Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
198 Doctors are Online

Have a 25% ejection refraction. Can medication increase it?

User rating for this question
Very Good
Answered by

Practicing since : 1981
Answered : 922 Questions
I have a 25% injection refraction. Can medication increase it
had aoritic valvue replacement 10 years ago
Posted Sat, 17 Nov 2012 in Hypertension and Heart Disease
Answered by Dr. Anil Grover 36 minutes later
Hi there,
Thanks for writing in.
I am a qualified and certified cardiologist. I read question with diligence.
There is no need to loose hope there is lot which medical science can offer you.
Ejection Fraction of 25%; I assume it is echocardiography finding, means moderate to severe congestive heart failure. We have to find the cause for it and treat that.
You would have been prescribed treatment for heart failure now and blood thinners depending upon type of valve you were given.
If there is only valve problem and no coronary artery disease as suggested by regional wall motion abnormality on echocardiography and coronary angiography: your doctor may consider you a suitable candidate for TAVI (acronym from transcutaneous, like stent implantation). If you have coronary artery disease depending upon the associated procedure performed or not required you may be subjected to either of two:
a). Balloon Angioplasty(PTCA) and stent implantation.
b). Coronary Artery Bypass Surgery (CABG)
In the event of normal coronaries and normal aortic valve you may require bi-ventricular pacing. You can discuss this with your cardiologist. If you have question for me I will be most happy to answer. Good Luck.
With best wishes.
Dr Anil Grover,
M.B.;B.S, M.D. (Internal Medicine) D.M.(Cardiology)
http://www/ WWW.WWWW.WW

Above answer was peer-reviewed by
Follow-up: Have a 25% ejection refraction. Can medication increase it? 7 hours later
What exactly is bi-ventricular pacing.
Answered by Dr. Anil Grover 18 hours later
Thanks for writing back.
In some cases have heart block, the two ventricles Right and Left start working in a non synchronous manner. Normal pacemaker (implanted by a cardiologist for slow heart rate) usually paces only right ventricle or right atrium and right ventricle. This does not remove asynchronous manner. So an advance device is implanted in which three wires are placed in the heart to pace right atrium, right ventricle and left ventricle in a synchronous manner. This is called synchronization therapy for congestive heart failure. A further advance of device is adding intra cardiac defibrillator(ICD) function to it in some cases that is combo device : combination of ICD and bi ventricular pacing. I hope that answers your question if you have any more query please ask, I shall be happpy to answer; otherwise close the question with remarks and scoring. It was pleasure interacting with you. Good Luck


Anil Grover
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Lab Tests

The user accepted the expert's answer

Ask a Cardiologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor