Ejection fraction 35-40% and no symptoms

Yes. Exactly. Just got cardio converted for afib
Holding it's own.
note: some far Kardia monitor can't give me a solid reading. Usually get "No Result. Interference. Sit still. I AM sitting still.🤷

@scaredkat
I have off and on AFIB but take Eliquis.

My EF has been the same for last 10 years of 22%. Normal is 50-70. I have no symptoms and have no restrictions on exercise from my heart failure doctor. Up to this year was doing Sprint Triathlons.

I am on some great medications for about 10 years now. I have electrical problems in heart so have a ICD/Pacemaker. My medications cause my pulse ( bpm) to drop to below 40 sometimes so pacemaker paces it at 70 bpm.

I think one of the main things my heart failure doctor told me was you have been active all your life and your body has compensated for your low EF. 20 years ago they would tell you to go home and rest. Now they tell you to go home and exercise.

Oh thank you that gives me so much hope.

Have you looked into Entresto? My Cardiologist put me on it and it resulted in a significant improvement in my EF. (From mid 40’s to the mid 60’s)

@beebo I’m on it now for a year no improvements maybe the dosage needs to be increased?

@scaredkat
The key is keeping your EF stable. If the Entresto is keeping is stable then it is doing it's job. Many have improvements in EF with Entresto but that is their hearts and their individual problems that put them on Entresto.

Is your EF remaining stable? What is your EF now? Is it the same as a year ago?

@jc76 it went down from 40-45 to 35-40. In one year

@scaredkat
It takes time for the Entresto to work. It will be important to see what next echo shows. There are a lot of other medications out there that can help with heart restructuring like Jardiance. Talk to your cardiologist about others that can be taken along with Entresto.

How is your blood pressure? Is your heart enlarged. A large heart has trouble contracting and can affect EF. An enlarged heart has many causes but a common one is high blood pressure.

Did your cardiologist tell you that EF for echocardiograms are subjective. You can have two cardiologist look at same echo and see a different number. Also the EF can fluctuate day to day. All coming from my Heart Failure Specialist and my Electrophysiologist at Mayo Jacksonville.

My EF when diagnosed was 48. It steadily went down to below 30 and that is when I got an ICD/Pacemaker. When your EF gets to 30 or below they normally order a ICD or dual device like mine ICD/Pacemaker. Why at 30 don't know just was told these by all my cardiologists.

My EF has been the same for over 10 years.

@beebo
What side effects have you experienced on Entresto?

@ruth36 I have been on it for two years and I have never experienced any side effects