Heart fears/echo results

[anonthroawayheart 0]

Age: 30 Sex: Male Weight: 160 Height: 5'11"

Had an echo-cardiogram in 2014 as part as a work physical. I was given a copy of the results which noted specifically that everything was normal. However, when I use this calculator: http://www.csecho.ca/wp-content/themes/twentyeleven-csecho/cardiomath/?eqnHD=echo&eqnDisp=lvmlvmi it seems to indicate i have a relative wall thickness of .47 which by all accounts signals concentric remodeling/hypertrophy.

However, on my echocardiogram documents under "FINAL CONCLUSIONS" it says: 1.) Left ventricular size is normal 2.) Left venticular wall thickness is normal 3.) Overall left ventricular systolic funciton is low-normal 4.) Diastolic filling pattern is normal 5.) Aortic valve is trileaflet and structurally normal. No regurgitation. 6.) Trace mitral and tricuspid regurgitation.

Basically the conclusions don't indicate any issues, so why is my relative wall thickness indicative of concentric remodeling? These are the values for the left ventricle from the ECG: IVSd .8cm LVIDd 4.7cm LVPWd 1.1cm LVIDs 2.7cm

I exercise 6 or 7 days a week (i run a 5k about 5 days a week and also lift weights).  

I also have white coat syndrome but not sustained hypertension.  Last time I checked my BP at the grocery it was 120/60.  I am totally panicked over the LVPWd measurement (1.1, which is the max of normal) and the apparent relative wall thickness.  Why would the cardiologist not make not of either of these though?  Could it be my white coat syndrome is damaging my heart, or is it the constant exercise?

[utrocket09 115]

The report you posted shows no mention of this remodeling you are referring to. If you had a hint of a cardiac issue you would have been sent for monitoring or ongoing treatment from a cardiologist. If you had anything serious they would not have sent you home.

[H_Anxiety 6]

I'd say if your cardiologist didn't have an issue your fine, I found a snippet below that said depending how its calculated .45 would be the higher end of the range; and your only slightly higher than that. Athletes tend to have more thickness too, you run a lot so I'd say your probably just healthy. Take your findings to your next doctor appointment and ask them their opinion. It's not an urgent medical issue and your going to be fine!!

 

The reference cut point value for increased relative wall thickness derived from upper limits of normal samples is usually 0.44 [43] or 0.45 [42], irrespective of which formula is used.