大夫
你好。以下是我妈妈的心脏检查报告。可以帮我分析一下吗？我不懂英文，最好能帮我翻译。谢谢。
Diagnosis:
1. Severe MR, moderate to serve TR, normal coronary arteries; normal LV size and function
2. Atrial fibrillation
3. Chronic lymphocytic leukaemia
4. Hypothyroidism
Medication:
Candesartan 8mg
Bisoprolol 2.5mg o.d.
Levothyroxine 60mcg. o.d.
Aspirin 75mg o.d.
Frusemide 40mg o.d.
She was in fast AF with cardiomegaly on chest x-ray.
The echocardiogram confirmed severe mitral regurgitation.
A transoesophageal echo showed that the mitral valve leaflets were very mildly thickened with failure to co-apt resulting in moderate to severe MR and moderate to severe TR also due to failure to co-apt.
The LV was at the upper limit of normal or mildly dilated but there was normal systolic function and no thrombus.
Cardiac Catheter findings:
Pressures:
RA v = 7
Mean 4
RV 31/4
PA 42/4 Mean 19
PCW v = 20 Mean = 13
LV 148/8
PCW / LVEDP – no end diastolic gradient
Aorta 144/60 Mean 32
No LV to Ao withdrawal gradient
Angiography:
LV Angio
LV of normal size; there appears to be good contraction of all walls; there is MR and an enlarged LA but the degree of MR cannot be accurately estimated.
Coronary Angiography:
Left Mainstem – normal
LAD – normal
Left circumflex – Non dominant; normal
Right coronary artery – Large, dominant; normal
Summary:
Normal coronary arteries and LV function. Severe MR. Coronary arteries are normal and her left ventricular systolic function remains normal. The option of medical therapy versus mitral valve replacement and tricuspid valve repair were explained.
