back neck and left jaw , he has using Metstamlo 50/5mg , plzzz suggest me what drug is suitable for hai pain ?
Older report of 2D echo had Normal arata but recent 2D report has Sclerotic Aorta .
Is there any problem with that report sir
His pain sounds concerning and he may need a full work up to ensure no critical blockages. The echo report of sclerotic aorta is in itself nothing to worry about and is likely related to his age.
Dr. Ahmed,
I am a 45 yr old male with mild to moderate aortic valve sclerosis without stenosis. Otherwise my Echo and CTA Chest results are normal. I run routinely and often participate in marathons. My cardiologist tells me to keep running as it is good for my heart/valve. Another doctor told me to stop running altogether as it will more quickly wear down my valve. What should I do? Thank you in advance!
I do have aortic regurgitation, mild, too.
Thats nothing to worry about.
I think you should do as much activity as you want to and not worry about the valve.
Love the answer! Thank you so much.
Dr. I am 60 years old and My Pet Scan Results read as follows: “Aortic wall calcification is evident. There is no periaortic mass” what does that mean? Thanks in advance.
It means you have calcium build up in the wall of the aorta. This is related to the same risk factors that lead to calcium build up in arteries. There is no specific action needed for the findings other than attention to risk factors such as cholesterol, blood pressure, diet, lifestyle, smoking, diabetes, etc..
Why was the PET done in the list place?
Thank you for you prompt response. The reason I had a Pet-CT scan done was because I was diagnosed with Non-Hodgkins Lymphoma in 2000 and recently had an enlarged lymph node in my arm that I could not get a biopsy.
Did you have radiation therapy? if so the aortic calcification is likely related and not surprising.
Dr.Ahmed, Greetings to you.
I had CABG surgery in 2010 and ever since getting the condition monitored thro’ periodic tests. Now I am 66 years. The recent 2 D Echo test diagnosis says:
Mitral Valve : Calcified
Aortic Valve : Sclerotic
NO RWMA
Good LV Systolic Function
De generative Aortic & Mitral Valve Disease
Mild MR/MRJA: 2.2 Sq.cm
RA/RV Normal
No Pericardial Effusion/Clot.
I regularly walk for 5-6 miles a day and have a healthy life style.
Would like to know how serious is the condition and what steps needed to be taken.
Please advice.
Your echo shows your heart is in good shape, absolutely no significant cause for concern.
Thank you so much Doctor Ahmed. Your reply gave me lot of relief.
Thanks once again for sparing your valuable time to help people…God bless you.
Hi my father under gone master check up on that “Aortic sclerosis, grade l DD” what it mean any problems is there..
Aortic sclerosis is described in the article. Grade I DD means the heart relaxation is possibly a little impaired, but most of the time it isn’t clinically important and can actually be a sign of aging, If he is symptom free then there is not likely a problem. The aortic sclerosis is not an issue here in the absence of aortic stenosis.
Hi sir my father had under gone master check up in that ,”Aortic sclerosis, grade 1 dd” what it mean ? is there any problem pls reply me sir…
Please see the previous answer
Hello
My husband had echo recently and reports showed aortic valve sclerosis. He is 29 years old. What kind of changes should we make in our lifestyle to avoid further cardiovascular issues.
In general i would just say live a healthy lifestyle and pay attention to cardiac risk factors. Stopping smoking in smokers, controlling diabetes in diabetics, controlling blood pressure, cholesterol, lifestyle, exercise.
Hello doctor,
I’m female, age 60 next month. Generally healthy though very overweight, sedentary office worker. No smoking. Minimal social drink.
I have severe sclerosis and mild stenosis, discovered on echo after heart murmur discovered.
Echo cardiogram results:
Qualitative LV ejection fraction 55-59% (normal)
No LV segmental wall motion abnormalities
Severe aortic valve sclerosis is present
Mild aortic valve stenosis is present
LV wall thickness normal
Aortic valve leaflets open normally
No significant aortic regurgitation
No stenosis in mitral, tricuspid or pulmonary valves
Scheduled for exercise stress test next week to assess overall cardiac function. Barring any worrisome findings, cardiology plans to see me again next year. I know I need to lose weight and am taking this very seriously. Doctor increasing my statin for cholesterol.
Any idea on how long it may take to get to moderate or severe stenosis? It sounds like valve replacement is going to be inevitable for me.
Thank you………….
Its not at all the case that valve replacement will be necessary. Often mild aortic stenosis is an auto generated finding. Your leaflets open normally and i doubt there is a significant issue. Im not sure what your indication for a stress test is if you have no symptoms. I would need to see the images themselves to be able to answer accurately.
Hi Sir
I am 25 years old.I have shown A Cardiologist.I have diagonised.My ECG/EKG Report shows” Slightly depressed st segmeant”. My ECHO shows “Minimal aortic Schelerosis.” and finally my ETT report shows “Negative ETT.” My cholesterol levels are..
Random test….
Total Cholesterol 189 where, range below 200…
ldl 90 where, range below 100..
hdl 50 where, range over 40…
TG 230 where range below 150.
My doctor have given me medicine for three months to Reduce TG.
But i have a mental problem called ” Panic disorder.” Treatment of my mental diseases is being going on.
My blood pressure is in control such as 110/80. sometime when panic attac cause it grows up130/90 and then after 20 or 30 minutes it becomes 110/80 or 120/80..
So sir, Have I any risk?
My doctor said I have no risk.
Dear sir,
I am 25 years old male.I have shown a Clinical and Interventional Cardiologist.I have done some test.My test reports are-
ECG/EKG: Slightly depressed ST seagment.
ECHO: Minimal aortic schelerosis otherwise normal 2D & M mode ECHOCARDIOGRAPHY.
good systolic function (EF-66%)
Diabetics: No..
Lipid: Total 189 where range <200.
ldl 90 where range 40…
TG 230 where range < 150..
Stress Test: Negative ETT..
I have a mental problem called panic disorder.for that i have done all these reports.
So my doc give me a medicine to reduce TG..
For my mental treatment doc give me Sartaline(25mg)-1+0+0…and Zollium(0.25)-0+0+1.
Sir Have any risk?What is your advice for me?
Hello Doctor, I am 25 years old male.I have done some test.My ECG Report is ” Slightly ST Depressed”.My Echo Report is “Minimal Aortic Scelerosis otherwise normal 2D&M Mode Echocardiography.”
Diabatic:No…
Blood pressure remains in 110/80 or 120/ 80…
Stress test result(ETT): Negative..
Lipid: Total 189 where range given<200..
LDL 90 Where range given 40..
TG 230 Where range given < 150..
TG Is slightly high.
Have i Risk? Advise me please.
Stress test
The aortic valve is not an issue to be concerned about here. The echo is relatively normal. The stress test is negative. Your risk is relatively low considering. You should still concentrate on risk factors so you remain this way in the future.
Thank you Very much sir for your Reply and Advice.
Hi Dr. Am a female 37 y/o…i had physical exam and dr said i have soft heart murmur and i was told to have my ecg and 2d echo with doppler. Ecg result shows i have complete left branch block and sinus tachychardia. DOPPLER..mild mitral regurgitation and mild tricuspid regurgtatn. 2d echo conclusion: eccentric left ventricular hypertrophy wt segmental wall motion abnormality. Overall systolic function is mildly depressed wt ef of 49 percent. Normal right ventricular size and function. Dilated atrium. Physiologic mitral and tricuspid regurgitations. I am asymptomatic but i am worried about the result. I need your advice pls. Thanks
In this situation you should be assessed by a cardiologist. The valves are fine. You have some heart enlargement and some mild heart dysfunction, underlying causes need to be assessed.
I am 74 ( almost 75) with a history of heart problems. A very recent echo shows a sclerotic aortic valve with right and left cusps fused, mild valvular aortic stenosis and trace aortic insufficiency. aortic valve mean systolic gradient was measured at 14 mmHg. My primary referred me to my cardiologist who has not responded to my inquiries. Should I be concerned?
No cause for concern as things stand. Will need following closely over the years however to ensure no development of severe aortic stenosis. It may never happen!
Hello Dr, Recently my sister who’s 64 yrs old is diagnosed with Type 1 diastolic dysfunction. Aortic Sclerosis. No regional wall motion abnormalities found. No MS/MR/AS/AR. IAS intact.
I need your valuable advice. Thanks!!
Sounds like a fairly normal study.
Moderate mitral valve stenosis. Please define for me. Saw it on a report for a family member.
