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Teenage with ef of 45

My son was told today that he has an ef of 45 and it is the left side of his heart. He is 19 years old. Over the last 6 months or so he has lost quite a bit of weight which was of concern to me and his mother. He complained about funny feeling in his heart. Now we find this out. We are besides ourselves as to what the future brings for him. Any insight or suggestions would be greatly appreciated.  He has had an ekg and an ultra sound. Not sure which one was used to determine the ef. He has also mention that he feels his heart has arrithythmia although the doctor hasn't mentioned this. We are seeing a cardiologist tomorrow.
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Avatar universal
hi my name is vimal, i am 20 years old  healthy male. non smoker, non drinker, It all started with a disturbing pain on left side of my chest.i directly went to er , but in few minutes i started feeling well. It was not a strong pain but since it happened for the first time so i freaked out.Next day , docs conducted Echo test and Angiogrpaphy.
Now reports of Angiography was absolutely normal
And echo report was normal except for mild mr n tr and lveff=49%

But i got really scared after the event,started feeling like a heart patients .This was due to lack of counselling on the part of doctors. The just told me it was due to gas or muscular pain nothing else.Anxiety

i still experience same disturbing pain.

Right under the left nipple , something moved,a bubble forms, pain the armpit as well,,,, n some times stretch upto my right chest,

I started reading things on  the internet, now i also feel irregular beats (i don knw if it is normal or not)... though i never feel like fainting or lightheadedness, i just get freaked out as if i m going 2 have a heartattack.

I again went to a cardiologists, he conducted ecg , reports were normal only showed  rbbb , to my surprise my Echo reports dis time were absoultely normal. no mr ,tr n lvef=75.

I have 3 questions in mind
1)am I really suffering from a heart problem or is it jus anxiety ,or muscular pain. I would also like to mention that my mind is always preoccupied with  this anxiety.
2)I didn't felt strong heatrbeats intially, but now i've statrd feeling them.,is it also due to anxiety?
3)Y does my echo reports in both the case differ, first i was diagones with mild mr/tr second time no mr n tr.?

Please help me,,,i am too much dissappointed with this pain. Please guide me.
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Avatar universal
MEDICAL PROFESSIONAL
The echocardiogram (or ultrasound) is the test that would have identified the low EF. The big question at this point is what has caused this low EF. He is too young to have coronary artery disease causing the problem. There are viral infections that can affect the heart and result in low EF. There are also genetic syndromes associated with low EF. If he truly has an arrhythmia, this could also be the explanation, and his EF should/would improve with control of the heart rate and arrhythmia. This can often be detected on an ECG, but sometimes requires a Holter monitor or Event monitor to find.

The good news is that an EF of 45% isn't too bad. Normal is 55-65%, so he is only slightly decreased. There are a lot of good medicines that are known to be beneficial in heart failure and can actually improve the EF. The cardiologist should be able to help with all of these things.
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