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@floridabonnie

My EF is 45 according to the echo. And my blood pressure usually runs around 100/ 55 give or take, but it is almost always lower than 120/80;

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@flordabonnie
The 45 is not bad. I am not a medical professional so that is a personal comment. I wish mine was 45! I believe 60-70 is the normal EF. When it gets down to 30 cardiologist and EPs will look at ICD/Pacemakers. That is what happened to me it went down to 30. I went to Mayo for second opinion and have been at Mayo since 2006. I am being treated by a Heart Failure Specialist and a EP Specialist.

Your BP is excellent. I was told BP is the silent killer and a big cause of heart failure. The heart works so much harder when BP is high and can lead to HF because of enlarged heart trying to pump harder.

Work on keeping you EF from going any lower or improve it. That can happen (improve) so stay positive. Mine has been at 25 for about 2 decades now with the medications I was put on when I came to Mayo Jacksonville in 2006. The pacemaker has really helped with keeping my pulse rate at a healthy rate as with the medications it was going down in the 40s.

My BP is usually around 110-70. It can go lower but rarely higher.