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I'm 27 female hx mother (aortic stenosis) also 2 infant deaths on maternal side r/t congenital heart disease. Since 2001 approx i've had episodes of chest pain every so often. My initial EKG in 2001 was SR with HR 60's. Starting in 2003, my ekg has inverted t-waves in v3-6 and twave flattening in AVF. I continue to have episodes, sometimes with diaphoresis and sob. I've been admitted twice this year. Cardiac Enzymes negative. nuclear stress test showed ischemia in anteroseptal region and further cardiac cath normal. My echo shows ef 50% and moderate dilation of left and right ventricles. I've finally found a cardiologist who is taking me seriously and now telling me that my stress test was false positive and that my ekg changes are non specific. Anyway. he wants to rule out PDA and recommending TEE and possibly a cardiac MRI. I don't have any murmur ever noted. No history of htn, high chol, only gestational diabetes, and slightly overweight. Do you think that I need an invasive procedure vs mri or bubble study first and also does this sound reasonable or is there something else I should be worried about?
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