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    Right ventrical dilated
    Lolaloo24 posted:
    Hi Iv hex of chronic pulmonary embolus in both lungs. Last episode 1 year ago. I had my review scans and my echo is still showing right ventrical mildly enlarged. Mild tricuspid regurgitation, mild pulmonary regurgitation. I'm worried this will progress to moderate enlargement. Is this possible ? I get badly out of breath cleaning and my bottom lip goes a dark colour and I have cold sweats on exertion. Please anyone let me know what you think. Thank you x
    cardiostarusa1 responded:

    ......"my echo is still showing right ventrical mildly enlarged"

    "I'm worried this will progress to moderate enlargement. Is this possible?"

    It's possible.

    Causes right ventricle (RV) enlargement or dilation, includes, but is not limited to, lung conditions (such as pulmonary hypertension or stenosis), atrial septal defect (congenital), tricuspid valve regurgitation (leakage) and large ventricular septal defect (congenital).

    Health Central

    Cardiac Enlargement: A Patient Guide

    There are two types of cardiac enlargement: Hypertrophy and dilation......

    With the exception of exercise-induced enlargement, all forms of cardiac enlargement are abnormal and associated with further......

    "Mild tricuspid regurgitation, mild pulmonary regurgitation."

    Valvular regurgitation (leakage) levels goes from trace or physiologic (aka minimal or trivial, found in many otherwise heart-healthy people, and for the most-part, can be safely ignored), to mild (should be monitored) to moderate (should be monitored closely to see what overall effect it's having on the heart) to severe (when it gets to this point, valve repair or replacement is usually dictated).

    Valvular regurgitation grading scale by echocardiography is 0-4plus. Valvular regurgitation can cause various symptoms or no symptom(s) at all.

    As necessary, prescription drug-therapy treats symptoms, but does not cure the condition. As applicable, corrective treatments include catheter-based or surgical-based valve repair and replacement.

    Most important, communicate/interact well with your doctor(s) at ALL times. Best of luck down the road of life.

    Take care,


    WebMD member (since 8/99)



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    James Beckerman, MD, FACC responded:
    It is difficult to know whether this might progress. However, in many people for whom pulmonary emboli have been a problem, it is not uncommon to have some long-term effects on the heart. If you do continue to have exertional symptoms, I definitely recommend that you discuss them with your doctor to see if any further evaluation might be appropriate. Take care.
    Lolaloo24 replied to cardiostarusa1's response:
    Hi again I have my echo review results back and Rv mildly dilated and now parasternally I have a small echo free space 10mm behind Rv.

    Is that pericardial effusion ?

    I have to have kidney blood tests do you know why in relation to this ? Left ejection fraction has dropped from 65 to 60 in a year.
    cardiostarusa1 replied to Lolaloo24's response:

    ......"and now parasternally I have a small echo free space 10mm behind Rv".

    "Is that pericardial effusion?"

    Pericardial effusion brief

    In general-only here, as reported, and applicable to the patient (after consulting with his/her doctor), if/when the volume of fluid is small, it can be seen as a black echo-free space present only posterior (back side) to the heart in the parasternal short and long axis view with echocardiography, and may be present only in the systolic (pumping/contraction) phase.

    "Left ejection fraction has dropped from 65 to 60 in a year"

    Left ventricular ejection fraction (LVEF) varies throughout the day and from one imaging modality to another. Normal resting range LVEF is 55%-70%.

    Understanding Your Ejection Fraction

    **To get a decent estimate of LVEF, a MUGA scan is reported as being the most accurate of the non-invasive methods.

    Pertinent excerpt from an article on by Richard N. Fogoros, M.D.

    When is the MUGA scan more useful than other heart tests?

    The advantages of the MUGA scan over other techniques (such as the echocardiogram) for measuring the LVEF are twofold
    . First, the MUGA ejection fraction is highly accurate, probably more accurate than that obtained by any other technique. Second, The MUGA ejection fraction is highly reproducible. That is, if the LVEF measurement is repeated several times, nearly the same answer is always obtained. (With other tests, variations in the measured LVEF are much greater.)

    "I have to have kidney blood tests do you know why in relation to this?"

    Consult with your doctor on that.

    Take good care,




    WebMD/WebMD forums DOES NOT provide medical advice, diagnosis or treatment.
    Lolaloo24 replied to cardiostarusa1's response:
    I understand but does this mean I have effusion ?

    Many thanks

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