2020 - 12 Echo Notes:
The left ventricle is normal in size with normal wall thickness. The end-systolic dimension is on the upper limits of normal, and fractional shortening is mildly decreased; overall systolic function is borderline decreased, which may be early pathologic change or consistent with athletic phenotype. Systolic dysfunction is not adequate to diagnose dilated cardiomyopathy, as LVIDs, EF, EPSS, Sphericity, and volumetric measurements are within normal limits. The left atrium is normal in size and estimated pressure. The septal leaflet of the mitral valve appears mildly thickened. There is no mitral valve regurgitation. The aortic valve is normal in structure and function. The right ventricle and right atrium are subjectively normal. The tricuspid and pulmonic valves are normal in structure and function. The ECG rhythm strip shows normal sinus rhythm with rare ventricular premature complexes (approx 4-5 total during echocardiogram).
Diagnosis: Ventricular premature complexes (VPCs) - R/O residual from nm-DCM, early genetic DCM, primary arrhythmia, other, Mitral valve thickening - suspect early degenerative valve disease, no MR, Borderline systolic dysfunction - suspect athletic phenotype, R/O early DCM, variation of normal.