What the hell happaned to my ejection fraction?

[ivanivanov]

I am 19 years old no previous problems with hear.
In the past year i ve done 3 echos and the all showed that my ejection fraction is 68-69. Recently i started feeling chest pains, high heart beat rate, fatigue and shortness of breath. I ve done and echo in the nearest policlinic and  it showed 67 % ef , but it said that i have contractility in some part of the hear on the low border  of normal value and i have some signs of low conductivity. That was in the noon. In the evening i started feeling really bad , so i called the er and they took me to the hospital. in the hospital they ve done some blood samples ekg readings(which came out ok) but the thing that made me worried is that my echocardiograme with ef lowered to 58, however they did not found any other abnormalities. I ve stayed in this hospital for 10 days, they ve run various tests on me 6 or 7 ecgs, 3 blood samples, holter monitor and they all came out ok. They ve also done echo and it was ok as well except  my ef was 61. It was 4 days after it was 58. So basically my question is, WHAT THE hell has happened to my heart? If it is heart attack or cardimiopathy, why can't they detect it on holter or 6 or 7 ecgs i ve done. If not ,how such thing can be explained? Thank you.

[grendslori]

Oh yes....your EF%s are all within the normal range as well. Something as simple as how well you are hydrated can alter those readings.

[grendslori]

Okay, maybe this will help ease your mind...a heart attack is caused by a lack of bloodflow to the heart muscle. Usually that means you have clogged ateries; it takes 20+ years of eating junk foods to clog up arteries in the heart. You haven't even been alive long enough to have clogged arteries. Also, when a person has a heart attack, there WOULD BE definite changes in the EKG which would also be impossible to miss. As far as a cardiomyopathy goes; that would easily be seen on ECHO. You have a healthy heart! Now go out and focus on the life you have, there are too many teens your age that are dying from heart disease who would give anything not to have heart disease running their lives for them!

[ivanivanov]

Another disturbing thing my ck levels:
31.05 ck - 125 , ck-mb-14
03.06 ck-230 ck-mb-13

[ivanivanov]

If i have no c reactive protein  4 days after the event does that mean i have definiteky not suffered from myocardial infraction or myocarditis?

[ivanivanov]

Is it even possible for myocardial infraction to be absolutely undiagnostible for 10 days after the event?

[ivanivanov]

I am thinking of doing CT or MRI coronarography, but i am little bit afraid of kidney complications. Stress test won't, i am still pretty weak and on beta blockers.

[Occupant]

An Echocardiogram is not all that accurate. Normal would be an EF between 55 and 65%. So, if you take the anxiety away you're probably ok. Do a Thallium stress test if you are really that concerned.