Ramipril and Ejection Fraction

[Gunnersawus]

After recent MRI, EP said he was happy with what he saw apart from the fact that my ejection fraction from left ventricle was 44. After follow up appointment I’ve been advised that this is classified as “low/normal”. So he’s put me on waiting list for Ablation as he feels this maybe beneficial but ultimately it’s up to me as I’m in persistent AF and asymptotic. In the meantime he’s put me on a low dose of Ramipril to try to improve my Ejection Fraction and “impaired pump in Left Ventricle” as he describes it. I’m already on Bisoporol and Rivaroxabane. Anybody got any experiences of Ramipril and views on Ejection Fractions results?

Thanks

Ian

[Hidden]

My only experience was ramipril for high BP.

The ramipril cough was really horrible so it was swapped for candestartan

[pottypete1 in reply to Hidden]

I am on Ramipril for high BP, and have a cough.

I saw my EP on Tuesday and he has written to my GP instructing him to change the prescription to another ACE inhibitor.

Pete

[Gunnersawus in reply to pottypete1]

Thanks Pete. Yes my EP also said if I get a tickly cough to tell him and he will change me to a different ace inhibitor.

[Dawsonmackay]

At one point my ejection fraction went down to 35 and I was only taking a beta-blocker and an anti-coagulant. After 3 ablations - the last one being successful, although not out of the 90 day window yet, I believe my ejection fraction is much higher because I feel better.

[Hidden in reply to Dawsonmackay]

Do you feel better because you are in sinus rhythm or because your LVEF as measured has improved? I’m considering another ablation and this would be a factor for me.

[Dawsonmackay in reply to Hidden]

I feel better but my ejection fraction has not been measured again. I’m sure it’s better though because my bodily functions, breathing etc are stronger

[Gunnersawus in reply to Dawsonmackay]

Hi

Thanks for your reply. Improving my Ejection fraction is probably the reason I’ll opt for an Ablation

[Dawsonmackay in reply to Gunnersawus]

Yes. Definitely.

[Hidden in reply to Gunnersawus]

I'm puzzled. I'm not saying you are wrong, but I can't see a definite connection between restoring sinus rhythm and improving LVEF. But I guess you would feel better.

Did the EP make the connection? If its true then I would factor that in to my decision on ablation.

[Gunnersawus in reply to Hidden]

Yes, the EP said, (albeit through the Arrhythmia Nurse at a follow up appointment), that there may well be a connection between going back into NSR and improving my Ejection Fraction.

[radagast58]

As sinus rhythm is more "efficient" than atrial fibrillation I would assume there would be an improvement in left ventricular function and therefore ejection fraction??

[LindaDaisy]

I have PAF and Left Ventricular non compaction (a type of cardiomyopathy) About 5 years ago my EF went down to 35. My Electrophysiologist put my on Ramapril. After a year my EF was up to 48 and 2 years later it was 52. Well pleased and so was he. He said there had been some remodelling, but not sure exactly what that means. PAF has improved. Bigger gaps between episodes and less violent. And most of them now are my own fault eg dehydration, very big meal in evening, dark chocolate, too much sugar etc.

[Gunnersawus in reply to LindaDaisy]

Thanks Linda. That’s all very encouraging to hear