My ekg results were all normal except: rvidd (3.9 vs. 1.9-3.8), excursion (1.0 vs. 2-3.5) and trace regurgitation for mitral. lvef 54%. i get shoulder pain after exercise with elevated cardiac levels. should i get more tests done?

Yes: This needs further evaluation. Discuss with your cardiologist.

Yes: I would see a cardiologist. I'd suggest a minimum of a treadmill stress test, and possibly a nuclear stress test. 42 is pretty young for coronary vascular disease, but if does happen. I'd want to lay this matter to rest with a good cardiologist as soon as possible. Seek emergency care for pain that does not resolve completely within a few minutes or if other symptoms are present.

Echo: The data you list is echo not ECG and not sure what you mean by cardio levels. You may not have a cardiac problem but can't tell from what you wrote. Seeing a cardiologist should clarify your symptom cause.