Thank you
Hi Robert, read this post https://myheart.net/articles/mitral-stenosis-a-tight-mitral-valve/ it should serve to answer the question.
hi doctor Mustafa please help me what this means, this is the result of the to the echo of my father – abnormal concentric left ventricular hypertrophy with normal wall motion and contractility.
abnormal – Aortic and mitral sclerosis with trace aortic regurgitation, and he is given clopidogrel, coralan and imdur as his medicine.. We are planning to stop the medicine because of the different side effect he experience like blurred teary eye, dizziness, inflammation of his feet. please help me.. thank you so much. we gave him coq10 as vitamins for his heart.
Hope to hear from you soon.
His echo shows normal function and no significant valve issues. He has a thick heart likely due to long standing blood pressure and that needs to be controlled by controlling blood pressure.
I am a 30 yr old female. I had an echo and the results were all normal except it says my aortic valve is mildly thickened and I also have trace tricuspid regurgitation. My doctor did not seem at all concerned about this and said the numbers across the valve are all fine. So basically I’m just trying to get more info about this and understand what it means/if it’s a cause for concern. Does it mean I have sclerosis even though there is no mention of calcification? Could I just have been born with mildly thickened aortic valve leaflets? Also, does this put me at greater risk or endocarditis?
Here is the excerpt from the echocardiogram:
Aortic V:
The aortic valve is trileaflet. The aortic valve leaflets are mildly
thickened. There is no evidence of aortic regurgitation. There is no
evidence of aortic stenosis.
Aortic Valve
Name Value Normal Range
AV Vmax 1.1 m/sec –
LVOT Vmax 1.2 m/sec (0.7 – 1.1)
Tricuspid V:
The tricuspid valve leaflets are normal. There is a trace tricuspid
regurgitation. There is no tricuspid stenosis.
Tricuspid Valve
Name Value Normal Range
TAPSE 1.9 cm –
RV S` 12.5 cm/sec –
Its basically normal!
Is mild aortic regurgitation 100% curable ?
Its not curable in that it will disappear, its simply of little clinical significance and is common.
Im 44, female, had a 2Decho because sometimes experiencing chest pain.
2Decho conclusion:
Ventricular Hypertrophy w/ normal contractility & function
Dilated left atrial chamber
Aortic valve sclerosis
Mitral valve sclerosis
Tricuspid regurgitation, mild
Normal Pulmonary Artery Pressur
Is this dangerous?
The aortic sclerosis is not considered dangerous.
Hello sir my father’s age is 60.
He has diabetes ,hypertension.
His echo cardiogram showed that
His aortic valve sclerosed.
No significant gradient across aortic valve.
Mild MR
Heart efficiency 40%.
He does not have any habits…
Sir please explain me the condition..and suggest me the treatment…
Any surgery? ??
Please reply me sir..
The aortic sclerosis is nothing to worry about here.
Hello Doctor,
Can you tell me what this means?
* Dilated left ventricular cavity with normal left ventricular systolic function. Moderate concentric left ventricular hypertrophy with marked asymmetric basal septal hypertrophy up to 20 mm. LVEF calculated by biplane Simpson’s is 68%.Normal right ventricular cavity size and systolic function. There is an ICD/Pacer wire seen in the right ventricle.The left atrium is moderately dilated.There is mild-moderate mitral regurgitation.Dilated sinuses of Valsalva measuring 3.9 cm and ascending aorta measuring 4.1 cm.Trivial loculated pericardial effusion adjacent to the left ventricle.Changes noted compared with prior study dated: 11/13/2015. There is no longer a significant outflow gradient. Similar septal wall thickness. Increased LV cavity size. Stable ascending aorta. Pericardial effusion is smaller.
Thank you
The heart muscle is thicker than normal, particularly the area where blood leaves the heart however on the last study it is felt that there was no obstruction at rest from that thick tissue (further tests may be required to determine significance), the heart is functioning above normal in terms of ejection fraction, the aortic valve annulus and the aorta are a little dilated and will require surveillance.
Hi ,
I am 63yrs old.I have done Echo cardiography test recently and in report it mentioned like below
thickened MV and AV
Mild AR
Concentric LVH
Normal ventricular systolic function (lvff -68%)
No RWMA
LV diastolic disfunction
No primordial effusion
No vegetation /clots/thrombus.
DOPPLER DATA:
MITRAL VALVE : LVDD+
AORTIC VALVE :MILD AR
Valves
MITRAL VALVE – THICKENED
AORTIC VALVE -SCLEROTIC AND THICKENED
WHAT DOES THIS MEANS..is there anything to worry..AND HOW CAN I MAKE IT NORMAL
Please suggest.
Thanks,
Sai
No large cause for concern, pay attention to standard cardiac risk factors, such as blood pressure, lifestyle etc.
Hello Dr,
my father age 63yrs.2D echo was done 11 Feb, aortic valve-sclerosed,left atrium-3.6cm,left ventricle-EDD-4.5cm,ESD-2.8cm,aorta-2.7cm,IAS,IVS-intact,doppler-pjv-0.9m/sec,mvf-E>A,ivs(d)-1.0cm,pw(d)-1.0cm,ajv-1.40m/se,
rvsp-40mm,ef-60℅,sclerosed ao valve,no rwma,normal lv systolic function,mild mr+,mild at+,mild tr+,mild pah,reduced lv compliance,no or,no clot,no vegetation. Sir plz tell me is it dangerous? he already takes medicine.cornitor 500,dytor10mg,
The aortic sclerosis is not dangerous.
Thanq you for replying, Sir plz tell me what is the condition according to the above report,is it normal values? or any risk? somebody tells it is causes to hearattacks.i request you sir plz once again check my echo report and tell me the truth,i afraid about the mild MR+,mild ar+,mild tr+,mild pah.because I don’t know what is mild MR+,…ect ..I waiting for your reply thnqu sir.
hello dr,
im 24 years of age from philippines, my echo interpretation was mitral valve sclerosis.. what can you say about it. thank you
Do you mean aortic valve sclerosis? The mitral valve isn’t typically described as being sclerosed, do you have more details.
I would need to see the images to comment responsibly. Was the rest of the echo normal?
Dear Sir, My 2D report say ( Aortic sclerosis (+),) can you pls let me know as what exactly it mean, I am 49 years old, I have Diabetic which is under control Hba1c 5.5 and blood pressure that too is under control, I am a smoker and smokes around 8 cigarettes a day, pls help me to find out. thanks a lot and what precaution I should take.
Do you have any questions that aren’t answered in the article?
Please read the article for an explanation. Its not a large cause for concern in isolation.
My aortic valve is thickened, calcified, and sclerotic with evidence of reduced aortic cusp separation. Moderate calcified aortic stenosis.
Echocardiogram report:
1. Right atrial and right ventricular chamber dimensions were at the upper limits of normal. Right ventricular contractility was normal.
2. The left atrium was normal in dimension at 3.8cm.
• However, the left atrial volume index was mildly increased at 30 ml/m2.
• The ascending aortic root was enlarged at 4.4 cm. (By the age of 75, normal ascending aorta diameter is approximately 4.1–4.2 cm for men (BSA: 2.35 m2)
3. The left ventricular internal dimensions were normal with normal left ventricular wall motion and a normal estimated global left ventricular EF of greater than 50-60%. There was evidence of concentric left ventricular hypertrophy.
hello doctor!
i have mitral sclerosis. i have palpitation sometimes .like my heart paused for a second or skipped a beat. do i have to worry?
I think you should have a basic check by a physician, i down think you would have too much to worry about however you should get it checked.
It doesn’t sound concerning but you may need some basic work up such as a monitor.
Greetings. Would you kindly please explain what this means:
1. Left ventricular concentric remodeling with good contractility and adequate systolic function.
2. Aortic sclerosis with mild mitral regurgitation. Mitral annular calcification.
I’m 58 years old. Thanks much!
The ventricle is felt to be thicker than usual likely due to long standing high blood pressure, if the measurements are correct,
The aortic valve is not a significant issue, the mitral leak is only mild and not an issue, the valve has some calcium around it and unless otherwise specified is not usually clinically significant.
Hello sir,
My father’s age 63 he had legs swelling
He takes medicine and reducing the swelling.2D echo was done recently.that result:AV sclerosed,reduced lv compliance.we could not understand that report.plz kindly explain me sir,
Thank you sir.
The aortic valve is not an issue, the heart itself does not relax as well as usual and therefore this can lead to heart failure. It is known as diastolic dysfunction.
Hi doc,
Im anne fr.philippines
what does mean
Thickened aortic valve with no restriction of motion of the cusps?
Thickened mitral valve with trivial mittal regurgitation but no restriction of motion? Is this danger?
Thank you
It means there is some thickening of the valves that can be seen with aging and isn’t generally a cause for concern and that the ticketing is not associated with abnormal valve function. You have a trivial leak with your mitral and tricuspid valves that is essentially a normal finding.
I am having aortic sclerosis. And also higher BP.please advice me how to reduce the risk or problem
Best thing you can do is pay attention to usual cardiac risk factors.
