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A 28-year-old male asked about a 42-year-old male:

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?

3 doctor answers4 doctors weighed in
Dr. John Goldman
Rheumatology 55 years experience
Yes: This needs further evaluation. Discuss with your cardiologist.
Dr. William Zachary
Wilderness Medicine 25 years experience
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.
Dr. Calvin Weisberger
Cardiology 51 years experience
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.

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Last updated Jun 10, 2014

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