High Ejection Fraction &Tachycardia & PVC's & Hypertension

[Soapmaker]

I am a 56 year old woman with uncontrolled hypertension and no history of MI,  I am about 20lbs overweight but am getting lighter by the day or at least I am trying....I am undergoing investigation of episodes of tachycardia and pvc's. I have had 2 abnormal ecgs showing nonspecific st depression with one showing sinus tachycardia. My echo came back with trace mitral valve regurgitation and Hyperdynamic Left Ventricular Systolic Ejection Fraction with normal heart size or thickening. I am not really too worried about this but I would like to be able to exercise with some level of confidence due to the fact that I do have some on and off chest pain with exercise and get out of breath easily...So hence the work up....I am currently on an event monitor now for 30 days.
I am on 240mg Verapamil and have been for 5 years Cholesterol is ok and triglycerides are good...I am considering asking my MD if  a stress test might be helpful....
Now for my question.....
.Could my High Ejection Fraction be due to Hypertension?

[Soapmaker]

Thanks for answering my post..and yes you are right it was on my echo report...I think my cardio and GP are waiting to pull this all together...after I finish with my event monitor.
Perhaps you are right, that the high EF is just within the margin of error...
My GP did tell me to stay on my current meds for now but said that for sure my med regimen will have to be changed and perhaps other meds as well but she is waiting to consult with the cardiologist after all the tests are in.  
Although I am not totally freaked out about this I do want my providers to fully investigate things so I know what I am dealing with, so that I can bring myself into a better state of health and wellness...
So we will see...how it all plays out...

[itdood]

Hi, good question!  It's rather complex to answer without someone analyzing all your tests.  This question is best suited for your cardiologist or GP.

I'm assuming you read your test reports, but did your doctor come right out and say you have a hyperdynamic LVEF (HLVEF)?  If you doc didn't mention it, it is probably borderline and/or in the margin of error of the machine used for your test.

If you are truely diagnosed HLVEF, common causes are pulmonary hypertension, leaky valves, or certain structural issues.

If the CCB isn't controlling your HPB you should be switched to different med regimines until you find the right combo.  This coupled with lifestlye changes should get it back under control and might bring your HLVEF back to normal values.

HLVEF, HBP, low exercise tolerance are all prognostic indicators for higher mortaility in the general population.    Generally speaking, it means one should lower these risks as best they can.  Best of luck.