I recently went to my doctor for a follow-up visit regarding my acid reflux. They took my pulse and blood-pressure and then listened to my lungs and heart. We were chit-chatting while he was doing this until he started listening to my heart. "whoa, listen to that murmur.", he said. Since I can't recall if anyone has ever told me I have a heart murmur, he suggested that I get an echocardiogram (ecg). Also, my blood pressure was higher than I thought it would be, about 132 (i forget the other number). My resting heart rate is about 57.

I'm a 25 year old male who doesn't smoke, drink, or do drugs. I don't drink coffee and my diet is pretty good. I work out intensely 6 days a week doing martial arts, weightlifting, running, and wrestling. I also have no family history of heart disease. I feel great, too. No symptoms at all.

I have an appointment for an ecg next week, but the demeanor of my doctor has me spooked. He said it was a rather loud heart murmur.

I'm just wondering what the odds are that I have some weird heart deformity or disease. Are "loud" heart murmurs a sign of trouble, generally? Keep in mind that my blood pressure is also somewhat high for someone like me.

Any insight would be appreciated!