Ejection Fraction Results %

[Prada47]

Hi had an appointment with a Cardiologist and have a question.

I was diagnosed with Heart Failure 2016 and referred to the Heart Failure Team/Nurse with an Ejection Fraction of 26% . I have been through all the scenarios Severe, Moderate, and this week Mild. with Ejection Fractions of 26% 37% and now 46% which has been described as Mild, Oh and no longer referred to a Heart Failure Nurse.

Now I know heart Failure is Progressive but I always thought it was Progressive to get Worse not Better.

I have had a Double By-pass, LAD and Circumflex in 2015 and now the Cardiologist want to do some more work on the LAD using stents, RCA has a total Occlusion so it's finished as far as blood supply is concerned as that part of the Heart Muscle is Dead and can't be revived !!

I know I should have asked a lot of Questions but I was taken aback to be told I am now Mild HF.

I am still SOB especially whilst dressing and showering, but hey ho it looks like an improvement, anyone else been on this Roundabout and are now on the Swings.

Oh and the Cardiologist upped Bisoprolol to 7.5 mg from 5 mg now awaiting a date for work on LAD 5/6weeks.

Regards

Frank W

[stevejb1810]

Hi Frank

These cardiologists do have a habit of throwing these curve balls! When I was discharged from the surgical team I was given the impression that injection fraction could be improved through drugs (ramipril in my case). So if I heard things correctly and interpreted what I heard correctly, then I guess you could be less severe now. But I am no expert. I think a trip to the GP will be in order. Fingers crossed you are now ‘mild’, that would be great.

Cheers

Steve

[skid112 Heart Star]

Hi Frank,

agree with Steve, GP question time or back to the Cardiologist or both. 7.5 bisoprolol, 5 made me feel permanently knackered, not to mention the constant runny nose

[Smikra]

I had a similar scenario. 30-35% ejection fraction after quadruple bypass. Meds brought me up to 41% then 48%. But I still had to sit down after half a block of walking. My cardiologist took an echocardiogram which showed RV systolic dysfunction. After pulmonologist diagnosed COPD I was put on oxygen. My GP does say my heart is much better and was "restructured" by the meds. Carol

[Lezzers]

Hi Prada47, well done on the improvement in your health. My understanding is HF cannot be reversed but it certainly can improve with medication/operations & for your EF to go to mild & again to be discharged by your nurse. I belong to a Facebook support group call Pumping Marvellous who are a foundation HF charity for patients who have HF, their families & their carers & there have been a number of people recently who have had the exact thing happen. It's a very scary thing to not have the security of the nurse but I believe they are always on the end of the phone if you need them. Check out the Facebook group, I can't recommend them highly enough. Stay well xx

[Heartlady1]

Hi Frank.... that's brilliant amazing news. Gosh that's really one to celebrate 😁.

're the changes ... I too went from medium to mild some years ago... which the docs were surprised but happy about. I had had a HA and they put me on ace inhibitors and I also had a thyroid issue which had been the cause only. So we got the thyroid under control and that along with my heart tabs... did seem to repair my heart a little to put my back to mild at that time.

It sounds like your medications are helping your heart condition to improve. I am hoping that with my device that my heart failure number could also improve... which will be artificial ( ie for me without the device it would deteriorate again ) but who cares as long as the medication contributes to a better pumping heart.. . Which means a better quality and longer life as the heart is functioning better.

Many congrats again Frank superb news for a Saturday x

[Prada47]

Update

Just got a copy of the letter to my GP

The Right Coronary Territory is Non Viable and he would therefore not benefit from PCI to the native RCA and I have explained the situation to him. ( which he did )

He does have Disease in his LAD which goes on to supply a large septal and diagonal territory and the MRI scan confirms three segments of ischaemia in that territory. I have therefore explained that I will treat his proximal LAD, which supplies the large diagonal and large septal territories instead of the RCA.

His symptoms are clearly getting worse and I have therefore increased his Bisoprolol to 5mg morning and 2.5mg evening. Continue Candesartan at 16mg Eplerenone 25mg Furosemide 20mg ISMO 60mg Asprin75mg He does have an EF of 43 % ( at the clinic I was told 46% but hey Ho what 3 % amongst friends )

Letter ends

" I have placed him on my waiting list for PCI to his proximal LAD to revascularise the Diagonal and Septal territories "

Feel it's all moving in the right direction !!!

ps anyone know if 43 % EF warrants being under a HF Nurse ??

Regards

Frank W