Hi
hellhole MI may have been missed as often silent heart attacks are there, your current doctor rightly tells you that at present there is no new heart attack only left ventricular enlargement which may be due to high BP. Diastolic dysfunction is not that risky as a systolic dysfunction and surely your cardiologist know well, Your EF is normal at 65% means ventricular contraction power is good, so nothing to worry. Nuclear test showing effusion fraction 92% may not be worrying your doctor as may well be within normal confines. Trust the senior cardiologist who has seen you and follow his advice for treatment. Normal cardiac enzymes also rule out new heart attack. Don't worry. Consult the cardiologist you last met thanks