Echo results change??

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New Member

Date Joined Sep 2016
Total Posts : 7
   Posted 9/19/2016 10:02 AM (GMT -6)   
I am confused and frustrated.

I have been having shortness of breath, fatigue and chest/upper back pain. I am a 45 yo female who had heart surgery as an infant but have had not problems since. I went to my primary doctor since I had not had a cardiology workup in years. she did ekg (normal) blood work (normal) and sent me for echo and holter.

Echo showed: Left ventricular systolic function severely reduced EF 20-25% and severe global hypokinesis of the left ventricle.

Holter said: Very frequent premature ventricular complexes. 16%

I live in a somewhat rural area, so my Dr sent me immediately to a larger hospital since it was the weekend and she said I needed more testing immediately.

At the larger hospital I sat around the ER from Fri evening until Sat evening before they repeated the echo. They did a chest xray and said it was normal. When they finally did the echo Sat evening, they said it was low/normal 50% EF. Can there be that much change since Wed to Sat?? Since it was clinically normal, although on the low side and since the blood work and chest x ray are normal, they kept me until Sunday afternoon, did a CT scan and said I could go home.

I'm concerned that I still have off and on shortness of breath and fatigue and off and on chest/upper back pain and no real explanation. They did say one of the chambers is enlarged and that I have " a lot of" skipped beats....told me to go see an electrophysiologist for more testing.

Has anyone else had such differing echo results?

I appreciate any help.

Post Edited (sept16falls) : 9/19/2016 11:48:16 AM (GMT-6)

Forum Moderator

Date Joined Nov 2012
Total Posts : 5685
   Posted 9/19/2016 8:13 PM (GMT -6)   
My EF has always been around 60-65, but i always have the echo done in the same place. I think you need to get to the bottom of this, incouding the shortness of breath. Just sending you home is not the answer. You should seek out a highly qualified, experienced Cardiologist who will work with you to determine your issues, and possible solutions.
Dx Age 64 Nov 2014, 4.3
BX 3 of 12 cores positive original pathologyG6, G6, G8 (3+5)
downgraded to 3+3=6 by Dr Epstein, JH
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Post surgical pathology – G7 (3+4), ECE, Margivns, LN, SV all negative
PSA @ 6 weeks 2/15, .<02, 4/15 <.02 7/15 <.02, 10/15 0.00 (new lab) , 1/16, 0.00, 6/16 0.00
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Elite Member

Date Joined Mar 2009
Total Posts : 20227
   Posted 9/19/2016 8:25 PM (GMT -6)   
listen to pratoman. definitely need all done at the one place.



New Member

Date Joined Sep 2016
Total Posts : 7
   Posted 9/20/2016 7:26 AM (GMT -6)   
Thank you.

The reason it was done at a different place is because I live in a somewhat rural area and when my Dr got the bad results from the first test from our local hospital she sent me to a bigger city a couple hours away because it was Fri night and there would be nothing to be done locally on the weekend and she didn't want me to wait out the weekend, so the second test was done at a bigger hospital, but I don't want to assume that just because it is a bigger facility that it is somehow the more accurate one....perhaps it is, but I don't want to make that assumption and the lower result of the first test and the significant difference between the two tests really concern me. The bigger hospital kept me the weekend and did some other tests, most of which were normal, but did refer me to an elecrtrophysiologist?? for some other tests??

Veteran Member

Date Joined Mar 2014
Total Posts : 1397
   Posted 9/20/2016 9:58 AM (GMT -6)   
I don't have answers for you, bu an electrophysiologist will do an electrical study of your heart. In my situation, I suffered from SVT that was caused by an electrical issue that was corrected through cardiac ablation. I would have the testing done.

Good Luck, Sharon

New Member

Date Joined Sep 2016
Total Posts : 7
   Posted 9/20/2016 11:02 AM (GMT -6)   
What is SVT? Thank you for your reply.

Veteran Member

Date Joined Jan 2003
Total Posts : 1157
   Posted 9/20/2016 12:11 PM (GMT -6)   
I STRONGLY suggest finding an adult congenital heart clinic in your area.

What was the surgery you had as a child? To repair what?

Veteran Member

Date Joined Mar 2014
Total Posts : 1397
   Posted 9/20/2016 2:30 PM (GMT -6)   
SVT - Supraventricular Tachycardia - Instead of my heart beating it's normal 60 - 80 bpm, it was suddenly 220 bpm.

New Member

Date Joined Sep 2016
Total Posts : 7
   Posted 9/20/2016 3:55 PM (GMT -6)   
oh gosh. Glad they were able to help you.

Thank you for replying
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