echocardiogram

[paulblb]

right a week before christmas i woke up one morning with 5 large watery blisters that just appeared overnight. i popped them they became infected and so i was then put on a course of antibiotics. this immediately followed by another course of antibiotics now two months down the line they started to clear but have stopped short and skin wont form leaving them slightly pourous and leaky and red.the second part is a month after initial flare up of this i was at work one day and all of a sudden a wave of about to lose conciousness came over me and i nearly passed out. was taken to hospital but all blood tests are fine but i still get a slightly dizzy feeling and my legs always feel like jelly or heavy also have very slight ringing in left ear. i have an o.k day followed by three bad days. i quit smoking and drinking the day this incident occured eat well and cycle. but afterwards i feel shaky.i dont know if these two incidents could be linked but i am not progressing and have taken 3 weeks off work i have no other symptoms just this strange feeling of hazyness and giddy! hope someone can help!

part 2:

this is in relation to an earlier post i made at the start of the year. with addition to original symptoms i was diagnosed
with an underactive thyroid of which the tsh level was 91.6. dose has been increased over the months and am now on 125mcg of levothyroxine. although i realize my thyroid was severely compromised my tsh level is now 5.2 but i feel no better. a list of some of my symptoms are:
TINNITUS
FATIGUE
SLOW WOUND HEALING
VERY SLOW METABOLISM
NOT PASSING STOOLS FOR DAYS
SHALLOW BREATHING AT TIMES
IMPOTANCE
MUSCLE TWITCHING
SHOOTING PAINS IN HANDS AND FEET WHEN RELAXED/LAYING DOWN
i did have the odd day or two of slight remision in the last 10 months but the two doctors i have been with since this ordeal tell me they cannot find anything untoward in my blood tests. can a blood test alone be enough to discount anything else. for all the research i have done( and there have been many months!) the things that keep showing any resemblance are signs of autoimmune disorders, neuropathy, maybe cardiovascular problems. but for whatever reason the doctors are not keen to refer me to a specialist. what could this be and what tests should i be asking for.
just before xmas i relapsed badly. got a cold and had severe difficulty breathing wheen talking or walking upstairs and my doctor could not find anything wrong when it was happening right in front of her.it was as though i was forcefully having to make myself breathe.fatigue and very weak legs also. my bp at that time was 137/106. i eventually went to see a cardiologist and had a 15 minute treadmill test which came out perfect.my echocardiogram however stated myLVEF was estimated at 38%. all my valves say structurally normal with exception to my right ventricle and atrium which are mildly dilated and left ventricle is normal size with global hypokinesia overall moderately impaired systolic function with no regional wall motion abnormalities. have been off work for 2 months and breathing has slowly improved but still weak legs(also i have cycled the streets of london everday for 20 years averaging 10 miles a day)my bp today was 120/90. should i be worried for my heart or could autonomic dysfunction diminish my cardiac output. than you!

[kenkeith]

Q: "myLVEF was estimated at 38%. all my valves say structurally normal with exception to my right ventricle and atrium which are mildly dilated and left ventricle is normal size with global hypokinesia overall moderately impaired systolic function with no regional wall motion abnormalities".

>>>>For some insight to your heart condition relative to your comments.  Normal EF (ejection fraction) is 50 to 70%. Global hypokinesis indicates some heart wall movement impairment and that would account for the lower than normal EF...wall(s) have lost some of their contractility...and that condition has been described as moderately impaired systolic (pumping phase) function.

An enlarged right ventricle could indicate the heart is pumping against higher than normal resistance.  A higher than normal resistence can be due to valve stenosis (narrow opening),some vessel occlusion (thrombosis), lung embolism (clot), etc.  Did your doctor evaluate pulmonary pressure?  Worst case scenario.

Your heart is structually nomal, the breathing and fatigue symptoms could be related to a low cardiac output.  I don't know and there is no way to tell whether your low EF is the cause...there could be a respiratory as well, and combined with low EF the system may not be receiving sufficient oxygenated blood.

Hope that gives you some insight to the possibilities and help discuss the symptoms and treatment with your doctor. Thanks for sharing and if you have any further questions or comments you are welcome to respond.  take care and I wish you well going forward.

Regards,
Ken