Ejection fraction (EF) is the measurement of how well the heart is working, that is, pumping blood out with every contraction. When this EF falls below 55 %, it is called a low ejection fraction, which indicates that the heart is not functioning properly. A low ejection rate puts you at risk of heart failure.
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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 a... Read Full »
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 t... Read Full »
Kindly explain my dad's echocardiography report and further treatment.
Query: Hello doctor, My dad underwent echocardiography. The LVEF % which used to be in the range of 45 % earlier has dropped to 30 % to 35 % range. He had an episode of VT before two years and had ICD embedded. I am attaching his earlier and latest report. Please explain. Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through his reports (attachment removed to protect the patient's identity). Wall motion abnormality is seen in the echo report of your father. The heart is supplied by three arteries LAD, RCA, and LCX that is, left anterior descending artery, right cor... Read Full »
What is the treatment for peripartum cardiomyopathy?
Query: Hi doctor, My sister was diagnosed with peripartum cardiomyopathy during her pregnancy. Her age is 31 years and weight is 121 pounds. She delivered a baby girl through normal delivery. 2D echo report says 20% to 25% heart function (LVF). But she is not having any external symptoms like swelling, bre... Read Full »
Answer: Hi, Welcome to icliniq.com. Before I answer your questions in detail, I would like to tell you that if she is totally symptom-free and her ejection fraction (EF) is 20 to 25%, please do get another echo (echocardiogram) done from an independent reliable source to confirm the diagnosis. The condition... Read Full »
My father has ventricular systolic dysfunction. Can you suggest precautionary measures to prevent it from worsening?
Query: Hi doctor, My father had breathing problems and experienced shortness of breath. He took an echocardiogram (ECHO), and the report mentions left ventricular systolic dysfunction, and the left ventricular ejection fraction (LVEF) of 31 %. The cardiologist has given medications. Now he does not have br... Read Full »
Answer: Hi, Welcome back to icliniq.com. He should continue medicines and remain compliant with these. Other precautions are to reduce salt intake; if there is fluid overload, then reduce liquids intake. Regularly get blood tests done, including renal function tests and electrolytes tests. These medici... Read Full »
My dad is about to be sixty years old and has an LVEF of 25 percent. What precautions should he take?
Query: Hi doctor, My dad is about to be sixty years old and has an LVEF of 25 percent, and rest is normal and no other diseases. What precautions should he take? How to cure this? Kindly help. Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concern. Take regular cardiac medicines. Avoid oily, spicy, and junk food. Avoid fatty food. Also, restrict the fluid intake to less than 1.5 liters per day. Unfortunately, there is no cure to reverse this condition. Thank you. Read Full »
Why does my father suffocate and become tired in the middle of the night?
Query: Hi doctor, My father has some breathing problems for the last few days. He is breathless in the middle of the night. He is tired and has suffocated. We got an echocardiogram test and several other tests done yesterday. I am attaching the prescription and reports. We want your suggestion for the furt... Read Full »
Answer: Hi, Welcome to icliniq.com. I went through your query and have reviewed all your reports (attachments removed to protect the patient's identity).The echocardiogram is suggestive of severe left ventricular dysfunction with low ejection fraction meaning inadequate heart pumping. That is the reason f... Read Full »
Why has my mother's EF fallen since last year?
Query: Hi doctor, My mother was diagnosed with mitral valve regurge and atrial fibrillation before many years. She is taking Dilatrend twice a day with vitamins. She is 65 years old now and done an ECHO every six to nine months. For the past three years, she has the following ejection fraction. She had an... Read Full »
Answer: Hi, Welcome to icliniq.com. Echocardiography is a subjective test and the results may vary between the observers and from time to time. Mitral regurgitation can occur due to ischemia or valvular pathology. In the case of secondary mitral regurgitation, if the heart muscle is viable, angioplasty he... Read Full »
What does low ejection fraction mean?
Query: Hello doctor, I have shortness of breath. I have done transthoracic echo complete with Doppler interpretation. I have attached the report. Kindly suggest. Read Full »
Answer: Hello, Welcome to icliniq.com. I have thoroughly gone through your echo investigation (attachment removed to protect patient identity), most of the parameters were noted to be within normal range with the exception of ejection fraction. The ejection fraction was noted to be 50% which is slight... Read Full »
Can alcohol and steroid cause heart failure with low ejection fraction?
Query: Hi doctor, My husband was just diagnosed with congestive heart failure with 25% ejection fraction. They also found an artery 100% blocked, but his own body made another vein and they discovered it is viable, so no bypass surgery is needed. They also discovered his mitral valve is stiffened, and no... Read Full »
Answer: Hi, Welcome to icliniq.com. Thanks for the query madam. Good to know you are worried about your husband. Yes, alcohol and steroids do cause harm to the heart. Make sure your husband never uses these suicidal drugs again, as now he has an ejection fraction of only 25%. Coming to the mitral valve... Read Full »
What is the recovery rate in a patient with low ejection fraction?
Query: Hello doctor, My father is 56 years old and is suffering from a low ejection fraction rate of 25%. Is there any way of recovery? Read Full »
Answer: Hello, Welcome to icliniq.com. This depends on the cause. If the cause is ischemic, meaning it has occurred due to blockages and the heart muscle is already dead, then it is unlikely to improve or improve slightly. And if the heart muscle is not dead, then opening the blocked vessel will help in i... Read Full »