Good day Doc..I’m from the Phils. My mother is 68 yrs old. Diabetic and high blood. Her cardio advised her to have a 2d echo. These are the conclusions:
Normal left ventricular dimensions with normal contractility and adequate systolic function but with doppler evidence of grade 11 decrease diastolic relaxation. Aortoc valve sclerosis. Mitral valve sclerosis. Normal pulmonary artery pressure with pulmonic regurgitation.
What does these mean?
Your response would be highly appreciated. Thank you in advance.
Good day Doc..I’m from the Phils. My mother is 68 yrs old. Diabetic and high blood. Her cardio advised her to have a 2d echo. These are the conclusions:
Normal left ventricular dimensions with normal contractility and adequate systolic function but with doppler evidence of grade 11 decrease diastolic relaxation. Aortic valve sclerosis. Mitral valve sclerosis. Normal pulmonary artery pressure with pulmonic regurgitation.
What does these mean?
Your response would be highly appreciated. Thank you in advance.
Looks fairly normal to me.
Hello Dr. Ahmed
I am 52 years old, female from the Philippines. I just had my 2 echo and the results is as follows:Normal left ventricular dimension with relative posterior wall thickness of 0.6 cm and left ventricular mass index of 160g/m2 with hypokinesia of the lateral left ventricular free wall from base to apex.
Dilated left atrium with Left Atrial Volume Index of 29 cc/m2.
Normal right atrium, main pulmonary artery and Aortic Root Dimensions.
Normal right ventricular dinmension with good contractility with tricuspid annular plane systolic excursion of 1.63 cm.
Thickened aortic valve cusps without restriction of motion.
Thickened mitral valve leaflets without restriction of motion.
Structurally normal tricuspid valve and pulmonic valve.
No pericardial effusion or intracardiac thrombus noted.
Normal infereior vena cava dimension with good collapsibility index >50%.
CONCLUSION:
Concentric left ventricular Hypertrophy with segmemtal wall motion abnormality suggestive of Coronary Artery Disease with adequate systolic function with Doppler evidence of impaired diastolic relaxation, grade 1 diastolic dysfunction.
Dilated left aaatrium.
Aortic Sclerosis.
Mitrals clerosis with trivial mitral regurgitation.
Mild to kderate tricuspid regurtitation.
Normal pulmonary arterial pressure with pulmonic regurgitation.
I am hoping you could help me with the interpretation of the results. I will appreciate any advise from you Dr. Ahmed. Thank you very much.
You need to see a cardiologist. I cant be spot on without seeing the images, however going by the report there is a wall of the heart not moving well suggesting impairment of blood supply to that area, and further testing and management would be recommended.
My father was injured by aortic sclerosis 10 years ago at that time he was faced right side stomach pain with breathing problem.present the above mentioned pain repeated so the symptoms belongs to aortic sclerosis ? or not?
Those symptoms are not related to aortic sclerosis.
Good morning Dr, i just want to consult to you my Moms Echocardiogram result: Concentric left ventricular hypertrophy but with normal contractility and systolic function. Doppler evidence of stage 1 diastolic dysfunction. Elevated left Ventricular filling pressure . Aortic Valve sclerosis with trivial regurgitation, Mitral Valve sclerosis with mild regurgitation, Normal pulmonary artery pressure with pulmonary regurgitation. My Mom is a health buff, she wants to be check periodically by her doctors. Thanks, Mrs Ofie Bacho
The pumping function is overall normal, it is likely however that the heart does not relax entirely normally due to long standing blood pressure issues that have made the heart tissue thicker than normal. The rest of the echo is basically normal. If blood pressure is an issue, keeping it under control meticulously is advised.
Given the large amount of people we have been able to help here, we are starting a twitter to help keep heart patients up to date with advances and relevant information. Mine can be followed at @MustafaAhmedMD
Hello Dr. Ahmed! You were so very kind to respond to one of my questions I posted on your article regarding right ventricle systolic pressure. I was concerned about pulmonary hypertension, as I had readings of 36 to 41 mmHg on prior echos done back in 2005 through 2009.
I just had another echo done and was very happy to see that my pressure reading was down to 22 mmHg!
In my echo report, all of the chambers were also of normal size. Ejection fraction 63% It also showed trace-mild tricuspid regurgitation and mild tricuspid regurgitation, which had shown on prior echos.
The new things mentioned, however, were: Mild aortic valve sclerosis with no stenosis, mild aortic regurgitation, and borderline LV hypertrophy.
I am a 49 year old female, in good shape, mild hypertension (currently on furosemide), and I walk three miles per day.
Are those new findings anything to be concerned about?
Thank you so very much for your help!
Hello Doctor,
my result says normal left ventricular systolic function with EF 60-65%. There is trace to mild mitral valve regurgitation, what does this mean ?
i am 35 years old, female with 2 kids, your response will be highly appreciated.
Thank you
You have a basically normal echo, the function is normal, the mitral regurgitation is not of significance.
I am 78 years old fitness conscious having no High BP,no Diabetes, have no disease and do my regular daily walks of 45 minuteswith short slow jogging and after walks do stretching exercises.
Recently while doing complete medical tests wien Echo cardiogram tests i was diagnosed of Aortic Sclerosis.I have read your interesting article and was relieved.
Should I continue my daily fitness regimen or change for more milder exercises or yoga?
Have i to take any precaution to avoid heart attack?
Exercise regimens such as yours are to be recommended and the aortic sclerosis in isolation is not an issue.
My client had a chiari formation decompression April 2016, has an acoustic neuroma/schwannoma – apparently not removable due to location & possible large loss of function, 2/3 of right lung removed due to lung carcinoid & history of left pneumonectomy lung carcinoid , gall bladder removal February 2017 and also has aortic valve sclerosis. Q: GIVEN ABOVE-NOTED WOULD AORTIC VALVE SCLEROSIS HAVE ANY EFFECT ON HER? No regurgitation/valve opens well.
Aortic sclerosis itself in isolation has no significant effect on valve function. I can comment on your case since i don’t know details.
hello sir my fathers reports are as follows (his age is 73)
sclerotic aortic valve NO AS/AR
GRADE I LV DIASTOLIC DYSFUNCTION
NORMAL LV SYSTOLIC FUNCTION
NO REGIONAL WALL MOTION ABNORMALITIES AT REST
I want to know the meaning of this report in detail .
It is essentially a normal echo report.
I doctor I got diagnosed with left bundle branch block I got sent home with a heat monitor and then got my echo . I am 30 years old and in my echo they found mild Av sclerosis . I just worry with being so young and now these two things am I at risk of heart attack or heart failure. And how much can I excersise if my left size isn’t working right.
The aortic sclerosis itself is not dangerous, you may have a very slight increase chance of developing a tight valve many many years down the line. With the left bundle, generally some form of exercise treadmill testing would be performed and used as the basis for further recommendations. If you have been checked out by a cardiologist and deemed low risk then there wouldn’t generally be a limitation to exercise.
Given the large amount of people we have been able to help here, we are starting a twitter to help keep heart patients up to date with advances and relevant information. Mine can be followed at @MustafaAhmedMD
My husband was just diagnosed with left ventricular hypertrophy and aortic valve sclerosis. He has type II diabetes and is on medication for high blood pressure also. He is also obese. He acted like no big deal and didn’t ask any questions at his doctor’s appointment. Should I be concerned?
The aortic sclerosis itself is not a cause for clinical concern. The left ventricular hypertrophy is likely related to the blood pressure and is a thickening of the muscle of the heart. The most important treatment is strict blood pressure control.
Given the large amount of people we have been able to help here, we are starting a twitter to help keep heart patients up to date with advances and relevant information. Mine can be followed at @MustafaAhmedMD
hi doc
i just recently had Echo stress test and reports said there is “mild aortic valve sclerosis without stenosis”
i am just 27 year old
what it’s mean actually?
and should i worried about it ?
regards
and can i continue my workout at gym with this?
your article was really helpful to understand the concept of aortic sclerosis.
regards
Mild aortic sclerosis is not an immediate cause for concern and will not affect you in terms of activity or going to the gym.
If you are interested in cutting edge information and therapy for heart disease then follow our twitter at @MustafaAhmedMD
Dr Ahmed,
Would you please tell me what this means?? thank you….
The aortic valve is
trileaflet with mild thickening and calcification. There is no aortic
stenosis or aortic regurgitation. Mildly thickened mitral valve with
trace mitral regurgitation. No mitral valve prolapse. Trace pulmonic
regurgitation. Trace tricuspid regurgitation.
It means there is no clinically significant abnormality, they are likely normal age appropriate changes.
