98428 Mr Chaiwat Deemongkol, 98428, 06/08/2018 13:41 Study ID: 119536 MRN: 98428 Study Date: 06/08/2018 13:41 Name: Mr Chaiwat Deemongkol DOB: 01/01/1951 (dd/MM/yyyy) Age: 67 yrs Gender: Male Height: 69 in Weight: 176 lb BSA: 2.0 m2 HR: 93 bpm Study Location: adult non invasive lab BP: 158/100 mmHg Patient Location: Adult Noninvasive Lab History: Stroke Reason For Study: Atrial fibrillation Medications: None (During exam) Referring Physician: Theerasuwipakorn Nonthikorn Dr Ordering Physician: Theerasuwipakorn, Nonthikorn IMPRESSION: Echocardiographic findings: ? Normal LV size and systolic function, LVEF 62% by biplane method, No RWMAs. ? Normal RV size and systolic function. ? Severely dilated LA and RA. ? No significant valvular abnormalities. ? No visualized intracardiac thrombus. ? No pulmonary hypertension. ? No pericardial effusion. Reading Physician: Electronically signed by : Sumet Preechawuttidej, M.D. 14/08/2018 22:52 Performed By: Chalermchai Komaenthammasophon, M.D. FINDINGS: ECG Atrial fibrillation. Moderate ventricular response. Left Ventricle The left ventricle is normal in size. There is no thrombus. There is normal left ventricular wall thickness. Left ventricular systolic function is normal. LVEF 62% by biplane method. No regional wall motion abnormalities noted. Right Ventricle The right ventricle is normal size. There is normal right ventricular wall thickness. The right ventricular systolic function is normal. No regional wall motion abnormalities are noted. Atria Severe left atrial enlargement. Severe right atrial enlargement. Aortic Valve Mr Chaiwat Deemongkol, 98428, 06/08/2018 13:41 The aortic valve is trileaflet. The aortic valve opens well. There is no aortic valvular vegetation. No hemodynamically significant valvular aortic stenosis. Trace aortic regurgitation. Mitral Valve The mitral valve is normal. There is no evidence of mitral valve prolapse. There is no mitral valve stenosis. There is trace mitral regurgitation. Tricuspic Valve The tricuspid valve is not well visualized, but is grossly normal. There is no tricuspid valve prolapse. There is no tricuspid stenosis. There is mild tricuspid regurgitation. Pulmonic Valve The pulmonic valve leaflets are thin and pliable; valve motion is normal. There is no pulmonic valvular stenosis. Mild pulmonic valvular regurgitation. Great Vessels Mild aortic root dilatation. The pulmonary artery is normal size. Pericardium/Pleural There is no pericardial effusion. M?MODE ECHOCARDIOGRAPHY IVSd : 1.3 cm LVPWd : 0.65 cm LV diastolic diameter : 5.2 cm LV systolic diameter : 3.7 cm LV ejection fraction : 54.3 % LV fractional shortening : 28.3 % LV mass : 191.7 grams LV mass index : 98.0 grams/m2 Left atrium : 5.0 cm Aortic root : 3.7 cm Aortic valve separation : 2.1 cm LA/Ao : 1.3 TAPSE : 2.0 cm Rel. wall thickness : 0.25 2D ECHOCARDIOGRAPHY LVOT diameter : 2.4 cm Aorta, sinus : 3.8 cm Aorta, S?T junction : 3.1 cm MPA diam(2D) : 2.0 cm EDV(MOD?sp4) : 101.1 ml ESV(MOD?sp4) : 46.7 ml EDV(MOD?sp2) : 48.6 ml ESV(MOD?sp2) : 14.6 ml EF(MOD?sp4) : 53.9 % EF(MOD?sp2) : 70.0 % EF(MOD?bp) : 62.4 % LAVI : 55.2 ml/m2 LA Volume Index (sp4) : 52.6 ml/m2 LA Volume Index (sp2) : 57.7 ml/m2 IVC max diam : 1.6 cm IVC min diam : 0.17 cm IVC resp change : 89.5 % DOPPLER ECHOCARDIOGRAPHY AORTIC SYSTOLIC Aortic valve area by VTI : 3.0 cm2 Mr Chaiwat Deemongkol, 98428, 06/08/2018 13:41 Aortic valve area by velocity : 2.9 cm2 AV Vmax : 119.7 cm/sec AV VTI : 22.1 cm AV Peak PG : 5.8 mmHg AV Mean PG : 3.5 mmHg LVOT Vmax : 77.1 cm/sec LVOT VTI : 14.8 cm LVOT Peak PG : 2.4 mmHg LVOT Mean PG : 1.5 mmHg SV(LVOT) : 66.4 ml SVI : 34.0 ml/m2 MITRAL DIASTOLIC MV E velocity : 58.2 cm/sec Septal E' Vel : 6.9 cm/sec Lateral E' Vel : 13.1 cm/sec E/Septal E' : 8.5 E/Lateral E' : 4.4 MV Decel Time : 0.15 sec TRICUSPID SYSTOLIC TR Peak Vel : 200.9 cm/sec TR Peak PG : 16.1 mmHg RA Pressure : 3.0 mmHg RVSP(TR) : 19.1 mmHg PULMONARY DIASTOLIC PR end?d PG : 5.6 mmHg PADP : 8.6 mmHg I WMSI = 1.00 % Normal = 100 X - Cannot Interpret 1 - Normal 2 - Hypokinetic 3 - Akinetic 4 - Dyskinetic 5 - Aneurysmal Segments Size 1-2 small 3-5 moderate 6-14 large 15-16 diffuse Mr Chaiwat Deemongkol, 98428, 06/08/2018 13:41

