Aorta: The visualized thoracic aorta is unremarkable.
Pulmonary artery: The main pulmonary artery is normal in size.
Systemic and pulmonary venous return: Conventional.
Cardiac Chambers: The cardiac chambers demonstrate normal atrioventricular and ventriculoarterial concordance.
Coronaries: Not specifically imaged.
Left Ventricle: The left ventricular size is severely enlarged. The left ventricular systolic function is globally normal. No segmental wall motion abnormalities are seen. There is mild symmetric, concentric left ventricular hypertrophy throughout the left ventricle. T2-weighted imaging demonstrates no high signal intensity to suggest the presence of myocardial edema. Post contrast images demonstrate no myocardial delayed enhancement. No thrombus is seen in the left ventricle.
Absolute Indexed to BSA, height: 183 cm weight: 91 kg, Mosteller BSA method .
LVEDV: 299 mL LVEDVI: 139 mL/m2; (normal 57-105, mildly Increased 106-117, moderately increased 118-129, severely increased >129 ml/m2)*
LVESV: 125 mL LVESVI: 58 mL/m2
LVSV: 174 mL LVSVI: 81 mL/m2
LVEF: 58 %; (normal 57-77%, mildly depressed 41-56, moderately depressed 30-40, severely depressed less than 30%)
EDD: 54 mm (normal < 62)
ESD: 40 mm
LV mass: 189 g; LV mass indexed: 88 g/m2, (mildly increased 80-99 g/m2). LV mass quantification exclude the papillary muscles.
Basal anterior: 7.1mm
Basal anteroseptal: 11.0mm
Basal inferoseptal: 10.2mm
Basal inferior: 8.6mm
Basal inferolateral: 10.5mm
Basal anterolateral: 6.5mm
Mid anterior: 7.7mm
Mid anteroseptal: 10.0mm
Mid inferoseptal: 10.4mm
Mid inferior: 8.0mm
Mid inferolateral: 9.1mm
Mid anterolateral: 5.0mm
Apical anterior: 4.5mm
Apical septal: 4.3mm
Apical inferior: 4.3mm
Apical lateral: 4.0mm
Cardiac output: 10.5 l/min; Cardiac index: 5 l/min/m2
Right Ventricle: The right ventricular size is moderately enlarged. The right systolic ventricular function is globally normal. No segmental wall motion abnormalities or aneurysms are seen. Post contrast images demonstrate no myocardial delayed enhancement. No thrombus is seen in the right ventricle.
Absolute Indexed to BSA
RVEDV: 322 mL RVEDVI: 150 mL/m2 (normal= 61-121, mildly increased 122-136, moderately increased 137-151, severely increased greater than 151 ml/m2).*
RVESV: 152 mL RVESVI: 71 mL/m2
RVSV: 170 mL RVSVI: 79 mL/m2
RVEF: 53 % (normal 52-72%, mildly depressed 41-52, moderately depressed 30-40, severely depressed less than 30%).
Left atrium: The left atrium is moderate enlarged, 30-39 sq cm on the four chamber view… The atrium measures 33 square centimeters on the 4 chamber view.
Right atrium: The right atrium is moderate enlarged, 30-39 sq cm on the four chamber view…The atrium measures 37 square centimeters on the 4 chamber view.
Aortic valve: No significant aortic insufficiency.
Pulmonic valve: No significant pulmonic regurgitation.
Phase-contrast aorta: Forward flow of 112 mL.
Phase-contrast pulmonic artery: Forward flow of 122 mL
Qp/Qs: Normal Qp:Qs
Mitral valve: No significant mitral stenosis or regurgitation.
Tricuspid valve: No significant tricuspid stenosis or regurgitation.
Pericardium: No pericardial thickening, abnormal enhancement or pericardial effusion is identified.
Lungs and pleura: No pleural effusions. Limited evaluation of the lungs demonstrate no abnormal signal characteristics.
Visualized upper abdominal organs: Unremarkable.
*European Heart Journal- Cardiovascular imaging (2019) 0, 1-11
- Severely enlarged ventricular size. Normal left ventricular systolic function. LVEF: 58 %. Mild concentric symmetric left ventricular hypertrophy measuring 1.1cm at greatest width without delayed myocardial enhancement. Findings compatible with athlete’s heart or concentric left ventricular hypertrophy without obstruction.
- Moderately enlarged right ventricular size. Normal right ventricular systolic function. RVEF: 53 %. No right ventricular delayed myocardial enhancement.
- No significant valvular abnormalities.
- Moderate biatrial enlargement
I had a conversation with my doctor after and he said with the heart I have now, I could live to 100. He said his findings didn’t show patterns associated with hypertrophic cardiomyopathy and everything seems to point to a case of athletes heart. He said that he likes to use the echocardiogram for looking at the dimensions and the MRI for patterns/mapping. He said that I am at the very top of the range for normal size, and that he doesn’t know if my heart will continue to grow… but as of now, he said its fine and that I just need to consider how hard I train.