If you are interested in information and therapy for heart disease then feel free to follow my twitter at @MustafaAhmedMD
Hi! I have my 2d echo result. And it says that the mitral valve leaflets are thicked with low coaptation point but no definite evidence of prolapse my doctor says that it is normal but i always have shortness in breath and dizziness.what does this mean?
It means as far as the echo goes, there is no significant abnormality or anything to worry about. The shortness of breath and dizziness need further work up.
If you are interested in information and therapy for heart disease then feel free to follow my twitter at @MustafaAhmedMD
I posted here for Dr Ahmed. Did he answered? I cannot see his reply.
Hi Dr Ahmed,
My father is 77 yrs old suffering from hypertension and diabetes mellitus from a few years. Recently he had two incidents of breathing problem. Tests done today has revealed RBS 190 and Blood pressure 160/90. ECG done is said to contain nothing serious. However, an x-ray of chest says “Aortic knuckle calcification is seen”. Is this condition serious and progressive? Do we need to follow up this issue and what is the treatment available?
It is likely a consequence of aging, in and of itself is not a cause for concern it is a marker of progressive hardening of the arteries and so attention to risk factors such as cholesterol and blood pressure need adressing. No specific follow up or treatment of that finding is generally required.
If you are interested in information and therapy for heart disease then feel free to follow my twitter at @MustafaAhmedMD
Hi Dr.Ahmed,
My wife (55yrs of age) has just been diagnosed with Aortic Sclerosis and will under go further tests in early Oct. This was quite a shock as she is active, eats relatively well, does not smoke or drink (too much) and is not diabetic.
When you mention controlling the risks through a health lifestyle, can you provide some more details on what that should entail, specifically in regards to exercise i.e. do less, do more, stop any aerobic, don’t run marathons, etc.? Also, we are heading to Peru in Oct. Is there any concern regarding the higher altitude?
Thanks in advance.
Scott.
Aortic sclerosis in isolation is not a cause for alarm, it may be something that never bothers her, in some case over the years it may be a precursor to development of a tight aortic valve however in many cases it isn’t. In terms of lifestyle its difficult to know if too much activity is bad, however to little activity is a bad thing. Aortic sclerosis in general does not carry any specific exercise limitations. Altitude is not an issue with aortic sclerosis.
………………………………………………………………………………………………………….
If you are interested in information and therapy for heart disease then feel free to follow my twitter at @MustafaAhmedMD
Dear Dr. Ahmed,
I’m 51 yrs old and had my 2d echo. results:
DOPPLER STUDY
Reversed mitral inflow E:A velocity ratio.
Normal isovolumic relaxation time.
No abnormal color flow across the valves.
Normal estimated pulmonary artery pressure by pulmonary acceleration time.
CONCLUSION
CONCENTRIC LEFT VENTRICULAR HYPERTROPHY WITH
ADEQUATE LEFT VENTRICULAR SYSTOLIC FUNCTION
DOPPLER EVIDENCE OF DECREASED LEFT VENTRICULAR RELAXATION
Is there cause for alarm on my part? please advise. thank you.
No obvious cause for alarm here.The thickness (hypertrophy) would suggest good attention to blood pressure control is warranted.
………………………………………………………………………………………………………….
If you are interested in information and therapy for heart disease then feel free to follow my twitter at @MustafaAhmedMD
Hi Dr. Ahmed, In addition to my earlier inquiry with 2d echo reading of:
DOPPLER STUDY
Reversed mitral inflow E:A velocity ratio.
Normal isovolumic relaxation time.
No abnormal color flow across the valves.
Normal estimated pulmonary artery pressure by pulmonary acceleration time.
CONCLUSION
CONCENTRIC LEFT VENTRICULAR HYPERTROPHY WITH
ADEQUATE LEFT VENTRICULAR SYSTOLIC FUNCTION
DOPPLER EVIDENCE OF DECREASED LEFT VENTRICULAR RELAXATION
My most recent chest xray states that I have “atheromatous aorta” Aortic arch is sclerotic.
I’m on a panic mode now. Is it serious? Aortic arch sclerotic.,.pls advise. thank you.
No need for panic. It points to a build up of plaque / calcium in the arch, it can be seen with aging. What is your age, why were the tests done?
………………………………………………………………………………………………………….
If you are interested in information and therapy for heart disease then feel free to follow my twitter at @MustafaAhmedMD
My mother is 44yrs old she is breast cancer survival patient she is diagnosed with mild cardiomegaly and LVRP 60%and diastolic dysfunction + and mild aortic stenosis ,is this report to be worried ? My moms onchosurgoen has said this is normal ,what is your suggestion .plzzzzzzzz reply
it’s not stenosis it’s sclerosis correction
no major cause for concern that i can see
you can follow my twitter at @MustafaAhmedMD
No major cause for concern there.
you can follow my twitter at @MustafaAhmedMD
Dear DR. Ahmed,
This is my heart echo 2 days ago:
Procedure:
Complete 2D echo with spectral/color Doppler 93306
Reason for Study:
Chest pain/ Plpitations
——————————————————————————
Interpretation Summary:
The left ventricle is normal in size.
Left ventricular systolic function is normal.
Ejection Fraction = 55 – 60%
The left ventricular wall motion is normal.
Aortic valve sclerosis.
No aortic stenosis.
There is trace aortic regurgitation.
There is no evidence of mitral valve prolapse. There is mild mitral
regurgitation.
Right ventricular systolic pressure is elevated at 30-40mmHg.
Normal diastolic function.
No pericardial effusion.
what is your comment?
I have no insurance here, us.
In my prevoius echo from one year ago was:
Aortic Valve: Normal AV, NO AS, NO AR
Looks pretty normal to me.
you can follow my twitter at @MustafaAhmedMD
Doctor,everything I read was very helpful,thank you.my doctor said I had a slight murmur but all my blood work was wonderful.I had a echo test about 3years ago and it came out OK.I walk try to eat right and I take my pressure meds every day , I take 25mg.of one and 10 MG’s of the other.she says Iam doing fine.Iam 68.Do I need to worry or take another echo test.
Sounds like you are doing fine.
good day! my father is 61 yrs old and undergone 2 d echo which shows the following: 1. aortic valve and mitral valve stenosis 2. concentric left ventricular hypertrophy with segmental wall motion abnormality consistent with coronary artery disease but with borderline systolic function. the doctor gave him angimax mr and carvid 6.25 mg…i am worrying about him coz he dont have any symptoms before…
Do you have details of the severity of the aortic and mitral stenosis?
Hello Dr. Mustafa Ahmed..
My sister recently rush to the hospital because she has a congenital heart disease.. since she was born until she was 18 there is no signs of a heart attack until she reached 19years old she already experiencing severe chest pain everyday and one day we rush her to the hospital year 2016 because she is already unconcuious and the doctor diagnosed with ventricular septal deffect. She has maintainance and she stopped taking her maintainance for 1 year.. and then one day she has a severe chest pain and she has a signs of stroke difficulty in speaking numbness of arms and feet cold sweat we did not rush her to the hospital because she is already after an hour and also we had a financial problem.. can you pls help us we are asking for an advice
She needs to be evaluated in an ER. Its a complex situation.
Good day Dr,Ahmed, i’m 49 y/o from Philippines, i just got my 2D echo, stress test, 24hr holter monitoring results.. am asking for your help to explain if it’s alarming.
BASELINE 2D ECHOCARDIOGRAM:
Normal left ventricular dimension and wall thickness with adequate wall motion ang contractility.
Normal left atrium, right atrium, right ventricle, main pulmonary artery and aortic root dimension.
Thickened aortic valve but with no restriction of motion.
Structurally normal mitral, tricuspid and pulmonic valves.
No intracadiac thrombus or pericardial effusion noted.
COLOR FLOW DOPPLER:
Abnormal color flow display noted across the mitral and tricuspid valve
Reversed mitral inflow velocity ratio.
Normal pulmonary artery pressure.
EXERCISE STRESS ECHO:
Serial echocardiographic views in all left ventricular segments showed uniform and progressive increase in endocardial systolic thickening. No wall motion abnormality noted.
CONCLUSION:
Normal treadmill exercise stress echocardiogram at 7 METS.
Normal exercise stress echocardiogram.
Baseline 2D Echo:
Normal left ventricular dimension with adequate contractility ang systolic function but with no Doppler evidence of impaired relaxation.
Aortic sclerosis
Trivial mitral and tricuspid regurgitation.
Please explain doc.. thank you in advance.
It looks relatively normal with no major cause for concern.
you can follow my twitter at @MustafaAhmedMD
I am a 39 year old female. I have never smoked, drank, or done any drugs. I have been athletic for most of my life, running competitively and lifting weights. Last week while at the ER for a kidney stone i had an abnormal ekg….I followed up with my dr and had a normal ekg and then I had an echo…these are the results of the echo….I don’t know how to interpret them, should I be worried,
should i alter my cardiovascular training in any way?
