I'm 25, non-smoker.Symptoms beginning in 2000: BP of 140/90 (as of 1998 it was 116/75) and PVCs. Cholesterol is 130, with 3.5 ratio.
7/2000: Echo:normal LV, EF of 70%. LA,RA,AV,Tricuspid all normal... GRADE INSUFF. OF MV: TRACE. 'Mitral valve motion at times is minimally suggestive of MR - not be of any clinical significance'.
12/2002: Stress Cardiolite (I was still having symptoms). Pre-excersise conclusions:'Good Excersise Tolerance', 'Negative, adequate stress EKG for ischemia'. 10 minutes 30 seconds (stopping due to general fatigue), peak HR of 184BPM. No ST depression noted. Post-excersise spect images show a mild defect in the uptake of the inferior wall; rest images showed normal uptake. POST STRESS GATED CIDE: Slightly decreased thickening of the inferior wall by gated images. Conclusions of Post-Ex: 'Compatible with ischemia of inferior wall, no evidence of prior infarct, abnormal wall thickening as noted, EF of 75%'.
1/2003: Cardiac Cath performed. Everything looked great (no blockages); Stress Cardiolite was a false-pos. He said my EF during the cath was 50%. I questioned the EF being 50%, but he told me that they see EF %'s around 50% in athletic individuals with healthy hearts.
It's hard to believe that 'all is well':
1. The abnormal wall-thickening coinciding with a 'cool area' of the inferior wall in the post-stress perfusion images (even though this test is now thought to be a false positive). Could both the 'cool' area AND the wall-thickening be an artifact?
2. The 50% EF during the cath.
3. The trace MR in 7/2000.
Thank you!