LVEF low heart rate help.
At 81 I have a left bundle branch block, had a heart attack years ago and now my fraction rate keeps going down. It went from 40 to 35 and the doctor up my meds & said: after the next ECHO in October if it is still low I will need a defibrillator which won't fix the problem only shock me if my heart stops. Looking for something I can do to make this improve & need any information possible. Thanks! DR
Interested in more discussions like this? Go to the Heart Rhythm Conditions Support Group.
Hello @bluelady44,
I moved your discussion to the Heart Rhythm Conditions support group, https://connect.mayoclinic.org/group/heart-rhythm-conditions/.
I'd like to invite @jrccle, @bill0996, and @dizzyprizzy who have discussed a left bundle branch block and some of their complications, treatments and coping mechanisms they have experienced.
@bluelady44, while you wait for your next ECHO, were you given any restrictions or things to look for day-to-day?
No alcohol, light exercise. Watch for weight gain?
I only wanted to talk about my lower LVEF heart rate. I don't have a fib.
My LBBB was in 2005, age 59, and discovered at VA who put me on BP meds and cholesterol meds. Assigned a cardiologist who just followed. In 2019, I had an AFib event that resulted in an ablation 6 mos later. That EP put me left me on Eloquis as he said that I hit 3/5 markers. In 23, a stress EKG showed a heart that did not respond properly, sick sinus syndrome diagnosis. Pacemaker implanted for a minimum of 60 beats. BP seems to have responded favorably. This EP took me off of Eloquis in early 24. Long story here but I think that LBBB is the least of your worries. The EF is most important. And for me there are other declining numbers from a recent (6/25) heart ultra sound. I think that the only thing that I can do is to increase an already active lifestyle and improve diet with the med diet. I am very comfortable with my Docs at Vanderbilt. Therefore, discipline yourself to improve in certain areas and stop the things that you know are harmful.
This is not helping me. Two people didn't even answer????
This may be too late to help the original poster about this question regarding help for the low heart rate. I am about the same age and have had a low ejection frction for ten years since a serious heart attack. My ejection fraction has stayed the same so far. But my resting heart rate is going a bit lower these days. So far I have refused an implant because the emphsis was only on the ICD protective aspects. More recently I asked my cardiologist if I would feel better pacing from a combination implant. (I get along fairly well with the reduced responsibility of n 83 year old, but more energy wold be apreciated.). His answr was that chances were bout 50% that I would feel better. So about equal chance I would feel better or not feel better. When I weigh that and factor in even any slight chance of a problem from either the surgery or the implant afterwards, then the 50% possible iprovement becomes less than 50%. Right now I can till do prety much anything I want want to do but possibly a little less or a litle slower.
I think maybe some people get a little more energy from a raised heart rate, but it is my understanding that pacemakers cannot raise ejection fractions. I turned down an ICD and even an SICD ten years ago. Now I know it was the right . decision. If and when I there is a new decision to be made, I hope I will make a ood one.