I had recently visited my cardiologist at the University of Washington to get a baseline of my heart.
During the stroke debacle, the doctos had noticed endocarditis vegetating on my aortic heart valve. As I mentioned earlier on my oral hygiene, I have to take antibiotics to prevent any foreign matter from entering my circulatory system and wreak havoc on the weaken valve.
For the doctor appointment I had an echocardiogram. I will share the results once I receive my copy of them.
My cardiologist shared her thoughts after viewing my current echos in comparison to my previous ones. She was as stumped as my Boston doctors of the current status of my heart. My ejection fraction of the blood flow is mild but one of my heart verticals is enlarged which usually indicates a lower ejection fraction.
She told me that my murmur of the negative blood flow is “classic,” and that my heart is ideal for demonstrating for medical students what a murmur sounds like.
My doctor suggested to take an MRI on my heart to have a better visual resolution to see if there are more indicators of the enlargement. She has three possible culprits of the vertical enlarging: genetics, the stroke, and or the doctors had under estimate my true ejection fraction.
Despite the fragility of my heart, my cardiologist still encourages me to exercise at a cardiovascular level. While counter intuitive, my heart ejection fraction at a cardio zone is able to maintain a more efficient ejection fraction. On my Boston stress echocardiogram, my at rest ejection fraction was ~55%, while a 135bpm exercise increased the percentage to 65%. In reference, a normal fraction is 58%.
While I am not encouraged to run a marathon, I am now able to exercise to extend my heart’s life. My doctor had given me three symptoms to be concerned of for my heart.
- Don’t over exert my heart by lifting heavy weight that shortens my breath
- Experiencing fatigue on activities that are normally easier for me
- Edema - build up of fluid in my angle