Do I need a second opinion from a cardiologist?

[Eyeh8beer]

I am a 41 y/o white female, smokes 1 pk/day for 9 years, regular BP 104/60, unassisted TC 146, LDL and TG low, HDL extremely low, slightly elevated RBC.  Have been a runner for 33 years, HX of heart disease on father's side.  I had chest pains after running and went to Dr.  EKG was fine, but ordered stress test and echo.  Stress test = no ischemia, gated left ventricular ejection fraction 68%.  Echo showed trace regurgitation in mitral, pulmonic, and tricuspid valves, along with redundant AMVL.  Everything else was unremarkable.  My Internal Medicine doctor was unconcerned with the regurgitation.  I'm just wondering if I chalk the results up to a congenital defect that is so insignificant I shouldn't worry, or should I get a second opinion.  

[kenkeith]

AMVL is a congenital defect of mitral valve leaflet. The mitral valve apparatus (increased mitral leaflet area, length, and laxity, as well as anterior displacement of the papillary muscles as a syndrome) and can be the underlying cause for HOCM (hypertrophy obstruction cardiomyopathy) by left vetricular output tract (LVOT) obstruction.

The mechanism of LVOT obstruction is displacement of the anterior mitral valve leaflet (AMVL) into the LVOT during systolic ejection; the actual cause of this displacement, however, remains debated. Several theories  have been proposed, but none completely explains LVOT obstruction.

If there is a problem, it would not be MVR, it would involve the LVOT and an obstruction could reduce the amount of blood pumped into circulation with each heartbeat.  If there is obstruction of the LVOT, that could cause shortness of breath, chest pain and muscle fatigue, etc.  The cause for your chest pain should be diagnosed...a cardiologist's opinion may be necessary to rule out LVOT.

[Encephalomalcia]

My cardiologist told me that most people in their 30's have some trace of regurgitation in their valves.  I have a trace in one valve since I was 36. I was told that it is what is usually seem in a normal heart.  The heart ages when we grow older and for a person in their 30's a trace of regurgitation is normal (per my doctors).