1765528 Mr Khuenchai Mingmuang, 1765528, 25/07/2016 11:02 Study ID: 85145 MRN: 1765528 Study Date: 25/07/2016 11:02 Name: Mr Khuenchai Mingmuang DOB: 01/01/1947 (dd/MM/yyyy) Age: 69 yrs Gender: Male Height: 185 cm Weight: 75 kg BSA: 2.0 m2 HR: 70 bpm Study Location: Chumbhot 3FL BP: 140/90 mmHg Patient Location: Thanakarnkrungthep 3 (extraor History: Atrial fibrillation Reason For Study: Atrial fibrillation Medications: None (During exam) Referring Physician: Pattranee Leelapatana, M.D. Ordering Physician: Pattranee Leelapatana, M.D. IMPRESSION: ***Limited study due to poor acoustic window*** ? Normal LV size and systolic function (EF=70%),no RWMA. ? Normal RV size and systolic function. ? Biatrial enlargement. ? Can not evaluate valvular abnormality. Reading Physician: Electronically signed by : Patita Sitticharoenchai, M.D. 25/07/2016 11:58 Performed By: Patita Sitticharoenchai, M.D. FINDINGS: ECG Atrial flutter. Moderate ventricular response. Left Ventricle The left ventricle is normal in size. The left ventricular apex is not well visualized. There is normal left ventricular wall thickness. The left ventricular ejection fraction is normal. LVEF=70% by biplane. The left ventricular wall motion is normal. Right Ventricle The right ventricle is normal size. There is normal right ventricular wall thickness. The right ventricular systolic function is normal. The right ventricular wall motion is normal. Atria Moderate left atrial enlargement. Mild right atrial enlargement. Intact atrial septum. Aortic Valve The aortic valve is not well visualized. Mitral Valve Mr Khuenchai Mingmuang, 1765528, 25/07/2016 11:02 The mitral valve leaflets appear normal. There is no evidence of stenosis, fluttering, or prolapse. There is no evidence of mitral valve prolapse. There is no mitral valve stenosis. There is trace mitral regurgitation. Tricuspic Valve The tricuspid valve is normal. There is no tricuspid valve prolapse. There is no tricuspid stenosis. There is mild tricuspid regurgitation. Pulmonic Valve The pulmonic valve is not well visualized. Great Vessels The aortic root is not well visualized but is probably normal size. The pulmonary is not well visualized. Pericardium/Pleural There is no pericardial effusion. M?MODE ECHOCARDIOGRAPHY IVSd : 1.4 cm IVSs : 1.3 cm LVPWd : 1.4 cm LVPWs : 1.8 cm LV diastolic diameter : 3.8 cm LV systolic diameter : 2.4 cm LV ejection fraction : 68.0 % LV fractional shortening : 37.2 % LV mass : 197.8 grams LV mass index : 99.8 grams/m2 TAPSE : 2.1 cm Rel. wall thickness : 0.76 2D ECHOCARDIOGRAPHY EDV(MOD?sp4) : 53.1 ml ESV(MOD?sp4) : 18.9 ml EDV(MOD?sp2) : 31.3 ml ESV(MOD?sp2) : 6.8 ml EF(MOD?sp4) : 64.4 % EF(MOD?sp2) : 78.4 % EF(MOD?bp) : 70.0 % LAVI : 37.9 ml/m2 LA Volume Index (sp4) : 52.9 ml/m2 LA Volume Index (sp2) : 22.8 ml/m2 DOPPLER ECHOCARDIOGRAPHY TRICUSPID SYSTOLIC TR Peak Vel : 175.1 cm/sec TR Peak PG : 12.3 mmHg I WMSI = 1.00 % Normal = 100 Mr Khuenchai Mingmuang, 1765528, 25/07/2016 11:02 X - Cannot Interpret 1 - Normal 2 - Hypokinetic 3 - Akinetic 4 - Dyskinetic 5 - Aneurysmal Segments Size 1-2 small 3-5 moderate 6-14 large 15-16 diffuse qs







