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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Will increased BNP value cause edema and dyspnea?

Query: Hello doctor, I will try to be brief. I am a 49 year old female who has been pacemaker dependent for several years. Due to cardiomyopathy EF of 30 %, BNP of 186, and a cardiac event resulting in high troponin. I eventually was switched to a biventricular pacemaker/defibrillator. I had an echo last ...  Read Full »


Dr. Isaac Gana

Answer: Hello, Welcome to icliniq.com. I understand your concern. Although your ejection fraction is now 50%, your BNP (brain natriuretic peptide) value is high which is the reason you are experiencing edema and dyspnea. Increased BNP causes a fluid and pressure increase in your heart, which in turn mani...  Read Full »

Kindly go through my echocardiogram report and tell whether I have any issue.

Query: Hello doctor, I was wondering if I could get a detailed review regarding the attached echocardiogram report. I wish to know whether there is any issue which requires immediate medical attention. Moreover, I would also like to know about the non-pharmacological management of the abnormality, like e...  Read Full »


Dr. Amiya Kumar Chattopadhyay

Answer: Hi, Welcome to icliniq.com. I have gone through your echocardiography report (attachment removed to protect patient identity). Your EF (ejection fraction) is 76 %, which is good. But, you have a heart valve problem. You follow-up with your cardiologist, and repeat echocardiogram as suggested by him...  Read Full »

Are mildly dilated aortic root and ascending aorta life-threatening?

Query: Hi doctor, I am 33 years old male and had a 2D echo of the heart done. I am just anxious about how bad these results are. How much in the danger zone am I? I have decided to make lifestyle changes upon getting these results but, I am worried I have gone too far. What does ejection fraction mildly r...  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to icliniq.com. A mildly dilated aorta is usually of no concern unless family history is positive for dilated aorta, aortic aneurysm, or aortic dissection. The ejection fraction is mid-range. Should find the cause for it. Do you have a family history of cardiac issues? Do you have dia...  Read Full »

Kindly go through my echocardiogram report and interpret the cause.

Query: Hi doctor, I have done an echocardiogram before few days. The report shows normal ventricular size with normal systolic function. There is a left ventricular ejection fraction of 55 to 60 percent. There is a grade 1 left ventricular diastolic function. The proximal ascending aorta is normal in size...  Read Full »


Dr. Muhammad Majid Hanif

Answer: Hi, Welcome to icliniq.com. I have gone through the echocardiography report (attachment removed to protect patient identity). Most of the aspects of heart function and anatomy are normal. But there are mild changes and it can cause problems. Your heart has a mild filling defect. There is a mild is...  Read Full »

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

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. Muhammad Zubayer Alam

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 Majid Hanif

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

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

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

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 »

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