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confused about echo and my dr

hello, i had a cto mid lad that was stented july 2013  and an echo nov 2013 that was basically normal with ef of 55-60% and no other significant structural abnormalities. for last six months or so have been having increasing episodes, symptoms of weakness, fatigue, unusual tiredness, some shortness of breath and an overall feeling like my body is not getting enough oxygen. Had an echo done late march and saw dr. yesterday and he said it was normal w/ ef of 50-55% and even though I am having symptoms that describe heart failure that is not possible w/ that ef. I asked for a copy and looked at it at home and was disturbed to see that it says I have a moderately dilated left atrium w/ volume/bsa of 34 when just 4 months ago my LA was normal in size w/ a vol/bsa of 27. There is also mild mitral regurgitation where there was none before. suspiciously, there was no mention of left ventricular diastolic function and my dr. did not suggest any medication and has in the past said beta blockers were not indicated for me nor recommended ace inhibitor. I am very upset that things seem to be going in the wrong direction and am now sorry i had artery, which was well collateralized opened at all. plus I have lost trust in my dr which is very disheartening. plus I seem to have lost my appetite and am wondering if that is somehow connected to heart. can heart failure start episodic or is it a static condition that is always there? any insights would be appreciated.
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1884349 tn?1353814998
MEDICAL PROFESSIONAL
Hello and welcome to the forum.

My apologies for this late reply.  It somehow got lost in my inbox.

I am sorry to hear of what you are going through.  Based on what you wrote, I highly suggest you seek another physician.  Heart failure with a preserved EF is an epidemic and makes up 50% of heart failure.  Im not suggesting that you have HF but for your doc to say it cant be HF with a normal EF is quite silly.

Have you had an ECG?  I assume you have and that you are in sinus rhythm (ie not  afib).  

The large left atrium does suggest potential diastolic dysfunction.  I wouldnt worry too much about the mild MR even though not present previously.

But get a new set of eyes (ie new cardiologist)....you'll be better off and will start feeling better soon im sure.

Best,

Dr. Rich
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Avatar universal
thanks for reply.  will follow up w/ other dr.
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