Ejection Fraction

The measurement of how efficiently your heart is pumping blood out with every contraction is called ejection fraction or EF. The ejection fraction is generally tested for the left ventricle (the lower left chamber of the heart). The normal EF is 55 %, and if it falls below 55 %, it indicates a high risk of heart failure as the heart is not functioning properly.

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Do I need medications for blocked arteries?

Query: Hello doctor, My CT coronary angiography study reveals a sudden cut off at mid LAD at the region of D2 origin. Similar cut off saw at D2 ostium, proximal D1, and proximal LCX due to step artifact due to heart rate variation during the scan. It is not possible to comment on these arteries at these l...  Read Full »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. It is not normal. There are significant blockages in your arteries. You will need medications as well as conventional angiography. So you will need medications like Aspirin and statins (like Atorvastatin), other medicines according to symptoms, and an echo report....  Read Full »

What should I do to help my mom's severe breathing problem with PAH and heart failure?

Query: Hello doctor, My mother has been suffering from breathing problems for quite a long time. Local doctors used to provide inhalers and Deriphyline tablets for that. Since last year, it went severe, and lately, it has been diagnosed with severe PAH and right heart failure. She is unable to walk or do ...  Read Full »


Dr. Zubayeralam

Family Physician, General Medicine Physician, General Practitioner, Pulmonologist, Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. I can understand your concern. According to your statement, your mom has been suffering from severe breathing problems in a little activity for a long time. According to the ECHO report, severe PAH (pulmonary arterial hypertension) and right heart failure, but EF (eject...  Read Full »

Should I be worried about the side effects of diuretics on kidneys?

Query: Hi doctor, Three months ago, I had a heart attack. Then, I went through angioplasty with stenting. Post heart attack, I was diagnosed with moderate systolic HF with EF at 35%. Currently, I am on Clavix, Rozucor 10 mg, Tide 5 mg, Metocard-XL, Planep 25 mg and Telma 20 mg. I am improving well. My EF ...  Read Full »


Dr. Muhammad M. Hanif Md.

Cardiologist, Criticalcare Physician, General Medicine Physician, Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. I appreciate your concerns. After thorough review of your health query, I want to answer those questions. Do not be overconscious regarding the issue of the lipid profile. It seems to be fine to go with this. Keep taking healthy diet. Your profile is not too low to worry...  Read Full »

Does my mother's ECG show any heart problem?

Query: Hi doctor, My mother is under treatment for hypothyroidism, hypertension and osteoarthritis of knee joints, which is stage 2. I have attached her current medication list and ECG report. I request you to kindly have a look at the ECG and advice whether there is any indication of heart issues. Althoug...  Read Full »


Dr. Anshul Varshney

Criticalcare Physician, Diabetologist, General Medicine Physician, Internal Medicine Physician, Medical Gastroenterologist, Nephrologist, Pulmonologist, Rheumatologist

Answer: Hi, Welcome to icliniq.com. We are here to help you. I have seen the attached report (attachment removed to protect patient identity). The attached electrocardiogram - ECG seems normal to me. However, there is a slight left axis deviation, making your doctor to comment on LBBB (left bundle branch bl...  Read Full »

Will ablation helps to normalize the size of dilated atrium?

Query: Hello doctor, I have AF for six years. Tried DCC and got sinus rhythm for 12 months, then back to AF six months ago. My echo showed serious left atrium dilation (more than 200% i.e. 180 ml compared to the normal 60 ml) and mild ventricular dilation. 24 hour tape ranges from tachycardia of up to 12...  Read Full »


Dr. Naresh Kumar Monigari

General Medicine Physician, Internal Medicine Physician

Answer: Hello, Welcome to icliniq.com. I had gone through your query. So as ablation can prevent AF (atrial fibrillation) but the return of atrial size to normal is unlikely. The risk due to atrial dilation in AF is due to the formation of blood clots inside left atrial appendage and chance of embolism pr...  Read Full »

Is slight increase in trabeculation of left ventricle a worrying issue in 9 months old baby?

Query: Hello doctor, My son is 9 months old and we visited a cardiologist a week ago. He does not have any symptoms and is a healthy child. All the dimensions were within range and ejection and fraction were 70 and 40. What they did find was a slight increase in trabeculations of the left ventricle. I ha...  Read Full »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. Trabeculations are a normal findings in the left ventricle in both the adults and children. When these become excessive along with an increase in LV thickness, then it is considered abnormal. Now this slightly increased trabeculations is entirely a subjective findi...  Read Full »

How can we improve the rate of LVEF?

Query: Hi doctor, My father had a heart attack three weeks ago. Now, he is under medication and in complete rest at home. But echocardiogram report says his LVEF rate is 29 %. Some cardiac enzymes are high. How can we improve the rate of LVEF? Can this percentage get improved by rest or diet or something? ...  Read Full »


Dr. Vivek Pillai

Cardiologist

Answer: Hi, Welcome to icliniq.com. Your father had a heart attack and from his echocardiography report, (attachment removed to protect patient identity) the affected areas are thinned out and akinetic. It means that the heart muscles have lost their function in these areas. He can take drugs like beta bl...  Read Full »

What could be the cause of ventricular fibrillation?

Query: Hello doctor, My 29 year old brother had a pacemaker placed three years ago after survival from a sudden cardiac arrest. Doctors found the cause of the cardiac arrest to be a ventricular fibrillation. Last week was the first time he received a shock from his pacemaker, that is, exactly three years...  Read Full »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. Ventricular fibrillation, the commonest cause is coronary artery disease. The other causes are dilated cardiomyopathy or low heart function. What is his ejection fraction? Low ejection fraction due to any reason like coronary artery disease or others can lead to v...  Read Full »

Is jerky septum a normal finding on the echocardiogram?

Query: Hello doctor, I am 50 years old. My echo is normal with LVEF of 50% and dobutamine stress test negative for ischemia (LVEF of 58%). But, it shows a jerky septum? Is jerky septum a normal finding?  Read Full »


Dr. Ganesh P Sapkal

Cardiologist

Answer: Hello, Welcome to icliniq.com. There are a few causes of jerky septum like bundle branch block, increased pressure in the right side of the heart, and disease in the pericardium. As your echo is normal, because of increased pressure on the right side of the heart, disease in pericardium is less l...  Read Full »

My wife is recovering from postpartum cardiomyopathy. How to take care of her?

Query: Hello doctor,Recently my wife survived after having an attack of postpartum cardiomyopathy. She is 26 and her EF was reduced to 20 % when she was admitted. She had an attack of repetitive convulsion and her lungs got filled with gastric juice. Now after remaining hospitalized for more than two weeks...  Read Full »


Dr. Amiya Kumar Chattopadhyay

Cardiologist

Answer: Hello, Welcome to icliniq.com. Regarding the diet restrictions, common salt intake should be within one teaspoon daily. Salt intake to be maintained strictly. Avoid strenuous activities. She should be on rest till she improves. It is very good that her EF (ejection fraction) improved to 55 %. That ...  Read Full »

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