1. < Heart & Blood Health

treatment options for low ejection fraction 35 or under and no symptom

Posted by seth250 @seth250, Dec 1, 2016

my ejection fraction seems to have been misread by echo, revaluate by stress nuclear at 35, then mir at 20 and then after hospitalization 35 by echo
what are the right treatments opyions- drugs or implant
no real information from cardiologists but some non ischemic heart beats

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pumaguy79 | @pumaguy79 | Sep 4, 2023
In reply to @hopeful33250 "Hello @pumaguy79 You do present a puzzling question. I can certainly understand that you would like..." + (show)
@hopeful33250

Hello @pumaguy79

You do present a puzzling question. I can certainly understand that you would like some answers. It appears from your post, that you basically feel OK despite the EF numbers. Is my understanding correct? Do you have any heart valve problems or any arrythmia problems?

While we wait for others to respond to your post, I'm wondering if your cardiologist has provided any insight to these changes in your EF?

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failed to respond to your last question about sudden change in EF. No, she has offered no specific cause. I asked about COVID vaccine-caused myocarditis, but we both know those reports affect younger males. Remember my stroke volume
was measured at 51 ml by the same CCT that found a 24% EF.

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Mentor
Teresa, Volunteer Mentor | @hopeful33250 | Sep 6, 2023
In reply to @pumaguy79 "Thanks, Teresa. I've got blockages for sure and right branch bundle disturbance. I can see where..." + (show)
@pumaguy79

Thanks, Teresa. I've got blockages for sure and right branch bundle disturbance.

I can see where lack of symptoms might hide angina pain, but nothing explains my ability to walk, climb stairs and do all of life's activities.Well, I take that back.
Noted author and San Diego cardiologist,Dr. Howard Wayne, described the heart's ability to revascularize itself to "bypass" clogged and blocked arteries.
These tiny arterioles are completely invisible to the heart cath imaging , but they can do a lot of work nourishing the heart muscle. I believe he was right.

But then, I get this low LVEJ reading that is so deeply inconsistent with my sense of well-being. And of course, an alert and concerned cardiologist has to
recommend a trip to the cath lab; and I have to keep refusing given my daily health experience and given the common practice of upping the game from
Cath lab to surgical suite.

And so it goes.

Thanks !

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It all is very puzzling, @pumaguy79. I found the information about "the heart's ability to revascularize itself to "bypass" clogged and blocked arteries" to be very interesting. I'll have to look into that and see what I can learn.

I'm under the impression that you don't want to have the catherization, as it might lead to heart surgery. Is that correct? I understand that if you are feeling good and your activity is not limited it is hard to consider further evaluation.

However, just a thought, but have you considered that the heart catherization might result in stent(s) placement? If that could be done, perhaps more extensive surgery might be avoided.

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pumaguy79 | @pumaguy79 | Sep 6, 2023

I keep thinking that I’ll reserve invasive procedures for when I’m feeling pain and/or fatigue that interrupts my life style. Maybe I won’t get that chance and my family will regret it, but there are risks to invasive procedures as well. I’m simply trying to weigh the risks of “watchful waiting” vs preventative invasive steps. I was told to go to the. Cath lab 25 years ago and certainly don’t regret deferring back then.
Thanks you hopeful33250.

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