Can you have a normal heart size with an EF <30?

I just received a copy of my echo and it stated that my left ventricle was normal size and that there is  moderate global hypokinesis of the left ventricle and that my EF is 30%. I thought that as the percentage goes down the heart gets bigger? I must be wrong...

I figure I should add some more information:
I am 38 I was diagnosis with DCM at 23 years old, I had my first and only heart attack at 23. I had an EF of 47% by cath and it stayed that way for years. I since developed alot of rhythm problems: V-Tach, A-Fib and sometimes over 6-8 thousand PVC per day. I have had 4 ablations 3 cardiac caths (arteries are nice and clear) I have prinzmetal angina for which I take a Nitro-patch for. The above echo was done due to abdominal swelling and a 12lb weight gain in less than 1 week. I was given lasix by IV at the docs office (had to make a mad dash for the house, if you know what I mean Smiley
My last echo showed valve leakage and a high pulmonary pressure, and mild dilation and the EF was 35 - 45%. Not really sure what all this could mean but any feedback would be nice.  I plan to become a very active member on this board. I have alot of researched knowledge and I read alot of medical journals (use to work in research as a biological tech) I also have a defibrillator that tells my doc that I am retaining water...how cool is that :) I also have a portacath in my chest because I receive Iron infusion for my blood disorder.

Good example I am also a diabetic and through research I found out that my A!C (blood test that is suppose to tell you how your blood glucose have been holding up for the last 3 months) will never be accurate...I have beta thallesemia minor which means my red blood cells don't stick around for the normal 120 days...which the A1C depends on. Ha you find something new every day.

If anyone ever wanna talk to me about their medical problems or what ever makes you feel better feel free to message me

[jrbon]

Yes,

You can have low EF with normal heart size. A typical case is just after a large heart attack, a large area of your myocardium might die and therefore the EF gets low due to the lack of muscle strength, normally, after a while, the remodeling start and the heart size might increase.

What it is strange in your case is that if you have been diagnosed of DCM, by definition your heart was enlarged, if now your left ventricle size it is normal it can be, I think, for 3 reasons:
1) Wrong echo.
2) Your DCM is now better than before (which does not correlate with worst EF) and your heart has reduced in size.
3) Your earlier problems that diagnosed the DCM were in the right side of your heart (what it is also suggested by the high pulmonary pressure) and your LV were never enlarged. This is also the reason why you can get a lot of liquid without a pulmonary edema..

Jesus.

[babygirlyoyo2002]

Thank you! your answer is exactly what I was thinking.and I do get alot of fluid but it is usually in my abdomen, hands and face instead of in my feet. Only problem is, is that if it's better than I'm not feeling it. I feel terrible. When I went in I was swollen and given IV lasix, the echo only took 10 min. I know some techs are good but 10min?