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

[Jerry_NJ]

Far too much medical detail for me to offer any help.

So, I respond mostly to let you know someone is reading your post, and trying to relate what they know to see if there is something to share that would help you deal with your heart issues.

You mention the 202 pound weight, and unless you are over 6 feet tall there is a need to lose some weight.  I'm not sure that would help your heart problems.  Has your doctor(s) made any recommendations in that regard.

Sorry you have such serious heart problems, especially at such a young age.  I hope you respond well to medical treatment.