-D / M-MODE
1.
Left ventricular size is normal. with normal systolic function.
There are
no regional wall motion
abnormalities.
Ejection
fraction is 55-60%.
2.
Left atrial size is
borderline
enlarged.
3.
Right
ventricular
size is normal. with normal
systolic function
.
4.
Right
atrial size
is normal.
5.
Aortic root size is
normal.
6.
Pericardium is normal.
VALVULAR ASSESSMENT
/ DOPPLER
1.
Aortic valve
is mildly thickened, trileaflet,
with no regurgitation.
There
is no aortic stenosis.
2.
Mitral valve is normal, with no regurgitation.
Mitral inflows demonstrate normal
inflow.
3.
Tricuspid
valve is
normal with trace
regurgitation.
4.
Pulmonic valve is
normal, with no regurgitation.
IMPRESSION
1.
Left ventricular size is normal. with normal systolic function.
There are no regional wall motion abnormalities.
Ejection fraction
is 55-60%.
2.
No significant valvular disease.
3.
There
is at most
borderline left
atrial
enlargement .
4.
There
is no significant right heart enlargement .
The echo is essentially normal.
you can follow my twitter at @MustafaAhmedMD
My mother is around 70 years of age, and following is her 2D echo report summary and Cholesterol levels:
Mitral Valve: Normal
Aortic Valve: Sclerosis
Tricuspid Valve: Normal
Pulmonary Valve: Normal
Left Atrium: Normal
Right Atrium: Normal
Right Ventricle: Normal
Left Ventricle: NO RWMA
IVSD: 0.9 Cms LVDd: 4.4 cms PWd: 0.9 cms EF:70 %
IVSs: cms LVDs: 2.4 cms PWs: cms FS:
IAS: intact
IVS: Intact
Aorta: 2.2 cms
Pulmonary Artery: Normal
Pulmonary Veins: Normal
IVC : Normal
Pericardium : Normal
DOPPLER STUDY
Mitral Flow: E = 0.7 m/sec; A = 0.9 m/sec DT – ms; E/A – ADT ms;
Aortic flow: 1.7 m/sec AR PHT = ms
Pulmonary Flow: 0.9 m/sec;
Tricuspid Flow: 2.6 m/sec RVSP = 38 mm Hg
Pulmonary Venous Flow: S= m/sec; D= m/sec; A= m/sec; ADT -m/s
COLOUR DOPPLER
MR : NIL
AR : NIL AR VC – cm
TR: TRIVIAL
PR: NIL
Conclusions:
Normal sized cardiac chambers
No LV RWMA
Good LV systolic function
Normal filling pattern
No MR / no AR
Trivial TR with mild pah
no LV clot / No pericardial effusion
IVC – normal
LIPID Profile:
Cholesterol Total ( Spectrophotometry) – 274
Triglycerides ( Enzymatic colorimetry) – 195
Cholesterol HDL ( direct) (Spectrophotometry) – 72
Cholesterol LDL (Spectrophotometry) – 191
VLDL ( Very Low Density Lipoprotein) ( calculation) – 39
Cho/HDL Ratio ( Spectrophotometry & Calculation) – 3.8
Our doctor mentioned that there’s nothing to worry about, and prescribed Rosufit cv 10 mg, one per day.
We would like to seek your guidance…thank you very much.
The echo report is essentially normal with normal heart structure and function.
My mother is around 70 years of age, and following is her 2D echo report summary and Cholesterol levels:
Mitral Valve: Normal
Aortic Valve: Sclerosis
Tricuspid Valve: Normal
Pulmonary Valve: Normal
Left Atrium: Normal
Right Atrium: Normal
Right Ventricle: Normal
Left Ventricle: NO RWMA
IVSD: 0.9 Cms LVDd: 4.4 cms PWd: 0.9 cms EF:70 %
IVSs: cms LVDs: 2.4 cms PWs: cms FS:
IAS: intact
IVS: Intact
Aorta: 2.2 cms
Pulmonary Artery: Normal
Pulmonary Veins: Normal
IVC : Normal
Pericardium : Normal
DOPPLER STUDY
Mitral Flow: E = 0.7 m/sec; A = 0.9 m/sec DT – ms; E/A – ADT ms;
Aortic flow: 1.7 m/sec AR PHT = ms
Pulmonary Flow: 0.9 m/sec;
Tricuspid Flow: 2.6 m/sec RVSP = 38 mm Hg
Pulmonary Venous Flow: S= m/sec; D= m/sec; A= m/sec; ADT -m/s
COLOUR DOPPLER
MR : NIL
AR : NIL AR VC – cm
TR: TRIVIAL
PR: NIL
Conclusions:
Normal sized cardiac chambers
No LV RWMA
Good LV systolic function
Normal filling pattern
No MR / no AR
Trivial TR with mild pah
no LV clot / No pericardial effusion
IVC – normal
LIPID Profile:
Cholesterol Total ( Spectrophotometry) – 274
Triglycerides ( Enzymatic colorimetry) – 195
Cholesterol HDL ( direct) (Spectrophotometry) – 72
Cholesterol LDL (Spectrophotometry) – 191
VLDL ( Very Low Density Lipoprotein) ( calculation) – 39
Cho/HDL Ratio ( Spectrophotometry & Calculation) – 3.8
Our doctor mentioned that there’s nothing to worry about, and prescribed Rosufit cv 10 mg, one per day.
Also, she’s been taking the following tablets, for the last one year or so:
SHELCAL HD – one per day
NEUROREX FORTE -one per day
We would like to seek your guidance…thank you very much.
The echo report is essentially normal at a glance.
Thank you, Doctor.
Is ‘Aortic Valve: Sclerosis’ something that we need to worry about?…any precaution\medication that we need to think of.
Hi Dr. Ahmed
I’m 33 yrs old, male, diagnosed hypertensive at 31. I recently had 2D exam and here is the result. Wish you could take time to read and have an explanation. Thank you.
Normal left ventricular dimension and wall thickness with adequate wall motion and contractility
Normal right ventricular dimension with normal contractility
Dilated left atrium
Normal right atrium, main pulmonary artery and aortic root dimensions
Thickened anterior mitral valve leaflet without restriction of motion with mild mitral regurgitation
Structurally normal aortic valve, tricuspid valve and pulmonic valve with mild tricuspid regurgitation and pulmonic regurgitation
No thrombus, no pericardial effusion noted
Normal pulmonary artery pressure
In general its a relatively normal echo. The left atrium is likely a little enlarged due to hypertension, treatment of the blood pressure is the correct step. Nothing too concerning here.
you can follow my twitter at @MustafaAhmedMD
Hi Dr. Ahmed
I’m 33 yrs old, male, dignosed hypertensive at 31. I recently had my 2D exam and here is the result. Wish you could take time to read it and have an explanation . Thank you.
Normal left ventricular dimension and wall thickness with adequate wall motion and contractility
Normal right ventricular dimension with normal contractility
Dilated left atrium
Normal right atrium, main pulmonary artery and aortic root dimensions
Thickened anterior mitral valve leaflet without restriction of motion with mild mitral regurgitation
Structurally normal aortic valve, tricuspid valve and pulmonic valve with mild tricuspid regurgitation and pulmonic regurgitation
No thrombus, no pericardial effusion noted
Normal pulmonary artery pressure
LA (A-P) 4.1
LA (R-L) 3.8
LA/BSA 2.2
Please… is the enlargement of my left atrium really that bad?
Hi Dr. Ahmed
I’m 33 yrs old, male, dignosed hypertensive at 31. I recently had my 2D exam and here is the result. Wish you could take time to read it and have an explanation . Thank you.
Normal left ventricular dimension and wall thickness with adequate wall motion and contractility
Normal right ventricular dimension with normal contractility
Dilated left atrium
Normal right atrium, main pulmonary artery and aortic root dimensions
Thickened anterior mitral valve leaflet without restriction of motion with mild mitral regurgitation
Structurally normal aortic valve, tricuspid valve and pulmonic valve with mild tricuspid regurgitation and pulmonic regurgitation
No thrombus, no pericardial effusion noted
Normal pulmonary artery pressure
LA (A-P) 4.1
Please… is the enlargement of my left atrium really that bad?
Hi Dr. Ahmed
I’m 33 yrs old, male, dignosed hypertensive at 31. I recently had my 2D exam and here is the result. Wish you could take time to read it and have an explanation . Thank you.
