C10026068 / invoice 10000

Appointment Notes: ATM - ex AEC nurse, will have chill protocol on board and charlotte will stay for procedure - WACSedation/study:chill protocolEchocardiography:On 2D B mode 4 chamber R parasternal long axis view the mitral valves appear normal with no  thickening with no evidence of prolapse. Subjectively, All other valves and chambers appear normalOn colour doppler there is a very mild mitral valve regurgitation jet into the LA.On the short Axis view at the papillary muscle level the LV appears valuesl, On 2D mode the LVIDd = 45.4On m mode the LVIDd = 45.5 = 1.6 normalised for weight (<1.7 normal)LVIDs 2d = 35.2m mode = 36.3 = 1.2 normalised for weight (<1.1 normalEPSS (MV) = 6mm (<7mm normal)Fractional shortening was measured on M-mode at  20% (normal 20-40%)On the short axis view at the level of the aortic valve the left atrium remains in normal limits. The LA:Ao ratio was  1.4 (>1.6 = ACVIM stage B2 heart disease)Assessment: pre clinical / early DCM with a reduced fractional shortening of 20%Plan: yearly echo screeningstart Taurine 500mg BID and L - Carnitine 1000mg BIDAlso gets hives / allergic dermatitisP: short course of prednisolone as required, discussed cytopoint long term if general allergies    Vital Signs