I am a 50yo woman referred to Cardiology with unstable angina, shortness of breath, extreme fatigue and three severe presyncopic episodes over three weeks. My HR has been 46-54 BP 80/60 and a MVP click was heard.Lab results have been significant for high cholesterol and MPV for several months. I was referred for an Stress which induced one long run of Nonsustained Ventricualr Tachy that did not recur. The Sestamibi perfusion showed mild fixed anterior perfusion defect . I had to call to follow up on the results a week later and when reviewed was immediately sent for a cardiac cath. I have not recieved the results but the resident reported a Left Ventrical Artery that is irregular and congenitally narrowed . Ejection Fraction in the Ventrical was 60% and "no perfusion problems".There is definate regurgitation of the Mitral Valve and thickening but I am not sure if there is also stenosis on the echo. I sent home with a 48 hour Holter , 24 hour after administration of atenolol 12.5 mg.
How serious is this and what are the possible outcomes? I have symptoms with a V- tach arrythmia, the valve incompetancy and the conginital artery annomoly .I always thought anyone with NSVT was stabilized immediately as an inpatient.Reading the journals, the risk of SCD with NSVT in addition to structural change was very high.I have not seen or talked the attending physician since the original exam 10 days ago. Should I seek another physician? I appreciate your feedback.