Normal left ventricular dimension and wall thickness with adequate wall motion and contractility
Normal right ventricular dimension with normal contractility
Dilated left atrium
Normal right atrium, main pulmonary artery and aortic root dimensions
Thickened anterior mitral valve leaflet without restriction of motion with mild mitral regurgitation
Structurally normal aortic valve, tricuspid valve and pulmonic valve with mild tricuspid regurgitation and pulmonic regurgitation
No thrombus, no pericardial effusion noted
Normal pulmonary artery pressure
LA (A-P) 4.1
LA (R-L) 3.8
LA/BSA 2.2
Please… is the enlargement of my left atrium really that bad?
Hello doctor. I am 26, female.
My Ecg report shows Borderline ECG with possible left artial enlargement sinus tachycardia.
ECHO – EF 67 %. E /a 1.70 and e/e 6.70. MILD MITRAL REGURGITATION, MILD TRICUSPID REGURGITATION. Trpg 13mmHg. AORTIC SCLEROSIS with MILD AORTIC REGURGITATION.
My 24hrs holter report – MAX 169, AVERAGE 89 and MIN 89bpm. Sinus rhytm with 1premature atrial contractions.
I feel fatigue, palpitation and shortnes of breath. Almost like fainting when climbing stairs or doing normal exercise. I have past history of rheumatic fever. My cardiologist said all is fine. I am worried about my 3leaky valves that over time it might get worse cause my 2years back Echo was completly normal.
Hi,Doctor,
I am 78 yrs. old underwent a color Doppler EchoCardiograhpy,5 days back ,areas of concern in the report are detailed below,for your guidance as to whether I need consultation with a cardiologist
AO. 20mm. LVID(d). 45 mm. IVS. 12mm
LA. 36 mm. LVID(s). 30 mm. PW 10 mm
LVEF. 55%
Valves: Other than Aortic Valve ,the remaining valves are normal. Aortic valve is noted as
“sclerotic with Normal leaflet mobility ”
Chambers
Left &right . Atriums are normal sized.
Left ventricle normal size
Right ventricle normal sized. TAPSE-17 mm, normal RV function
Great Arteries: AORTA. :Normal sized,Normal arch
Doppler data
E/A- 0.8/1.1. M/S, grade I. LVDD, MR -mild
Aortic valve. : Pgr 11 mmHg, AR-mild
Tricuspid valve. :TR- Trivial, PASP-25 mmHg
Pulmonary valve: Pgr. -05 mmHg
Other finding.
HR:48BPM (sinus bradycardia )
IVC-12 mm,Normal sized,Collapsing,Normal RA pressure
Final diagnosis
Normal chambers Dimension
MR – mild
AR – mild
Normal PA pressure
NO RWMA
Adequate Lv systolic function
LVEF. -55%
Shall be obliged to have your valuable opinions
Vedagiri
Looks fairly normal to me.
Dr.Ahmad,
I am soo glad to find this health board.
I am having frequent lightheaded/dizzy spells for the last one year after having a TIA incident. Prior to TIA was diagnosed with Fibromylagia, 2mm right internal carotid artery and arthritis after two falls. As of now I was given Syncope or viral infection or the dizy spell coming from my back of head injury or cervical sponadlitis or eye and ear bad coordination etc.,
I get lightheaded, heart rate goes up, sick in stomach, out of breath and sometimes light sweat
all over body when these spells come on while I am doing something or walking between rooms or trying small talk like vacuum or making a meal at stove, even reading for more than few min etc., I developed blood pressure issues ..going up and down.. taking “Propronolol”
I am concerned about “The aortic valve is trileaflet and trivially thickened.
There is trace aortic regurgitation.The mitral valve leaflets are mildly thickened. There is mild to moderate mitral regurgitation.” Wondering if my dizzy spells has anything to do with my heart or carotid annie.
I copied ER ECHO conclusions below:
A transthoracic echocardiogram (including 2D, M-mode, spectral and color Doppler imaging) was performed using the standard protocol.
The left ventricle is normal in size. Normal left ventricular wall thickness. Normal left ventricular ejection fraction estimated at 55%.
Endocardium is incompletely evaluated, but no regional wall motion abnormalities are noted in visualized segments. There is normal diastolic function.
The aortic valve is trileaflet and trivially thickened.
There is trace aortic regurgitation.
The mitral valve leaflets are mildly thickened. There is mild to moderate mitral regurgitation.
The RV is normal in size and systolic function.
Tricuspid Annular Plane Systolic Excursion (TAPSE) = 2.3 cm (normal).T
he tricuspid valve is normal.
There is minimal tricuspid regurgitation (normal variant).
Unable to measure the PA systolic pressure due to the nature of the TR jet. No previous study at this institution for comparison.
LV Diastolic Diameter PLAX5.24.2 – 5.8(M) / 3.8 -5.2(F) cm cm LV Systolic Diameter PLAX3.12.5 – 4.0(M) / 2.2 -3.5(F) cm cm IVS Diastolic Thickness0.80.6 – 1.0(M) / 0.6 -0.9(F) cm cm LVPW Diastolic Thickness0.70.6 – 1.0(M) / 0.6 -0.9(F) cm cm LV Relative Wall Thickness0.3Final Estimated LV Ejection Fraction55.0%Final AORTIC ROOT DIAMETER2.9cmFinal ICD CodesG45.9Final
IV Placed by: MEASUREMENTS (Male / Female) Normal Values 2D ECHO LV Diastolic Diameter PLA 5.2 cm 4.2 – 5.8(M) / 3.8 – 5.2(F) cm LV Systolic Diameter PLAX 3.1 cm 2.5 – 4.0(M) / 2.2 – 3.5(F) cm IVS Diastolic Thickness 0.8 cm 0.6 – 1.0(M) / 0.6 – 0.9(F) cm LVPW Diastolic Thickness 0.7 cm 0.6 – 1.0(M) / 0.6 – 0.9(F) cm LV Relative Wall Thicknes 0.3 LVOT Diameter 2.0 cm Estimated LV Ejection Fra 55.0 % Ascending Aorta Diameter 2.9 cm
M-MODE Aortic Root Diameter MM 2.9 cm
DOPPLER
2 of 65/7/2018, 11:47 PM
myPennMedicine – Test Detailshttps://secure.mypennmedicine.org/MyPennMedicine/inside.asp?mode=…
AV Peak Velocity 139.7 cm/s AV Peak Gradient 7.8 mmHg AV Mean Velocity 89.3 cm/s AV Mean Gradient 3.7 mmHg AV Velocity Time Integral 26.8 cm LVOT Peak Velocity 95.2 cm/s LVOT Peak Gradient 3.6 mmHg LVOT Mean Velocity 63.8 cm/s LVOT Mean Gradient 1.8 mmHg LVOT Velocity Time Integr 19.3 cm LVOT Stroke Volume 58.5 cm³ LVOT Cardiac Output 4619.2 cm³ AV Area Cont Eq vti 2.2 cm² AV Area Cont Eq pk 2.1 cm² Mitral E Point Velocity 83.8 cm/s Mitral A Point Velocity 79.0 cm/s Mitral E to A Ratio 1.1 MV Deceleration Time 227.9 ms PV Peak Velocity 86.8 cm/s PV Peak Gradient 3.0 mmHg PV Mean Gradient 1.8 mmHg PV Velocity Time Integral 19.9 cm
Dr.Ahmad,
I am soo glad to find this health board.
I am 53 years old having frequent breathing problem since 2016.My 2d echo result show..
-normal left venticular internal dimention with EWT of 0.50cm with LVMI of 109gms/m2 with good wall motion and contractility
-normal left atrium with LAVI of 27cc/m2
-normal right ventricle with adequate contactility and systolic function by TAPSE
-normal RA,MPA and aortic root dimention.
-thickened and calcified MV leaflets and AV cusps with restriction of motion.
-structurally normal TV and PV with no restriction of motion.
-no intracardiac thrombus nor pericardial effusion noted.
(COLOR FLOW DOPPLER STUDIES:)
-Abnormal color flow inflow E/A velocity ratio
– reversed miteal inflow E/A velocity ratio
-SPAP of 10 mmHg by PAT.
(CONCLUSION)
“concentric LVH with adequate contractility,systolic thickening and systolic function with impaired relaxation.
” mitral and aortic sclerosis with AR+2
“normal pulmonary artery preasure.
Dr.Ahmad,
I am soo glad to find this health board.
I am 53 years old having frequent breathing problem since 2016.My 2d echo result show..
-normal left venticular internal dimention with EWT of 0.50cm with LVMI of 109gms/m2 with good wall motion and contractility
-normal left atrium with LAVI of 27cc/m2
-normal right ventricle with adequate contactility and systolic function by TAPSE
-normal RA,MPA and aortic root dimention.
-thickened and calcified MV leaflets and AV cusps with restriction of motion.
-structurally normal TV and PV with no restriction of motion.
-no intracardiac thrombus nor pericardial effusion noted.
