Low Ejection Fraction

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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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 »


Dr. Kaushal Bhavsar

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 »

What is the treatment for peripartum cardiomyopathy?

Query: Hi doctor, My sister was diagnosed with peripartum cardiomyopathy during her pregnancy. Her age is 31 and weight is 55. She delivered a baby girl through normal delivery. 2D echo report says 20%-25% heart function (LVF). But she is not having any external symptoms like swelling, breathing problem, ...  Read Full »


Dr. Sukhvinder Singh

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 20-25%, please do get another echo done from an independent reliable source to confirm the diagnosis. The condition peripartum cardi...  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 b...  Read Full »


Dr. Muhammad Zohaib Siddiq

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 »

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 »

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 »


Dr. Yermal Tanmai Deelip

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 »

My maid has a heart problem from birth. How to manage her issue?

Query: Hi doctor, My maid has a heart problem since her birth. She complains of pain in heart, a sudden increase in heartbeat, feels hot and leg pain. Now, she feels very weak. Her echo was done recently and I have attached that here.  Read Full »


Dr. Amiya Kumar Chattopadhyay

Answer: Hi, Welcome to icliniq.com. Her echocardiogram (attachment removed to protect patient identity) shows three heart valves have been affected, mitral regurgitation (MR), tricuspid valve regurgitation (TR) and aortic valve regurgitation (AR). Her LVEF is 38% (left ventricular ejection fraction). Her h...  Read Full »

Should my friend opt for heart surgery?

Query: Hi doctor, My relative has got heart attack some days before. I have his reports. We need a second opinion about surgery whether he should go or not. His presenting complaint includes chest pain and high blood sugar. He is under diabetes medicine.  Read Full »


Dr. Rishu

Answer: Hi, Welcome to icliniq.com. Kidney function tests of your relative are deranged (attachment removed to protect patient identity). His serum creatinine levels and potassium levels are high. What do you mean by surgery? Is that open heart surgery or stenting? However, the surgery c...  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 »


Dr. Muhammad Zohaib Siddiq

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 »

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 »


Dr. Rishu

Answer: Hi, Welcome to icliniq.com. I have gone through his reports (attachment removed to protect patient 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 coronary ar...  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 »


Dr. Isaac Gana

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 »

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