Heart issues: Hi I have worsening... - British Heart Fou...

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12dr profile image
12dr
17 Replies

Hi I have worsening symptoms for myocardititis went for an echo today and my Lv ejection was 57 and was 65 on my mri 4 weeks ago it’s says there is descrepensies in mri and echo and is within normal limits but is worrying me.Is this normal ?

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12dr profile image
12dr
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17 Replies

Hello :-)

I am not the expert on this at all but what I would say is that they are and if they are happy and say they are not worried I would believe them and be happy to :-)

I know when we hear these figures and terms it is frightening to us as we just hear everything is not as it should be but they know what ranges they want things to be and when it is time if ever to do more

Trust them they are good at what they do :-) x

12dr profile image
12dr

Thankyou reason I had done is cause more breathless and my heart flutters and I get a weak pulse but I guess they arnt worried I’m waiting for a tape for my arrhythmia x

in reply to12dr

Hello :-)

You have had some very knowledgeable replies now from other members all saying the same that it sounds good I hope that reassures you as well :-)

Do you think any of this could be anxiety as you are worrying ?

Did you tell them about feeling breathless and having heart flutters ?

If not tell them next time but I do not think they will be worried

Hopefully once you have this other procedure done and it comes back ok you will feel calmer and reassured :-) x

12dr profile image
12dr in reply to

Yes a little …..I got myocarditis from covid showed on mri I’m very breathless and unwell it’s been almost 7 weeks my bisorol was working very well for irregular heart beats but now my heart all over the place so waiting for a tape to be fitted was hoping would improve a bit more by now in colchicine and beta blocker also pain relief x

A Cardio MRI is the 'Gold Standard' so the EF quoted for that is likely to be far more accurate than that quoted for the echo, also as they are both within 'normal' EF ranges I definitely would not be worried.

12dr profile image
12dr

Thankyou for your informative reply 🙂

Like I said, of the 2 different methods of measurement used, the MRI is far more accurate, to have an Echo 4 weeks later that is within 8% of the MRI AND the fact that both are within Normal EF readings, you are worrying about nothing. Chances are the Echo is out by -a few %. But I'm a glass full sort of guy, so stop worrying 😀

12dr profile image
12dr in reply to

Yes there was a few things that showed up to do with the myocarditis to do with increased measurements in the Basel septum and I’m now waiting for a tape to be fitted for arratic heart beats

in reply to12dr

Your OP was regarding EF, hence my response.

12dr profile image
12dr in reply to

Ok thanks 😊

santino44 profile image
santino44

Hi Your EF is within normal limits, ever tried taking your Blood Pressure readings at home take 3-4 readings over 5 minutes and they will all be different with maybe no readings within normal limits then medication and lifestyle changes can see improvements. Not certain that you need worry but you understand your own circumstances.

Scho1 profile image
Scho1

Hi, an ejection fraction above 55 is deemed to be normal according to my cardiologists. Also there can be discrepancies in reporting as I have found. On MRI they often put the exact ejection fraction but with echo either under or over 55. Hope this helps.

HRH8591 profile image
HRH8591

Normal ranges are just that, a range. Ranges are developed based on measurements from a variety of people and what will be normal for one isn't for another. It is always beneficial if you have a benchmark from when you are well or feeling better than you do at the time of the concern, to compare to but often not available. If you are are concerned and have worsening symptoms I would always put in writing my concerns to a specialist, if appropriate, and my GP. And, no matter how many times I have to do it.

Larivee profile image
Larivee

I’m no doctor but I think an EF number in the 50’s is good. It is a subjective interpretation based on clear images of the heart muscles. Anywhere between 50 and 70 is good. Mine was in the 40ish but thru diet and medication I am now in the 50’s. I have never had a heart mri, only echocardiograms. My doc seemed happy with that number. Good health and peace in the new year. Pete

nilmonisikdar40 profile image
nilmonisikdar40

In my opinion as a retired medic and suffering patient, the specialist who interpret the result of the ECHO says that as long the range of ejection factor is between 45 to 50 percent, that's reassuring. Some years my EF was between 70 to 75 percent and the recent done a year ago was 45 to 50 percent. I persisted with the disparity but was sincerely reassured that's ok.

12dr profile image
12dr in reply tonilmonisikdar40

Ok Thankyou for your message what do you suffer with if you don’t mind me asking .

nilmonisikdar40 profile image
nilmonisikdar40 in reply to12dr

Thanks for asking but you will find my story is very complex. I had a cardiac pacemaker implanted for complete heart block and that was on 22.2.2000. Despite yearly check at heart clinic they missed something and that was serious. I could not see face to face in NHS and so had to see somebody privately and that was I developed retention of fluid, shortness of breath which was diagnosed congestive cardiac failure. I was sure in my mind I had ischaemic heart disease probably as a result of blockage of one of the coronary arteries. However I was in for a shock because after a normal ECG and ten minutes of the consultation, the penny dropped because it was not what I thought which was Ischaemia of heart but a malfunctioning lead in the atrial chamber because it was detached from the chamber. How they missed for last 21 years is a mystery to me.

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