Echo & EKG Study Question

[JKJ]

I had an Echo done at the VA quite a while ago...and, like all other tests at the VA, they told me it was "normal"...but upon reading my medical records I am concerned by what I read, here it what it says:

"The study was technically limited. Poor image quality. Ejection fraction 50-55%. There is borderline concentric left ventricular hypertrophy. Regional wall motion abnormalities cannot be excluded due to limited visualization."

Other tests that I was told that were "normal" also read otherwise in my records, this from an EKG:
"baseline rhthym is sinus bradycardia/artifact/artifacts simulating p waves, escape juctional rythym is present, short PR interval, heart rate average between 44 and 58, low voltage QRS."

The VA insists that all my tests are normal.  My last hospitalization, I just received some of my records and saw that for a time my heart was in A-fib and a cardiologist was never called!  I was having chest pain at this time and very low blood pressure/heart rate, but nothing was done.

Can anyone make any sense out of these test results???  Thanks.

[JKJ]

thanks for your reply.  i have chest pain on a regular basis to which the VA docs have no idea what the cause is....they just gave me nitro to take.  they did no other testing! (nor do they plan to).  
as another member on here has mentioned, VA medical care is much to be desired.

[kenkeith]

According to the report you EF is normal (range 50-75%).  This indicates the heart is pumping into circulation about 50% of the chamber capacity with each heartbeat.  It is low normal and some times there is wall motion abnormalities.  That condition was looked for but is inconclusive due to an image problem.  The EF is only an ESTIMATE.

Artifacts are noise in the electrical system that is insignificant and classified as an artifact.  You heart rate is below 60 beats per minute and classified bradycardia (normal is 60-100).  The underlying cause should be determined for the low heart rate when viewed with other signs and symptoms!  At least I would want to know if that were my test results.