Brief Answer:
Severe heart failure & a correct treatment may prolong life...

Detailed Answer:
Hi XXXX

I read your query very carefully and understood your concern.

Heart failure, also known as congestive heart failure (CHF), is a situations when your heart muscle doesn't pump blood as it should normally do. An Ejection Fraction EF 16-22% show that it's severe Heart failure.

Severe heart failure hasn't a good prognosis and should be treated correctly in order to prolong life. A correct treatment include medical therapy, diet and invasive therapy.

If you were my patient i would suggest:
- Flue Vaccination two times per year (September and march).
- ICD and resyncronisation therapy (invasive therapy).
- Add spironalactone and rosuvastatin (crestor) to your medical therapy.
- Avoid salty food (limit salt intake).

Hope this will be of help!
Dr. Benard

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Brief Answer:
Following parameters to consider to evaluate heart failure...

Detailed Answer:
Hi back,

There are various parameters to consider while evaluating the cardiac failure, but two are very important in determining prognosis and life expectancy:

1. The clinical presentation: which has been evaluated by your doctor determining the "stable" situation.

2. Cardiac Echo: The one you showed to me reported very low ejection fraction, indicative for severe heart failure.

Taking this parameter into account, my advice is to:
- be very careful
- consider implanted cardiac defibrilator to prevent cardiac arrest and/or sudden death in the future
- consider listing in the attending queue for heart transplant.
- re-synchronization therapy to be considered before transplantation. This is an invasive solution, which will increase EF and improve HF.

All the best!
Dr.Benard

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