What does my echocardiogram (ECHO) show regarding my heart function?

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Last updated: July 11, 2025View editorial policy

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Understanding Your Echocardiogram Results

Your echocardiogram shows overall good heart function with normal heart chambers and only mild mitral valve leakage and mildly increased left ventricular wall thickness.

Overall Heart Function

  • Left ventricle (main pumping chamber):

    • Normal size (normal chamber dimension)
    • Normal pumping function with ejection fraction of 58% (normal range is typically 50-70%)
    • Mildly increased wall thickness (mild left ventricular hypertrophy)
    • Normal wall motion (all segments of your heart muscle contract properly)
  • Right ventricle (pumps blood to lungs):

    • Size is at the upper limit of normal but still within acceptable range
    • Normal function as shown by good measurements:
      • S' velocity: 12.30 cm/s (normal)
      • TAPSE: 2.8 cm (normal - measures how well the right ventricle pumps)
  • Atria (upper chambers):

    • Both left and right atrial chambers are normal in size
  • Valve function:

    • Mild mitral valve regurgitation (slight leakage of the valve between your left atrium and left ventricle)

What This Means For You

  1. Heart pumping ability: Your heart's pumping function is normal at 58%, which is good news. This means your heart effectively pumps blood to your body 1.

  2. Mild left ventricular wall thickening: This finding can sometimes indicate that your heart has been working against higher pressure, possibly from high blood pressure. It's not severe but should be monitored 1.

  3. Mild mitral valve regurgitation: This is a common and usually benign finding where a small amount of blood flows backward through the mitral valve. Mild regurgitation typically doesn't require specific treatment 1.

Clinical Significance

  • The mildly increased left ventricular wall thickness could potentially indicate early changes that might affect how your heart relaxes (diastolic function), though your overall heart function remains good 2.

  • The normal ejection fraction (58%) indicates that your heart is contracting well and pumping an appropriate amount of blood with each beat 3.

  • Your right heart function is normal, which is important for proper blood flow through your lungs 1.

Follow-up Recommendations

  • Regular follow-up with your doctor is important to monitor the mild left ventricular wall thickening.

  • If you have high blood pressure, good control is essential to prevent further thickening of the heart wall.

  • No immediate interventions are needed for the mild mitral valve regurgitation, but periodic monitoring is reasonable.

  • Maintaining a heart-healthy lifestyle with regular exercise, healthy diet, and avoiding smoking will help maintain your good heart function.

Common Questions

  • Is my heart enlarged? No, your heart chambers are normal in size.

  • Do I need medication for my heart? Based solely on the echo, there's no indication for specific heart medications, but your doctor will consider your overall health.

  • Will I need surgery? No, these findings don't indicate a need for any surgical intervention.

  • Should I be worried? These results show generally good heart function with only mild abnormalities that warrant monitoring but not immediate concern.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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