(COLOR FLOW DOPPLER STUDIES:)
-Abnormal color flow inflow E/A velocity ratio
– reversed miteal inflow E/A velocity ratio
-SPAP of 10 mmHg by PAT.
(CONCLUSION)
“concentric LVH with adequate contractility,systolic thickening and systolic function with impaired relaxation.
” mitral and aortic sclerosis with AR+2
“normal pulmonary artery preasure.
need your help…
thank you very much…
You dont have an issue on the echo that requires any form of specific treatment as things stand.
you can follow our twitter at @MustafaAhmedMD
Assalamualaikum doctor ji,
My father 48 years (now)had cardio bypass surgery 5 years ago ,Recently we consult to same doctor and hospital to check up due to he suffer from much gasping (more breath) by walking few distance, heading up on stairs,,,So that doctor did all related tests to him… The results are following:
Glucose(random)= 267 mg/dl
haemoglobin = 12.8 mg/%
Mitral valve =normal
AORTIC VALVE = Sclerosis*
pulmonary valve = normal
tricuspid valve = normal
left atrium = 3.6cm
left ventrical = —
EDD =5.8 CM
ESD =4.6 cm
EF =40%
LVPWD =1.0 CM
right atrium = normal
right ventricle = normal
aorta =2.4 cm
pulmonary artery = normal
IAS = intact
IVS = 1.0 cm
Doppler study = PJV:0.7M/sec,PAT:141M/sec,AJV:2.4M/sec
Conclusion: Post CABG
POOR ECHO WINDOW
RWMA: Hypokinesia of LAD Territory
Moderate LV Dysfunction
Aortic Sclerosis
Mild AS
Sir , kya uper diya gaya values se mujeh mere father ka conditions kya hi bolsakhogey? and what are the measurements to improve his health to reduce gasping,etc, also food diet….. Waiting for your reply
He needs to be followed by a cardiologist.
I am Very Glad to have your health board site. Thank
You so much for helping so many Persons through this Twitter.
With best regards,
Gangaiah sharma
What a wonderful website! I just had a physical and was told I had a murmur. But not to panic! The Dr.s notes said likely Aortic Sclerosis.
I looked it up on your website and feel much better. The Dr. wasn’t too concerned, but I was.
Thanks so much,
glad you found it useful,
you can follow our twitter at @MustafaAhmedMD
Echo said mild aortic valve thickening. Ava vti is 2.45 cm and I read that 3 to 4 is normal. What does this mean. Is it aortic scoliosis or aortic stenosis. Thanks
Do you mean VTI or AVA?
you can follow our twitter at @MustafaAhmedMD
Echo showed mild thickening of the aortic valve ava vti is 2.45 is that bad. I know 3 to 4 is normal. Also does this put me at a higher risk for cad. Lipids are all good triglycerides 33 ldl 75 vdld 6 hdl 45. Thanks
Name: FERDINAND VILLENA
Study Date: 07/08/2018
Date of Birth: 22/05/1967
Height: 164
BSA: 1.9
MR#:
Study Time:
Age:
Weight:
Gender:
862448
14:56
51 year(s)
Male
Procedure Staff
Ultrasound Technician: Ms Jamaica Joyce
Reading Physician: DR. Raba’a Almehaisen
Findings
Left Ventricle: Small LV cavity. Normal LV systolic function. LVEF 79%. No
regionality. Concentric remodeling. Indeterminate diastology
Right Ventricle: Normal RV size and systolic function
Left Atrium: Normal size.
Right Atrium: Normal size.
Aortic Valve: Mildly sclerotic.
No significant valvular dysfunction
Pericardium: No pericardial effusion
PASP can’t be assessed
Measurements:
Chambers
Normal
Range
6-10)
1142-86)
(0-10)
25-43
Value
TVSD (MM13
IVSS (MM) 16
ILVDd (137
LVDS (MM 20
LVPWD (MMD
LVPWS (MM) 15
FS (MM
LVEF (MM): 179
Patient FERDINAND VILLENA MRN 862448
Dr. Mustafa may i know my situation is it risk? And how to avoid this? Thanks for your help dr.
A mildly sclerotic aortic valve is not generally a cause for concern, its important as with any situation to control cardiovascular risk factors such as blood pressure, smoking, diabetes, lifestyle and activity.
you can follow our twitter at @MustafaAhmedMD
hello doc! my my 2d echo conclusion
normal left ventricular dimension with normal left ventricular systolic function. mitral valve prolapse, anterior mitral valve leaflet, mild, pulmonic sclerosis, mild. what does ot mean? thank you!
Lvef – 55%
Mitral annual calcification tricuspid sclerotic.
My father is 67 years old and suffering from diabetes since 20 yrs
Currently bp detected.
Do I need to get a angiography or any other thing? Is it risky.
Not for just the aortic or mitral sclerosis.
Hello sir
My 8 yrs son had some murmur sound from heart.when I done 2D echo the impression is THICKEND AV WITH MILD STENOSIS.
WHAT IT MEANS
PLEASE HELP ME SIR
It means he needs to be followed by a heart specialist to ensure over time the valve is monitored.
you can follow our twitter at @MustafaAhmedMD
My echocardiogram result:
Dilated left atrium (LAVI of 33ml/m2)
Aortic sclerosis
Mitral sclerosis
Im 45 years old
Please explain….
My echocardiogram:
Dilated Left Atrium (LAVI of 33ml/m2)
Aortic sclerosis
Mitral sclerosis
I am 45 years old
Please explain…..
You have some mild calcium build up on the valve of no likely current significance.
you can follow our twitter at @MustafaAhmedMD
Asalamualaikum sir…my grandma’s age is 64 …7 years back she had heart attack n she iz diabetic patient n now when we have done his 2decho …the impression is (IHD(LVEF 38-40%),,,Degenerative mitral n aortic valve sclerosis
Other valves r normal
Grade 1diastolic dysfunction……..please aortic valve sclerosis is dangerous sir??…is it necessary to do angiography……waiting for ur reply sir ..
It depends on the presence of symptoms and the results of ongoing testing. A thorough evaluation is needed and treatment plan tailored. Aortic valve sclerosis is not itself an issue as things stand.
you can follow our twitter at @MustafaAhmedMD
Dear Doctor
I had a kidney transplant in 2016 because of kidney disease. I am 66 years old. An echocardiogram has shown Grade 1 LV diastolic dysfunction consistent with age, sclerotic aortic valve with no AS, mild to moderate AR, normal right heart. My blood pressure is typically 140/75. As well as anti rejection drugs, I am on Amlodopine 10 mg and Atorvastatin 20 mg. I have a healthy diet, exercise regularly and a BMI of 20. Do you think I should take additional medication to lower my blood pressure further or higher level of statins to reduce cholesterol?
Seems you are doing well, if blood pressure sustains high it may be reasonable to use further agents or increases to control it down to a 130 level.
feel free to follow our twitter at @MustafaAhmedMD
Hello Doctor,
Would like to seek your advise regarding my Echo report. I am 33 year old currently on metoprolol 100mg for control of Palpitations. Echo was done last December 2018
Results are as follows:
Conclusions:
Normal left ventricular dimension with normal overall left ventricular resting regional systolic fucntion; calculated ejection of 70% by Cube method
Normal right ventricular size and systolic fuction
Normal left and right atria
Mitral valve thickening without evidence of prolapse nor diastolic doming motion
Would really appreciate your thoughts on the results. Many Thanks!
Its normal.
feel free to follow our twitter at @MustafaAhmedMD
Just got a 2D Echocardiogram done. Everything was normal on the results but Thickened anterior mitral valve leaflet without restriction of motion. What does that mean? Female/34
In general not too much to worry about.
follow our twitter at @MustafaAhmedMD
EDTA and DTPA could effectively remove calcium from calcified aortic elastin and calcified human aorta as per https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3809012/
Please comment.
These are interesting but they are test tube studies that have no relevance on clinical treatment plans. Trials are needed for that, as for all we know they may lead to worse outcomes when tried in real situations.
You can follow our twitter at @MustafaAhmedMD
Disclaimer: The comment response is opinion and in no way affiliated with my employer. It is a vague response that is not to be used as direct medical advice and in no way should replace the opinion of a medical provider.
2D Echo Result revealed the following : DOPPLER : Aortic regurgitation,trivial.
Normal Pulmonary Artery pressure by pulmunary acceleration time.
CONCLUSSION:
Eccentric left ventricular hypertrophy
Normal left ventricular systolic function
Mitral and aortic sclerosis
Aortic regurgition, trivial
normal pulmonary artery pressure
What does those indicate? is it life treathening?
Thanks in advanced for your answers
It means there is some sclerosis of the valves but no clinical functional abnormality. Please see the article regarding the description of stenosis.
