Ejection Fraction low, High coumidin doses, PVC's

I am a 43 year old female with 3 small children at home.  I am 5'7 and 140 lbs. I exercise daily (usually walking 2-3 miles.)  I was reletivly healthy until 3 mths ago.  I had chest pain at work that traveled up my neck and down my arm.  I waited 3 days until I went to the hospital because I was still having this pinching sensation in my chest.  They found elevated troponin levels and I was having PVC's.  I was given a stress test (normal) and a heart cath. (normal)  a week after my heart cath. my right isiliac vein collapsed and they had to stent my vein.  I was put on Coumidin.  Today I take 20mg of coumidin and lovenox shots and am still not therapudic. protime is 1.73  I go to a hemotologist on the 22nd of June.  I also just had a echocardiogram done as a follow-up.  They found I have only 2 valves on my tricuspid and a hole i my heart.  Also my ejection fraction rate is about 50%  What should I be doing.  I go back in 6mths for another echo.  Should I persue going to the Cleveland Clinic?

[kenkeith]

QUOTE: "They found I have only 2 valves on my tricuspid and a hole i my heart.  Also my ejection fraction rate is about 50%  What should I be doing.  I go back in 6mths for another echo.  Should I persue going to the Cleveland Clinic?"

A hole in the heart is a condition where the wall between the right and left has blood shunting from left to right chambers.  The degree of shunting may be insignificant or it may be substantial. The result is that oxygenated blood from the left chamber goes into the rightside chamber  that mixes with the blood going to the lungs. If the hole is large, there can be left and right shunting and symptoms would be shortness of breath, fatigue, chest pains, etc.

You EF of 50% is low normal (normal 50 to 70%) and the EF is amount in a percentage of blood pumped into circulation with each heartbeat.

The hole can be patched if significant.  I believe you may be referring to a bicuspid aorta valve.  The aorta is normally of three cusps (leaflets) that close over the valve to prevent back flow of blood, during the pumping phase, and sometimes the is a congenital malformation causes medical problem in the third decade of life.  Having a bicuspid aortic valve requires regular evaluation by a physician to watch for signs of valve malfunction. You may assess your medical condition with your next echo and decide and if there is any significant problem with your aorta valve and aorta root...sometimes with a bicuspid aorta there can be an aneursym that develops with the aorta root.
Hope this helps