![]() (1) Possibly they see the offence as too trivial to pursue. Systemic cuff pressure minus MR jet pressure give us LAP.TR jet plus RA pressure give an estimate of PA pressure. The physiological TR,MR jet helps us to estimate pulmonary arterial pressure and LA mean pressure. (Evidence less cardiology !)Ĭlinical use of physiological TR and MR ? Some sinister thinking cardiologists Many of the native valve endocarditis in otherwise normal hearts may be attributed to this physiological MR/TR. But the potential for it to cause a endothelial damage is negligible. Logic would imply a risk, as micro jets are the norm here. Hence even though it is age related physiology it need to be given importance.Ĭan trivial regurgitant lesions be a risk for infective endocarditis.? Here regular follow ups may be necessary.Īortic and mitral valve degeneration with calcification in the elderly is now implicated in many of the unexplained strokes. For example in dilated cardiomyopathy, COPD, MVPS dilated aortic root etc. In a patient with established heart disease, a trivial valve leak could become important. When does a trivial lesions can be important ? Patent foramen ovale without any shunting.Age related impaired relaxation of LV without LA enlargement.The following can be termed as Echo trivia in otherwise healthy individual They tend to question the authenticity if we simply say everything is normal. Finally, the present day high IQ patients also do not expect a bland ( normal ) report.They often relish some scribblings in their master health check reports.It makes some sense to report and reveal what they know to the non specialists. This sort of spice reporting adds self esteem the medical professionals. Many get bored to report normal reports as they want to add spice to their report hence they fill it up all fancy terminologies.In the prevailing Geo commercial medical world there are issues other than academic creeping in.So even a trival abnormality of negligible importance is also reported. They do not want to miss any abnormality. Doctors and Imageologist are often self suspicious and worried about missing something and getting exposed among their peers and public.There are few reasons for this phenomenon ( Which I believe are true, after observing as many echocardiography centers for more than few decades) So, should we report physiological events in routine echocardiogrpahy? No issue, for the ignorant and the take it easy men ! We have seen number of patients getting cardiac symptoms after reporting the physiological MR or TR. and it becomes a different matter altogether.Īnxiety for the majority, for the modern net educated public. The irony is some of these patients enjoy this. Few may use it as a weapon to advice further visits to their clinic and do serial meaningless follow up scans. ![]() What does trivial regurgitation mean to a doctor ? This can be detected up to 40 % of individuals. While it is better to ignore these lesions, some call it as Trivial MR / TR/AR. If the arotic root is obliquely aligned with it’s leaflets one may even get a physiological AR. Ideally this has to be labeled as physiological MR or TR. Doppler is a great tool, especially the color Doppler which can pickup even few clusters of RBCs that leak into atria every time the AV valves closes. We can’t complain either, as many of the medical professionals make a living out this.įor cardiologists and echocardiologists, there is often an issue in reporting some of their findings. We rarely realise how much of anxiety this causes to our patients. The greatest adverse effect of modern medical science is the notorious phenomenon of amplifying medical trivia.
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