What doctor do I need to see and is my heart bad?

[southernstarr]

I had an ECHOCARDIOGRAM/DOPPLER report study in 2007. It said :
1.  Normal LV size, mild hypertrophy with normal systolic function.
2.  Moderate to severely dilated left atrium.
3.  Slightly dilated right atrium.
4.  Moderate mitral  regurgitation, mild tricuspid regurgitation.
5.  Estimated PA pressure-40mmhg.
I have been frequently short of breath lately and my lower legs are swollen by afternoon. Do I need to see a cardiologist or can I go to my primary doctor for this. I don't want to waste anyones time. Does this report say I have a bad heart?

[kenkeith]

You should consult with a cardiologist.  Your heart's pumping functionality (systole) is preserved, but there are some warning signs.  Of concern are moderate to severe left atrium (upper chamber) and moderate mitral regurgitation.  If left untreated, the result can be enlarged left ventricle, systole failure and myocardial infarction (heart attack).  You won't be wasting anyone's time.

Shortness of breath can be a symptom of your mitral valve regurgitation.  The amount of blood pumped into circulation may be compromised by some of the blood flows back into the left atrium with each heart beat rather than into circulation.

PA (pulmonary artery) pressure is the upper limit of normal.