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| The boys echocardiogram results are in...; Anyone know how to interpret them?? | |
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| Tweet Topic Started: 6 Feb 2013, 13:38 (548 Views) | |
| Rayemond | 6 Feb 2013, 13:38 Post #1 |
Advanced Member
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The vet phoned me and said their hearts are fine, Ace's is good and George's is borderline. I asked what that meant, he said it's at the top end of normal but still normal, and since he's 10 if he were going to get Dilated Cardiomyopathy he would have already got it before now. So at my insistence he printed me off the results - they mean nothing to me, though, does anyone know how to interpret them? Or know of a link that will show me?Here they are: George IVSd - 10.7 IVSs - 11.7 LVDd - 45.6 LVDs - 33.8 PWd - 11.8 PWs - 16.9 FS - 26% EPSS - 1.8 LA - 26.4 Ao - 25 Ratio - 1.05 All flows are normal Ace IVSd - 9.5 IVSs - 14.1 LVDd - 36.1 LVDs - 26 PWd - 11.9 PWs - 14.4 FS - 28% EPSS LA - 32.2 Ao - 30.4 Ratio - 1.06 All flows normal. |
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| Nikirooshka | 6 Feb 2013, 14:33 Post #2 |
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Crazy Dog Lady
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Good grief Dobes can get it at any time, yes it's more likely between 6 and 10 years and more likely in boys but they can develop it at any age.Have to say though I am clueless with the numbers I know what I'm looking at on an echo screen but not the actual data. I'd want a specialists' take on them if the vets can't be any more precise - they have been very vague and it's just not helpful. You don't get 'borderline' DCM - you get equivocal (not developed enough to officially diagnose), occult (diagnosable but not yet showing symptoms) and heart failure. So possibly he's equivocal, if they mean that his heart measurements are the top end of normal but I'm guessing ![]() I'll drop an email to Soli's cardiologist and ask if she could take a look for you, not sure if she can do that without a proper referral but it can't hurt to ask
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| Nikirooshka | 6 Feb 2013, 15:09 Post #3 |
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Crazy Dog Lady
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I've emailed Jo, she's out of the office till the 8th though. But I'll let you know what she says
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| Rayemond | 7 Feb 2013, 08:51 Post #4 |
Advanced Member
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Thanks, that's very good of you ![]() Okay, after much googling I think I understand a little more now: George Units are mm IVSd - 10.7 - interventrical septum diastolic IVSs - 11.7 - interventrical septum systolic LVDd - 45.6 - left ventricular diastolic dimension - more than 46 indicates occult DC LVDs - 33.8 - left ventricular systolic dimension - more than 38 indicates occult DC PWd - 11.8 - posterior wall thickness, diastolic PWs - 16.9 posterior wall thickness systolic FS - 26% - fractional shortening - how much left ventricle contracts - less than 25% indicates occult DC EPSS - 1.8 - Mitral valve E point-septal separation (over 0.8 indicates dilated cardiomyopathy) LA - 26.4 Ao - 25 - aorta dimension Ratio - 1.05 - ratio between LA and Ao That's what I've managed to figure out so far. I can't find out what a wide EPSS means when the rest of the heart is okay So it would appear that the vet meant that George's values are in the normal range, but quite close to the occult DCM range. I wish he'd just told me that, it's taken me ages of trawling through scholarly articles to figure that out for myself ![]() But this means that George certainly shouldn't be showing symptoms of DCM such as wheezing and coughing - he definitely does't have CHF So back to the drawing board! The vet said his chest sounds clear, but said I can have a chest x-ray done if I want. I'd rather not. I think blood tests would be a better next step.
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![]](http://z2.ifrm.com/10728/120/0/f5034485/Pip_greenEnd.png)
So at my insistence he printed me off the results - they mean nothing to me, though, does anyone know how to interpret them? Or know of a link that will show me?



Dobes can get it at any time, yes it's more likely between 6 and 10 years and more likely in boys but they can develop it at any age.
I know what I'm looking at on an echo screen but not the actual data. I'd want a specialists' take on them if the vets can't be any more precise - they have been very vague and it's just not helpful. You don't get 'borderline' DCM - you get equivocal (not developed enough to officially diagnose), occult (diagnosable but not yet showing symptoms) and heart failure. So possibly he's equivocal, if they mean that his heart measurements are the top end of normal but I'm guessing 
The vet said his chest sounds clear, but said I can have a chest x-ray done if I want. I'd rather not. I think blood tests would be a better next step.
2:27 PM Jul 11