5786131 Preliminary Mr Thewarug Werawatganon, 5786131, 30/10/2018 10:45 Study ID: 124333 MRN: 5786131 Study Date: 30/10/2018 10:45 Name: Mr Thewarug Werawatganon DOB: 01/01/1961 (dd/MM/yyyy) Age: 57 yrs Gender: Male Height: 170 cm Weight: 63 kg BSA: 1.7 m2 HR: 60 bpm Study Location: Bhumisiri 4F Zone A BP: 123/74 mmHg Patient Location: Thanakarnkasikornthai 3 (extr History: Stroke Reason For Study: Stroke Medications: None (During exam) Referring Physician: Nitinan Chimparlee, M.D. Ordering Physician: Nitinan Chimparlee, M.D. IMPRESSION: ? Normal LV size and systolic function (LVEF = 68%), no RWMAs. ? Normal RV size and systolic function. ? Normal LA and RA size. ? Mild TR, no PHT. ? No pericardial effusion. ? No visualized intracardiac thrombus. ? Agitated saline injection shows bubbles crossing to left side during Valsava, suspected for PFO. Reading Physician: Electronically signed by : 30/10/2018 13:10 Performed By: Manasawee Vassara, M.D. FINDINGS: ECG Normal sinus rhythm. Left Ventricle The left ventricle is normal in size. There is no thrombus. There is normal left ventricular wall thickness. Left ventricular systolic function is normal. The left ventricular wall motion is normal. Right Ventricle The right ventricle is normal size. There is normal right ventricular wall thickness. The right ventricular systolic function is normal. The right ventricular wall motion is normal. Atria Normal left atrial size. Normal right atrial size. Patent foramen ovale. Aortic Valve The aortic valve is trileaflet. The aortic valve opens well. There is no aortic valvular vegetation. No Mr Thewarug Werawatganon, 5786131, 30/10/2018 10:45 hemodynamically significant valvular aortic stenosis. No aortic regurgitation is present. Mitral Valve The mitral valve is grossly normal. There is no evidence of mitral valve prolapse. There is no mitral valve stenosis. There is no mitral regurgitation noted. Tricuspic Valve The tricuspid valve is not well visualized, but is grossly normal. There is no tricuspid valve prolapse. There is no tricuspid stenosis. There is mild tricuspid regurgitation. Pulmonic Valve The pulmonic valve is not well visualized. There is no pulmonic valvular stenosis. There is no pulmonic valvular regurgitation. Great Vessels The aortic root is normal size. The pulmonary artery is not well visualized, but is probably normal size. Pericardium/Pleural There is no pericardial effusion. M?MODE ECHOCARDIOGRAPHY IVSd : 0.72 cm IVSs : 1.3 cm LVPWd : 1.4 cm LVPWs : 1.4 cm LV diastolic diameter : 4.0 cm LV systolic diameter : 2.8 cm LV ejection fraction : 57.0 % LV fractional shortening : 29.5 % LV mass : 134.7 grams LV mass index : 77.8 grams/m2 Left atrium : 3.2 cm Aortic root : 2.7 cm Aortic valve separation : 2.1 cm LA/Ao : 1.2 Rel. wall thickness : 0.70 2D ECHOCARDIOGRAPHY EDV(MOD?sp4) : 43.9 ml ESV(MOD?sp4) : 9.2 ml EDV(MOD?sp2) : 31.5 ml ESV(MOD?sp2) : 13.5 ml EF(MOD?sp4) : 78.9 % EF(MOD?sp2) : 57.2 % EF(MOD?bp) : 67.9 % LA Volume Index(BP) : 14.3 ml/m2 LA Volume Index (sp4) : 16.6 ml/m2 LA Volume Index (sp2) : 12.1 ml/m2 DOPPLER ECHOCARDIOGRAPHY AORTIC SYSTOLIC AV Vmax : 108.0 cm/sec AV VTI : 22.2 cm AV Peak PG : 5.0 mmHg AV Mean PG : 3.0 mmHg LVOT Vmax : 63.9 cm/sec Mr Thewarug Werawatganon, 5786131, 30/10/2018 10:45 LVOT VTI : 13.1 cm LVOT Peak PG : 2.0 mmHg LVOT Mean PG : 1.0 mmHg MITRAL DIASTOLIC MV E velocity : 74.5 cm/sec MV A velocity : 60.7 cm/sec MV E:A ratio : 1.2 Septal E' Vel : 8.3 cm/sec Lateral E' Vel : 10.9 cm/sec E/Septal E' : 9.0 E/Lateral E' : 6.8 MV Decel Time : 0.17 sec TRICUSPID SYSTOLIC TR Peak Vel : 203.6 cm/sec TR Peak PG : 16.6 mmHg RA Pressure : 15.0 mmHg RVSP(TR) : 31.6 mmHg I WMSI = 1.00 % Normal = 100 X - Cannot Interpret 1 - Normal 2 - Hypokinetic 3 - Akinetic 4 - Dyskinetic 5 - Aneurysmal Segments Size 1-2 small 3-5 moderate 6-14 large 15-16 diffuse qs