
(Photo taken February 27, 2026, the day after my very first repeat echocardiogram).
I look so healthy. In some respects, I am healthier than I ever have been in my life. Hurray for planning what I eat, (lots of whole foods, thanks to being Celiac, grain free, etc), and eating what I plan for the last 2.5 years, and tons of walking.
But, in the last 6.5 months, my heart valve disease is progressing.
On February 26, I had my very first follow-up Echocardiogram. Before this, I only ever had the one Echo, performed last August, so I had absolutely no other numbers to which I could compare it to.
In fact, prior to last August, no doctor had ever even held a stethoscope to my heart. All I knew was:
In 1999, I had a small elective surgery, (my one and only, and with me then vowing I would never voluntarily do something surgical EVER again, lol), and my heart was fine back then.
In December of 2018, I noted in my journal I had “shortness of breath,” but that maybe it was due to vitamin B9 deficiency, (back then, I was trying to sort out my diet, digestion problems, and other deficiencies I had like iron).
In January of 2020, I had a lung function test due to my “shortness of breath,” but my test was normal, my lungs were fine.
So, my first sign of “shortness of breath” was about 7 years ago. I figured that was probably when I first developed “mild” mitral valve regurgitation. So now, I was truly hoping for a stable comparison Echo, because I did the math. If I was maybe “mild” 7 years ago, and I am moderate now, maybe I have 7 more years before I cross over into “severe.” Because it had only been 6.5 months since my last Echo, which had placed me at “moderate” regurgitation, it made sense to me that ‘relatively unchanged’ was a realistic expectation after only 6.5 months.
In fact, 50% of people with a mitral valve prolapse (which can eventually cause regurgitation) can remain stable for decades! The other 50%, well, factors like high blood pressure can drive progression, but no, my blood pressure is actually low. Advanced age and other negative health conditions? Nope and nope. Bad cardiovascular fitness can weaken the heart, making it harder to handle a valve problem. But that does NOT apply to me either. My fitness was tested, I am above average for my age, even if I didn’t have a valve issue. Even though my weight has fluctuated up and down in my life, I’ve always been someone who is trying to “move more.” I’ve mostly battled just being overweight, (and then always going on a diet), but I have rarely gone up and over into the obese category. And even though there have been times in the last 14 years that I didn’t walk as much, in that time I’ve logged on RunKeeper almost 12,500 kms worth of going out for a walk. I got my first step counter/pedometer back in the year 2000. I went to Workout Express! I am healthy, right??
So, this all feels like I am getting a raw deal here somewhere. It does not feel fair.
I know, sigh, life is not fair. It just is. And obviously this card I’ve been dealt is not nearly as bad as it could be…but I still wish I could just put it back in the deck, and have this NOT be my reality.
Of course, I need to just wait and discuss the findings with my cardiologist on March 30. There is no point in stressing while I am waiting. Maybe these numbers are not the tipping point yet, or anything like that. And it was very smart of me last summer to have asked for the referral to see her. I am lucky to already be set up with her. Someone specialized is already in my corner.
But what started the whole cascade of stress for me was the rest of my Echo numbers hit my health portal yesterday, on March 3, which was my 55th birthday, of all days. Sheesh, talk about timing. And this is where I got into trouble, I googled stuff like:
Question: What does it mean if my E/A Ratio: was .86 and is now 1.01, with a former E/E’ Average of 9.2, which is now 20.5?
Answer: Based on the values provided, your echocardiogram findings indicate a significant increase in your left ventricular filling pressures and a progression in the severity of diastolic dysfunction (difficulty with the heart relaxing and filling with blood).
Oh, for crying out loud, that sounds bad.
I guess I shouldn’t be surprised, ‘relatively unchanged’ was less likely considering my hernia situation is not stable either. Ug! Stupid “issues with my tissues,” it just is what it is. But I am still bummed out, and a bit stressed.
