Echo Results poss Mild heart Failure

Hello,
I am a 27yr 202lbs female, Pacemaker Dependent Av node ablated, Dual pacemaker inserted, currently on Sotalol, Ditizam, Asprin, and Simvastain, prn lasix. Primary Diagnosis went from inappropriate sinus tach& MVP then second oppion stated  SVT then (4) SA modification later Atrial Tach, to SSS, AV ablated  now some bouts of afib.  I have costant veritgo, Fatigue, SOB with exertion. Pouding in kneck which is the reason this new Cardio wanted this echo.
My question is shouldnt I be seeing an EP doctor?
I was seeing one but I just currently moved to Tampa, and I just saw this cardiologist who I'm now doubting my faith in him.
What do you think of my Echo findings?
The cardiologist stated it looked great no problems, however I sent the report to my previous EP doc of 9 yrs and she compared it to my last one and stated that I need to get back in and be seen, the my EF has gotten worst. That she would order a Cardiac Cath. She really wants me to come back to AZ...
Pls tell me what you think of these findings:

Echo finding dated 6/5/2009
Reason for study: Cardiac Evaluation, LV function assessment
Histroy: Clinical Arrhythmias

Findings:
LV: LV is normal size. LV Function is mildly Depressed. Qualitative EF is 40-44%
RV: A pacing Lead in RV was visualized, Mildly Depressed RV Function
LA: La in normal size
RA: Ra is normal Size
AO: Aorta is normal size
AV: Normal struction and motion. Aortic Velocity <2m/s indicating no significant gradient across the Aortic Valve
MV: Thickened and/or calcified annulus. Mitral Regurgitation.
TV: Normal Structure and motion. Mild Tricupsid Regurgitation.
PERI: no pericardial effusion.

Normal RV/PA Pressure, no intracrdiac massed were seen. Left ventricular wall function abnormalities cannot be excluded due to image quality.

Measurements:
Parasternal Long Axis

LVIDd: 3.81cm
LV Wmn: 1.1cm
LVIDs:  2.98cm
La Ds:  3.15cm
LV%fs:  21.8 % *
Ao An: 1.7cm
IVSd:  1.17cm *
Ao RTd: 2.87
LVPWd: 1.03cm

This one below is the previous one done:
Echo Dated:7/25/2008
Reason for Echo: Evaluate LV Function, Evaluate Systolic murmor; evaluate pericardial effusion

Echo Dimensions:

LV Diameter- diastolic 43
Systolic   26
IV Septum 11

Posterior wall 11
Aortic root: appr 40

Doppler Flows:
Aotic Valve: 1.5m/sec no aortic insuficiency
Mitral Valve: M1 0.6; m2 0.7; no mitral regurgitation
Pulmonic Valve Peak Pulmonic velocity: 1.0; trace pulmonic insufficiency
Tripcupsid Valve: T1 0.8;  1+ tricupsid regurgitation’ pulmonary artery pressure 22mmHg plus CVP

Findings:
All 4 chambvers are normal for size
Left Ventricual wall motion is midly abnormal, but overhall ejection fracton remains 50-55%
Right ventricula ejection is normal

Conclusion:
Borderline lv hypertrophy with wall motion defets
Mild Diastolic dysfunction with grade 1 impaired relaxtion

So i have my EP doc who i have been with for 9yrs saying one thing, and the New cardiologist stating it looks great,lol, Pls any insight you may have will be greatly appreciated. thanks