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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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

Cardiologist

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 »


Dr. Muhammad Zohaib Siddiq

Cardiologist, General Practitioner

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 »


Dr. Sagar Ramesh Makode

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

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 »

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

Cardiologist

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 »

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 »

After open heart surgery, how long will I survive?

Query: Hello doctor, I am 43 years old and had a heart attack. 45 days ago, I had angioplasty and a stent was placed. But now, the doctor says that one of my valves needs to be replaced as it is not functioning properly. My ejection fraction is only 30%. Is it safe to undergo open heart surgery now? For...  Read Full »


Dr. Rishu

Cardiologist

Answer: Hi, Welcome to icliniq.com. I have noted all your details. Valve malfunctioning is divided into three stages; mild, moderate and severe. The treatment protocol of every stage is different. Ejection fraction 30% can be because of the coronary artery blockage. You have not mentioned whether your angio...  Read Full »

Please explain my father's heart problem from the medical report.

Query: Hi doctor, My father has diabetes for the past 15 years and he is suffering from heart problem for the past four years. Recently he was admitted to the hospital due to severe breathing problem, sudden fainting, loss of appetite and water accumulation in the stomach and legs. After taking treatment ...  Read Full »


Dr. Muhammad M. Hanif Md.

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

Answer: Hi, Welcome to icliniq.com. After careful review, I can appreciate well the sensitivity of the issues you and your family is suffering from. Your father seems to have left heart failure (attachment removed to protect patient identity) that landed him twice in the hospital. He is having the...  Read Full »

I have congestive heart failure with EF at 42. Will this get normal with healthy diet?

Query: Hello doctor, I am a healthy 50 year old man who worked out six days a week. About six weeks ago, I had chest pain and went to a hospital. I was admitted after having three blocked arteries, at 99, 93 and 88 percent, and successfully had three stents put in. Since released, I have turned to a vegan...  Read Full »


Dr. Ilir Sharka

Cardiologist

Answer: Hello, Welcome to icliniq.com. I would explain that heart failure is a clinical syndrome. EF (ejection fraction) is not the only element indicative of heart failure. It may differ based on the clinical situation and other parameters. I agree with your current therapy. I agree with your doctor tha...  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

Cardiologist

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 »

I am a pacemaker-dependent individual. What are my chances of survival?

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

Cardiologist

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 »

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