What causes left ventricular dysfunction and heart failure?

Hello doctor,

I am a 24 year old female who has celiac disease and was recently diagnosed with cardiomyopathy, a left bundle branch block (starts I believe when my pulse gets above 80). I had atrial flutter and had an electrophysiology study, where they ablated some arrhythmias, and during the procedure, I went into atrial fibrillation and required cardioversion to fix it. They have also told me that I have left ventricular dysfunction that is causing heart failure. I also got a cardiac implant that records my heart but is not a pacemaker or defibrillator. My heart was completely fine twelve months ago. I had an EKG that showed no problems. Then towards the end of last year, I developed all of the above-stated problems. Recently I have been feeling quite sick and these are my symptoms:

• Sensitivity to sound.
• Lots of ringing and roaring in the ears.
• Dry eyes.
• Dry mouth.
• Very sore joints.
• Exhausted.
• Light-headed.
• Chest bubbles or fluttering.
• Bad memory.
• Diarrhea or constipation (causing bleeding).
• Tremors.
• No appetite.
• Significant pain in armpits.
• Sore neck.
• Night sweats.

My main medical care is through Veterans Affairs. So, any possible answers would be greatly appreciated.

Kindly help.

Thank you.

Hi doctor,

Thank you for your reply,

I do not take any diuretic. The only cardiac-related medication I take is 100 mg of Metoprolol. The only other medications I take are Protonix for GERD, Tramadol for pain 100 mg extended release, and bc. But neither the dosages or medications have changed, anytime near when the newer symptoms started. I cannot scan at the moment but this is what it says. I will summarize the sections where it really only says it is normal.

• Left ventricle: The left ventricle is normal in size. There is normal left ventricular wall thickness. Left ventricular systolic function is mild to moderately reduced. Ejection Fraction is 35 to 45%. Septal motion is consistent with conduction abnormality. There is moderate posterior wall hypokinesis.
• Right ventricle: Normal size, normal function.
• Atria: Left and right atrial size is normal.
• Mitral valve: Normal. No mitral valve stenosis. There is trace mitral regurgitation.
• Tricuspid valve: Valve is normal, no stenosis. Trace tricuspid regurgitation. IVC is normal in size and collapses <50%. Right ventricular systolic pressure is normal.
• Aortic valve: No stenosis. No regurgitation.
• Pulmonic valve: The pulmonic valve is not well visualized.

Please help.

Thank you.