Dear Drs.
Here is my recent post:
http://www.medhelp.org/posts/Heart-Rhythm/Myocarditis---Heart-Rhythm-question/show/1663231?camp=watch_list
The long and short of it is that I am a 28 y old male with a good heart history and no previous problems who had a really nasty infection followed by a month of chest pains and other symptoms. Myocarditis has been my worry (and myocardiopathy)
My question is about my recent stress echocardiogram results.
Here is the exact statement from the cardiologist verbatim regarding EF:
" Echocardiogram at rest shows normal wall motion with ejection fraction measured at 51%, although subjectively it looks higher than that and probably closer to 60%. Following exercise, there was a global increase in contractibility with ejection fraction rising to 83%."
Also, stress test was done at heart rate up to 176 before termination before and after echo readings. no arrythmias or chest pains noted.
Baseline ECG also showed sinus rhythm and nonspecific ST-T wave changes which are more prominent after standing and are seen diffusely in the inferior and anterolateral leads.
His final impression was:
"Normal stress echocardiogram with normal left ventricular function at baseline, and no evidence of inducible ischemia at a significant workload."
My questions are:
1. What does all this mean? My G.P. was not concerned at all and thinks I have no issues in light of other tests. Do I need a second opinion?
2. I thought 51% is a below average (55-65%) EF volume??? Shouldn't this be a reason of concern regarding my "myocarditis like" symptom presentations mentioned in previous post? How is it that the cardiologist and my G.P. are not concerned about a low EF in a normally healthy and atheletic young male?
3. Would you expect viral myocardiopathy to show subtle yet low EF volumes like 51%, or do you generally see more drastic results?
Am I worrying needlessly? Do I need 2nd op. or merely reassurance?
Thank you!