And the truth? I think I have been feeling it get worse. Last time I had normal pulmonic vein flow. This time they see systolic reversal in pulmonary vein flow. I think that is why I was starting to feel “out of shape,” and extra tired, which I blogged about on January 9. I do have increased shortness of breath, but it’s intermittent. I may have a brief moment on a walk, where I feel winded, but then it’s gone quite quickly. I am actually more out of breath making my bed everyday! (It’s a king-sized bed, it has a fairly hefty comforter that goes over top of it). So maybe I don’t need any intervention at this point…but things are changing. I’ve been feeling it.
On one hand, knowing things are changing with my heart is causing me worry/stress. But NOT knowing doesn’t make it not true, so is there any point to NOT submitting to these follow-up tests, right? I needed to know these numbers, even if they do stress me out. It’s a no-win situation when you are dealing with a serious health issue.
Another WordPress blogger also has ongoing health concerns that are being closely monitored, and recently he had this to say:
“If I could offer one small suggestion to anyone walking that road, [waiting in a doctor’s office], it would be this: bring a book. Or in my case, a Kindle. Reading helps me escape the mental spiral. It shifts my focus away from lab numbers and test results and places it somewhere far more peaceful. If you let it, the stress will take over. And some weeks—like this one—it tries really hard.”
He is so correct, and I appreciate his words of wisdom. There is no point in letting the stress of waiting…and the eventual waiting in the literal waiting room…take over. Despite the progression in just 6.5 months, especially “Systolic reversal in pulmonary vein flow,” which sounds bad, I will enjoy this month immensely. I am off on a trip to see family, and then I will be back in time for my appointment on March 30.
Here are some of the actual comparison findings, side by side, and then what Chat GTP said about it.
Echo findings last time, August 11, 2025:
Prolapse of the anterior and posterior leaflets of the mitral valve.
Moderate mid-systolic eccentric mitral regurgitation.
Normal size left atrium.
Left atrial volume index of 31 ml/m2 (normal is 34 ml/m2).
Normal pulmonary vein flow.
Pulmonic Valve: Normal structure and function of the pulmonic valve.
No pulmonic regurgitation.
Main pulmonary artery normal in size.
Left ventricle ejection fraction = 65-70%
Left ventricle ejection fraction is calculated at 67% by Simpson’s biplane.
Left ventricle Mass (ASE) index 68 g/m2
Echo findings this time, February 26, 2026:
Prolapse of the anterior and posterior leaflets of the mitral valve.
Moderate mid-systolic eccentric mitral regurgitation. Unchanged.
Changes: Left atrium mildly enlarged.
Left atrial volume indexed is mildly enlarged, now measuring 38 ml/m^2 (normal is 34, prior was 31 ml/m^2).
Right atrium volume index increased 25% from 23ml/m^2 to 29 ml/m^2, (but still considered within normal limits until over 30).
The pulmonary vein flow has systolic flow reversal.
Pulmonic Valve: Normal pulmonic valve function with trivial pulmonic regurgitation.
Systolic reversal in pulmonary vein flow.
The aortic root indexed is enlarged 2.2 cm/m^2, (normal for my BMI is generally around 1.8)
Left ventricle ejection fraction = 60-65% (weakening)
Left ventricle ejection fraction is calculated at 60% by Simpson’s biplane (last time 67%)
Left ventricle Mass (ASE) index increased to 79 g/m2 (16% increase)
Lateral increase in early diastolic velocity of the mitral annulus from 8.8 to 31.2, (threshold is 15)
Left ventricle filling pressure increase, E/E’ Average was 9.2, is now 20.5.
Hmmm…That all sounds bad. But then Chat GTP talked me down off the wall. Changes, yes, but tipping point? Maybe not:
“In the 6.5 month interval, you see your:
• Ejection fraction drop from normal to low normal
• New left atrium enlargement, along with left ventricle mass and dilation increase
• New pulmonary vein flow reversal and enlarged aortic root
It feels like a tipping point.
But physiologically, this still fits within:
Moderate chronic mitral valve regurgitation, with progressive remodeling due to chronic volume overload.
Your cardiologist might:
• Repeat echo in 6 months instead of 12
• Consider cardiac MRI if quantification is uncertain
• Track left ventricle end-systolic dimension carefully.”
Nothing left to do but wait, lower my stress, and stop googling.






















