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34/Male Worried about my Echo results, 50-55% EF

So I have a couple of uncles who've had heart issues at a relatively young age and I also suffer from extreme health anxiety. So I went and had an Electrocardiogram done just to make sure everything is ok and below are my results, I've highlighted the areas I'm concerned about with asterisk. Originally they just had a nurse call me to go over them and she said there was nothing they were overly concerned about,  but I have extreme health anxiety so I scheduled an appointment with the doctor and when she went over the results she wanted to start putting me on multiple types of medication (My BP at the doctor was 130/100, but I check it in the morning once a week and it's usually 120-125/ 85 or so) and run more tests, the way she worded things put me in extreme fear. So now I do not know what to think. I usually work out especially cardio 5 days a week and try to watch what I eat. I'm in pretty decent shape I'm 5'11 185lbs. Should I be super concerned about these?  The main thing she expressed concern about was my Ejection Fraction being 50-55%.  She said if it was 60% she wouldn't need any further testing or medication.  So does that 5% really make that big of a difference?  Really need someone to explain this to me.  She told me to get a 2nd opinion so I scheduled another appointment as well.

Interpretation Summary:

* Normal left ventricular size, wall thickness, wall motion, with low
normal
systolic function and ejection fraction of 50-55%. The average global
longitudinal strain is-14.8%, also indicative of mildly reduced function.

Normal right ventricular size and function.

Borderline dilated aortic root measuring 3.6 cm in diameter.

No significant valvular abnormalities seen.

Narrative
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Echo Findings
Aortic Valve:
The aortic valve is trileaflet.
* Aortic valve is mildly thickened.
Borderline aortic root dilatation.
Aortic root measures 3.6 cm in diameter.
No aortic stenosis.
There is no aortic regurgitation.
Mitral Valve:
The mitral valve is normal in structure and function.
There is trace mitral regurgitation.
Tricuspid Valve:
The tricuspid valve morphology and motion is normal.
There is trace tricuspid regurgitation.
Pulmonic Valve:
The pulmonic valve is not well visualized.
Right Ventricle:
The right ventricle is normal in size and function.
Pulmonary artery pressure could not be evaluated due to inadequacy of
tricuspid regurgitation jet.
Right Atrium:
The right atrium is normal in size.
Left Atrium:
The left atrium is normal in size.
Left Ventricle:
The left ventricle is normal in size.
There is normal left ventricular wall thickness.
The left ventricular systolic function is low normal.
*Ejection Fraction = 50 - 55%
*The average global longitudinal strain is-14.8%, also indicative of
mildly
decreased left ventricular function.
The left ventricular wall motion is normal.
Pericardium:
The pericardium appears normal.
Diastology:
LA Volume Index = 22.18cc/m2.
E / E' = 6.03
1 Responses
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Avatar universal
I had EF<40 after heart surgery but it is now 40-50. Maybe exercise and maybe a three lead pacemaker helped. EF may increase during exercise, which was not checked.  You don’t say breathless so I don’t think you have to worry. Plan on annual cardio checkups to allay worry.
Helpful - 0
1 Comments
I do heavy cardio every day and don't experience any issues to this point. So that's why I'm so confused. I feel fine and recover from intense workout fine, but then I'm told I'm not fine

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