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seth250
@seth250

Posts: 3
Joined: Dec 01, 2016

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

Posted by @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

REPLY

Welcome to Connect, Seth.
I’m tagging a few other Connect members who have also experienced reduced ejection fraction in the hopes that they can offer some thoughts. @thankful @bibi12 @murryone @cynaburst any input for Seth?

Seth, what treatment options are being suggested by your cardiologist?

Have they given you a diagnosis? Possibly dilated cardiomyopathy? The treatments for systolic heart failure, which is what you are dealing with are either medications. Some possibilities are things like beta blockers, diuretics, ARBs, ACE inhbitors. Another possibility is a bi-ventricular pacemaker or defibrillator. It sounds like you need to find out what is causing your systolic heart failure. Are you also having arrhythmias? That is another issue that can be addressed various ways. It seems like you need a bit more clarity on your condition. If your current doctor is not providing this, maybe you should get a second opinion.

@cynaburst

Have they given you a diagnosis? Possibly dilated cardiomyopathy? The treatments for systolic heart failure, which is what you are dealing with are either medications. Some possibilities are things like beta blockers, diuretics, ARBs, ACE inhbitors. Another possibility is a bi-ventricular pacemaker or defibrillator. It sounds like you need to find out what is causing your systolic heart failure. Are you also having arrhythmias? That is another issue that can be addressed various ways. It seems like you need a bit more clarity on your condition. If your current doctor is not providing this, maybe you should get a second opinion.

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Thank you, I have not gotten a clear opinion from Dr as to why latest Echo showed 35 and strong heart when in hospital for drug interaction There is some arthmyia but dont know what is standard Looking for a second opinion in early January Thanks Good to speak to someone who understands this

@colleenyoung

Welcome to Connect, Seth.
I’m tagging a few other Connect members who have also experienced reduced ejection fraction in the hopes that they can offer some thoughts. @thankful @bibi12 @murryone @cynaburst any input for Seth?

Seth, what treatment options are being suggested by your cardiologist?

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At moment concept is try drugs and maybe trial of new drug and then probably defribulator
Dr doesn’t give much feedback
Trying to get a few more opinions
No blood vessel problems

@seth250 – I had the “widow maker” HA back in May of 14 and as a result have a EF of 35. I take 2.5 mg. of Lisinopril, 50 mg. of Metoprolol Succinate, and 40 mg. of Simvastatin each day as far as pharmaceuticals and a number of supplements that I have done research on that I feel make a big difference on how I feel. I work out 3x a week for about 1 1/2 hrs. and am winding down my remodeling business just taking on smaller jobs from past clients these days.
In my case the Echo was the test that finally got the attention of the cardiologist when I went to the ER that day. After several typical tests (EKG, X-Rays, etc.) once they settled me down with some pain meds they had planned to admit me and have me take a stress test the next morning. My wife left the hospital to pick up my PJ’s and toiletry bag and soon after the Echo Tech came in and began his testing. About half way through the test he left the room and moments later the cardiologist returned with him and things moved in high gear from that point on! My wife barely made it back by the time they were rolling me in to the lab.
I received a single stent in my LAD for 100% blockage and unfortunately the lack of blood flow to my left ventricle did some serious damage.
But, praise God I am alive! Since then I have had 2 other Echo’s and there has been no real improvement in my EF.
They did do a drug induced stress test about a year ago with nuclear and MIR and I sat in with my cardiologist to view the pictures taken of both before and after and there was barely a pixel change so therefore they felt there was no concerns at that point.
I feel for me I need to do my part now in doing my best to live as healthy as I can. That is why I try to eat well and less to get to my weight goal of 165
lbs. (I’m 5’10”) and I have another 10 lbs. to go. Continue to exercise and eliminate more stress in my life. Living in a small town in OR helps with that!
All my best to you and I hope you and your Drs. come to an agreement & solution for you.

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