I was admitted into Cardiology from the ER in Nov. due to chest pains. There, they did Echo, Stress Echo, MRI and coronary CTA.
Diagnosis/Results: Chordal SAM, mild mitral regurgitation, Stage 2 Diastolic Dysfunction, no evidence of MI. MRI shows normal cardiac MRI evaluation, CTA shows normal CT angiography
Went to get 2nd opinion where they did another echo and stress echo.
Diagnosis/Results: quite abnormal appearance of anterior mitral valve leaflet, significant redundancy, SAM, LVOTO at least 45mmHg to 115mmHg at peak exercise, NO evidence of diastolic dysfunction, soft mid-peaking systolic murmur & single extrasystoles from squat to stand
EKG readings: normal sinus rhythm w/ biphasic t-waves in V3/V4, inverted t-waves in III and aVF, early depolarization pattern
1- What accounts for such differing ECHO results from just a 2-month span?
2- Abnormal mitral valve leaflet w/ significant redundancy w/ SAM: is this the same as MVP? How serious is this? I'm wondering how they caught this on the 2nd ECHO and not on the MRI.
3- LVOTO 45mmHg to 115mmHg during exercise: what's the normal range? I'm trying to quantify how bad my situation is.
4- Mostly, I just want to get a very general assessment on how serious a case this is. Very hard to find info on this.
Thank you in advance for all your help!