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How to assess heart function?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I recently had a cardiac MRI. My cardiac index is 2.3, and my ejection fractions are 56, 47, and 67 percent. Do these ejection fractions seem normal? Is my cardiac index low? I experience an increased heart rate during exercise and pain in my left arm.

Please help.

Answered by Dr. Sagar Ramesh Makode

Education:

MBBS

Professional Bio:

Dr. Sagar Ramesh Makode is a Consultant Cardiologist dedicated to diagnosing and managing various heart conditions with precision and care. He focuses on improving cardiovascular health through advanced treatments and preventive strategies. With expertise in providing personalized care, he strives to support patients in achieving better heart health, enhancing their quality of life, and reducing the risk of future cardiac complications.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

The cardiac index is slightly on the lower side, but two of the ejection fractions are normal. Normal ejection fraction is typically above 55 percent. Since two out of the three readings are normal, we can consider your heart function to be normal. As the heart function appears normal, the cardiac index becomes less significant. So overall, I do not think there is anything to worry about. You must have also had an echocardiogram, which is a direct indicator of ejection fraction. If the echo also shows a normal ejection fraction, it confirms normal heart function. MRI (magnetic resonance imaging) is more important for identifying other conditions like fibrosis, fatty changes, or late gadolinium enhancement. If any of these are present, further evaluation may be needed.

I hope this helps you.

Thank you.

Patient's Query

Hello doctor,

Thank you for the reply.

Also, I have a few more readings that I would like you to check: stroke volume is 118, and cardiac output is 5.6.

Answered by Dr. Sagar Ramesh Makode

Education:

MBBS

Professional Bio:

Dr. Sagar Ramesh Makode is a Consultant Cardiologist dedicated to diagnosing and managing various heart conditions with precision and care. He focuses on improving cardiovascular health through advanced treatments and preventive strategies. With expertise in providing personalized care, he strives to support patients in achieving better heart health, enhancing their quality of life, and reducing the risk of future cardiac complications.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome back to icliniq.com.

Stroke volume is supranormal, and cardiac output is normal, which is excellent. A supranormal stroke volume can be seen in bradycardia, which might have been induced during the MRI scan to improve image quality. So, there is nothing to worry about.

I hope this helps you.

Thank you.

Medically reviewed by Dr. K. Shobana
Published At October 18, 2019
Reviewed At November 26, 2024

Education:

MBBS

Professional Bio:

Dr. Sagar Ramesh Makode is a Consultant Cardiologist dedicated to diagnosing and managing various heart conditions with precision and care. He focuses on improving cardiovascular health through advanced treatments and preventive strategies. With expertise in providing personalized care, he strives to support patients in achieving better heart health, enhancing their quality of life, and reducing the risk of future cardiac complications.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Sagar Ramesh Makode is a Consultant Cardiologist dedicated to diagnosing and managing various heart conditions with precision and care. He focuses on improving cardiovascular health through advanced treatments and preventive strategies. With expertise in providing personalized care, he strives to support patients in achieving better heart health, enhancing their quality of life, and reducing the risk of future cardiac complications.

This doctor is not available for online consultations on the platform anymore.

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