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Mine EF was 72% in 2006 with a FS of 40%
This year went down to a EF of 53% and a FS of 27%.
I was told that as long as your EF was within the normal range 55-75 % within the statistical margin of error then you were ok and not to worry about it.
I also have the same question as you though. I did not follow threw to see a cardiologist because I didn't think it was necessary.
As far as the MVR, I don't know. Did you see a cardiologist for this or your regular Doctor? Did you have a stress then an ecko a couple months later or ?
I hope one of the other more qualified people on here can help you. I'm sure someone else can answer you better than I. Take care.