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Dr. Phil, MD
Dr. Phil, MD, Medical Doctor
Category: Cardiology
Satisfied Customers: 55748
Experience:  Cardiology Expert
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3 weeks I had an echocardiogram with normal results and EF

Customer Question

3 weeks I had an echocardiogram with normal results and EF of 60. Today because of some symptoms I was given a repeat echo, different doctor. EF is in three modes: EF MOD-sp4 59.9%, EF MOD-sp2 55.8%, EF MOD-bp 56.2%. Has my EF likely gone down? My report
from 3 weeks ago just says 60%. One of the new readings is similar but the other two are lower.
Submitted: 2 years ago.
Category: Cardiology
Expert:  Dr. Phil, MD replied 2 years ago.
This is simply due to the variability among the people reading the echo
It is not a science. It is an art
I would say the EF is probably the same among all 3
Customer: replied 2 years ago.
Is MOD a measurement technique? Isn't fall from 60 to 55 over three weeks significant?
Expert:  Dr. Phil, MD replied 2 years ago.
no that is not significant.
It is just variability among the technician, the technique and the reader.
They are all likely the same
Customer: replied 2 years ago.
Is 55-69 normal or low/normal?
Expert:  Dr. Phil, MD replied 2 years ago.
Normal. Totally normal!
Customer: replied 2 years ago.
I don't understand the EF (MOD-sp4), EF(MOD-sp2), EF(MOD-bp) and why they are all different. Is one more accurate? Would an average of these numbers make the most sense? I'm so confused and doctor says it's all "low normal, basically okay" when my old doc said 55-60 was just great. So confused.
Expert:  Dr. Phil, MD replied 2 years ago.

They are just slightly different ways to measure EF

55-60 is great

Your EF is normal. Cant say it any other way