You can follow our twitter at @MustafaAhmedMD
Disclaimer: The comment response is opinion and in no way affiliated with my employer. It is a vague response that is not to be used as direct medical advice and in no way should replace the opinion of a medical provider.
I am a 59 year old male. I have my latest echo report. (1) Normal systolic function – EF of 55-60, (2) Normal sized left ventricle (vol 140 mls) (3) No adverse remodelling or resting wall abnormalities (4) Normal sized right ventricle and systolic function (5) Normal sized left and right atrium (6) Stable and well compensated moderate aortic regurgitation (2-3/4) 7. Mildly sclerotic tricuspid Aortic Valve with no stenosis (8) Sclerotic Mitral valve with 0-1/4 regurgitation (9) Normal tricuspid valve (10) Normal pericardium (11) Normal pulmonary systolic artery pressure RVSP = 38 mmHG. (12) JVP not elevated (13) No edema (14) Clear lung fields. (15) Stable mild aortopathy (41mm) (16) Screen for any evidence of ischaemic heart disease and valve dynamics through a stress echo in 12 mths.
Questions: (1) Other than annual ECHO monitoring of my leaky Aortic Valve (prolapse of right coronary cusp) and dilated aorta can I assume this is a pretty good echo report from the cardiologist (2) Given I have mildly sclerotic aortic and mitral valves is there value in having a CT Coronary Calcium Score test. I am not sure whether sclerotic valves means I may also have calcium build up in my arteries.
1) Yes, seems ok otherwise as per your reported findings here
2) Depends on the need for risk factor management, if you arent on any medication for cholesterol and want an impetus to treat agressively, a calcium score may help to push in that direction.
You can follow our twitter at @MustafaAhmedMD
Disclaimer: The comment response is opinion and in no way affiliated with my employer. It is a vague response that is not to be used as direct medical advice and in no way should replace the opinion of a medical provider.
Had echo cardiogram….shows Severe aortic valve sclerosis and moderate aortic stenosis…will the sclerosis lead to a worse condition of the stenosis?
The sclerosis is like a precursor. The stenosis may well worsen over the years and needs to be monitored.
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Disclaimer: The comment response is opinion and in no way affiliated with my employer. It is a vague response that is not to be used as direct medical advice and in no way should replace the opinion of a medical provider.
My daughter recently had an echo, findings were right ventricle pressure overload. What does this mean? How serious is this? Treatment?
It is a description of an echo pattern, has she any cardiac history, how old is she?
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Disclaimer: The comment response is opinion and in no way affiliated with my employer. It is a vague response that is not to be used as direct medical advice and in no way should replace the opinion of a medical provider.
Hi doc my 2d-Echo was found
– Sinus Tachycardia
– Concentric Left Ventricle Hypertrophy, Multisegmental wall motion abnormalities, Mild Depressed Overall systolic function
– Mitral Valve Sclerosis, Mild Mitral Regurgitation
– Mild Pulmonary Hypertension 32mmHg
what does mean doc ?
Hello Dr Ahmed.
I am 63 yrs old from the Philippines. I hope you can explain to me my recent Transthoracic Echocardiogram:
– Concentric left ventricular remodeling w/ normal wall motion, contractility & systolic function
– Grade 1 Diastolic Dysfunction
– Interatrial septal aneurysm
– Aortic sclerosis w/ annular calcifications
– Mild mitral & aortic regurgitation
– Trivial tricuspid regurgitation
– Mildly dilated aortic root at the level of the sinus of valsalva & proximal aacending aorta
– Normal pulmonary artery pressure
I am specifically concerned of the interatrial septal aneurysm (congenital?)
The only specific concern of note is the aortic root dilation, this needs further imaging, clarification and follow up.
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Disclaimer: The comment response is opinion and in no way affiliated with my employer. It is a vague response that is not to be used as direct medical advice and in no way should replace the opinion of a medical provider.
Thank you so much Dr Ahmed for your reply.
I am 72 year old (M) and have been diagnosed withfollowing . Does it require valve replacement?
1. LV AND LA normal in size.
2. RWMA SEEN AS HYPOKINETIC APEX. SEPTUM MOVEMENTS ARE S/O LBBB. 3 NORMAL SYSTOLIC FN EF 50%.
5. CONCENTRIC LVH .
6 DIASTOLIC DYSFUNTION PRESENT.
7 CALCIFIC AROTIC VALVE WITH MILD AROTIC SCELROSIS PG 178 CM /S.8 NO I/C CLOT/VEG/MASS. 9 NO PERICARDIL DISEASE
Aortic sclerosis in isolation does not warrant valve surgery.
You can follow our twitter at @MustafaAhmedMD
Disclaimer: The comment response is opinion and in no way affiliated with my employer. It is a vague response that is not to be used as direct medical advice and in no way should replace the opinion of a medical provider.
Could the future development of some degree of aortic valve stenosis possibly reduce mild aortic regurgitation? (Tightening up the leaky valve)
Not in general.
You can follow our twitter at @MustafaAhmedMD
Disclaimer: The comment response is opinion and in no way affiliated with my employer. It is a vague response that is not to be used as direct medical advice and in no way should replace the opinion of a medical provider.
I have a question. I had an update echo I have MVP and sinus bradycardia. echo showed I have all 4 valves (mitral. Aortic, pulmonary and tricuspid) mild regurgitating, I have aortic sclerosis and calcification, pulmonary hypertension , pac with short artial runs and pvc. I see my dr soon but I’m trying to build questions and cant find anything on the 4 main valves regurgitating.
I have a question. I had an update echo I have MVP and sinus bradycardia. echo showed I have all 4 valves (mitral. Aortic, pulmonary and tricuspid) mild regurgitating, I have aortic sclerosis and calcification, pulmonary hypertension , pac with short artial runs and pvc. I see my dr soon but I’m trying to build questions and cant find anything on the 4 main valves regurgitating. I do have chest pains , shortness of breath, fatigue so on . I developed frontal lobe atrophy
Dr. Mustafa Ahmed
I’m over 70 years and I was diagnosed (calcified sclerotic posterior MV leaflet with trivial MR, EA ratio 1.2. Sclerotic non calcified tri-leaflets aortic valve with PG 10 mean 6 mmHg, No AR, normal root. Normal RV size with trivial TR, PASP 35 mmHg. How serious is this please? Thanks.
In general at this time the findings you reported dont appear to be serious, they should be watched over time.
You can follow our twitter at @MustafaAhmedMD
Disclaimer: The comment response is opinion and in no way affiliated with my employer. It is a vague response that is not to be used as direct medical advice and in no way should replace the opinion of a medical provider.
Dear Doctor,
My ECG report with doppler states three conditions i am worry about.
1. Thickened anterior mitral valve leaflet without restriction of motion. Mild regurgitation.
2. Thickened right aortic and non-coronary cusps with marginal calcifications without restriction if motion.
3. Calcified anterior and posterior aortic walls with raised plaques.
I am 53 years old, taking hypertension medicines (amlopidine). Other than that, i am not diabetic, has normal cholesterol level, non smoker.
Pls englighten me about my heart condition. Thank you.
In general you have some mild changes associated with aging. The presence of aortic plaque may mean you should talk with your primary care provider about taking cholesterol medication, this is plaque build up. the echo changes are generally mild otherwise.
You can follow our twitter at @MustafaAhmedMD
Disclaimer: The comment response is opinion and in no way affiliated with my employer. It is a vague response that is not to be used as direct medical advice and in no way should replace the opinion of a medical provider.
Hello Dr. Mustafa
Thank you very much for your support, time, and generosity . I did X-Rays & ECG and they were normal . But the echocardiogram (Ultra-Sound) revealed mild sclerostic aortic. I am wondering how radiologist determines that? Is it based on image (interpretation of the photos) or velocity calculations (because my AV vmax , PVVam are within the normal ranges) . If the valve has that mild thickening /stiffening , could that be picked in the X-rays and/or ECG (static test). Are there more advanced imaging testing to confirm that? or sometimes another echocardiogram (Ultra-Sound) can be enough ?
Much appreciated
This is typically diagnosed on echocardiogram, and a visual diagnosis. The normal values you report are reassuring and indicate the valve is still functioning well.
You can follow our twitter at @MustafaAhmedMD
Disclaimer: The comment response is opinion and in no way affiliated with my employer. It is a vague response that is not to be used as direct medical advice and in no way should replace the opinion of a medical provider.
What type of cardiologist do you need to see if you have aortic sclerosis?
If aortic sclerosis alone, any cardiologists should be able to handle an evaluation.
You can follow our twitter at @MustafaAhmedMD
Disclaimer: The comment response is opinion and in no way affiliated with my employer. It is a vague response that is not to be used as direct medical advice and in no way should replace the opinion of a medical provider.
in very simple method can u tell me in Kannada sir, its humble request