ARV

ARVARV Heart Centre, Artios Hospital

Ref By Dr Ravinder Bhukar

Name Mrs. Santosh Age/Sex. 66yrs/
Done By Dr Ravinder Bhukar
UHID IPD: 18466 Date: 23102022

DOBUTAMINESTRESS ECHO

INDICATION- DSE for Inducible Ischemia

was administered at a dose of 5 mic/kg/min, then

PROCEDURE Dobutamine infusion intravenously

increased to 10 mic/kg/min and further to 20mic/kg/min

HR /min) BP (mmHg)
Baseline 64 130/90
Stage (5mcg/kg/min) 70 140/84

Stage II (10 mcg/kg/min) 120 160/82

Stage Il(20 mcg/kg/min+ 0.5 ml Atropine) 136 160/90

Recovery
80 140/90

End point- THR was achieved/ not achieved

Echo findings on DSE

LVsegments:
1.PLAX

Baseline Stage ll RecoveryY Impression

Stage Stage I
N N N N N
Basal ant

septum
Mid ant

septum N N
Basal post N

wall

Mid post wall N

2,APICAL 4 CHAMBER

Baseline Stage Stage Il StageIl Recovery Impression

N N N N N N
Basal septum

N
Mid septum

Apical septum N

Basolateral
Mid lateral

Apical lateral

9549540824 7009414378 drravinderbhukar@gmail.com On GT.Road,Near Tau Devi Lal Park Panipat

 ARV Heart Centre, Artios Hospital
temeen
Baseline Impression
Stage Stage Stage lI RecoverY
Basal inferior N N N N
mid inferior

Apical N N N N

inferior
Basal N N
anterior
Mid anterior N
Apical N N

anterior

Wall motion analysis: -N-normal; HK hypokinetic, A akinetic,D-dyskinetic, H- hyperkinetic, SH-

Severely Hypokinetic

Baseline Peak flow

LVEF S5% 75%

MR Mild Mild

TR Trace, RVSP-(RAP32)mmHg Trace, RVSP-(RAP-40)mmHg

Diastolic dysfunction Grade Grade

Complications: None

Summary &Interpretation:
No Chest pain or ECG changes during stress test

2 Normal hemodynamic
3. No RWMA at rest/stress.

ischemia
Negative for inducible
-
Impression:

DR.RAVINDERPHUKAR
AVIND
Park
Park,
CongrEALTEnModina
Nea iadtolnkdgð
No.124
AtbsHóspital,
Panipat,
Reg.
GT Road,
 ALTNCARE SERVICES Cerre tor Sipecalpes 3urgeres
vewe Care
ECHO REPORT
Name: Mrs. Santosh Kumari
AgeSex: 66 Year/ Female
Date: 112/2022

Hospital No: OPD

M-Mede/D Dexription.
No regional wall motion abnormality.LVEF-S5%
Let Ventricle
It is normal sized

LetAriam: tisnormal sized

Right Amium t is normal sized.

Right is normal
sized. RV
It
Ventricle: systolic function is normal.
It
Aortic Valve: appears normal
It
Mitral Valve: appears normal.
It
Tricuspid Valve: appears normal

Pulmonary valve: It
appears normal

Main
Pericardium:
Pulmonary artery
There is
& its branches: appears normal
no pericardial effusion
.
is normal.
Inter ArialSeptum: It

Inter Ventricular septum: It is normal.

IVC: It is normal in
sized & respiratory variability

Measurements ( mm):
LEFTHEART Normal Values RIGHT HEART Normal Values
Observed values Observed values
(mm) mm)

Aortic root 28mm 20-36(22mm) IVC size 16 17-21 mm

Aortic valve >50%

opening IVC
LA size, LA 30 mm 19-40(mm)<34 Normal

volume index ml respiratory

variability

LVID (D) 46mm ED-(37-56) RA size S18 cm2

RV basal 24-42mm
LVIDS) 24 mm
RVmid cavity 20-35mmn

IVS (D) 10mm ED-(6-12) RV S6-86 mm

longitudinal
RVOT 18-33 mm
IVS(S)
proximal
mm TAPSE >I5mm
PWD) 10 ED-(5-12))
RV freewall <Smm
PWS) thickness
55% 55-65% RVEF Normal >44%
LVEF
com
penpati@ognuahosplals
4017877 92151-3855 E-maluihead panpat@alaygus.com.ba
Panipat Haryana:132103 Tei No. :0180-4015877,
ddress:Oposte Devi Mandir,
Paschin VharNew Deh- 110363
Healthcare Private Limited Regd. Ofce:175
Atar Endave,
us -eb@uilgs.com
jais Cygnus Healthcare Services"A94, Green Park Main, Nee Delh-110016 Tel No.
0114175091 Wiebeite :ugaoygnus.com

mas apu a onabatrand:aor n i

Sne n anástetaots BaatugahRar
Delh Nangb Ram ha Uar Padesh:
 SRUS
AES us
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Cre Se
Maharaja Aggarsain
Hospit
Hospital
to
ges Ca

Depper
slesitien.ccmec)

Aortic vahe
Max Vel (m
sec)
Max Mean PNG
(mmtg) 12 Palmonary Valve
Mar Veloeny (mvee l9
Mas PG
Mitral Valve (mmbig)

Emsec)
Amsec) 0.5
0.7
Tricwspid
Max
Valve

velocity (mvisee
)2o
Regurgitation
RVSPmmfg)20-RAP

MR
Mild
AR
Nil

Final Interpretation

1. No
regional wall motion abnormalities seen in
resting state.LVEF-55%
2. No LVH. All cardiac chambers
dimensions are normal .
3. Mild MR
4. No intracardiac mass orthrombus.

5. No pericardialpathology seen .No clot/

vegseen
6.Grade I diastolic
dysfunction

Dr. Sandeep Khasa

Consultant Cardiology
Cygnus Maharaja Aggarsain Hospital,

PANIPAT

Not valid for medico legal purposes

Please corrclate clinically

aom
baparipan@oygshosptuls
E-mail: unhead panpat@ylacygnus.com
4017877, 9215163655
Tel No.:0180-4015877,
Devi Mandir, Panipat Hanyana-132103
Adoress:Opposite
Vhar, New Delh 110063 Elal :ob@yaaygus.com
of
Atus Healthcare Private Limited Regd.
Ofce: 175,Avtar Enciave. Paschim
Tel Na. :01141750891 Websle: ujlaoygus com ratnd atu dJm
cejala ygnus Healthcare Services" A9A Green Park New
Main Delh-110016
RauVha UtrPradesh:
laras Karu A bratibad

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