Brief Answer:
Please refer to the detailed answer below

Detailed Answer:
Hello Sir

After going through the medical query raised by you I can understand your concern for your health and I would like to tell you that before proceeding further I would like to know more about your medical history

1. Other medical conditions which you have like diabetes or hypertension etc
2. What meds you are currently on
3. Your latest echocardiogram report and ecg image
4. Any coronary angiography done recently or in the past
5. Any cardiac event in past like heart attack
6. Smoking habit

Kindly revert back with required information.

Kind Regards

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Brief Answer:
Please refer to the detailed answer below

Detailed Answer:
Hello

Thanks for the feedback. See the presence of LBBB itself means some cardiac events has happened in the past which has affected the LVEF.

Also you have hypertension which can also lead the hypertension heart disease thereby affecting overall LVEF.

The reason why I want to see your echo report was to find out whether the decrease in EF is global or some particular area of your heart muscle is not functioning well. This is important because it gives an idea that whether things can be restored back to some extent or not.

Considering your age group, achieving the completely full EF is not the goal, the goal is to maintain the present EF.

Just keep your lifestyle healthy and keep regular and timely follow ups with your treating doctor and stick to prescribed medications.

Kind Regards

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Brief Answer:
Hello XXXXXXX

Detailed Answer:
Thank you so much l, but there’s no need to pay me extra for that. Just upload the report image from your profile dashboard in attachment column for me to review it.

Kind Regards

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Brief Answer:
Hello again

Detailed Answer:
Thanks for the reports. I would now like to know your detailed recent and past medical history. About any sort of symptoms which you experienced recently.

Any recent viral fever or viral illness?

Why cardiac MRI was done?

Kind Regards

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Brief Answer:
Hello again

Detailed Answer:
Presence of LBBB along with reduced ejection fraction makes the possibility of having a underlying coronary artery disease highly likely.

It’s advisable that you should personally consult a cardiologist near you and discuss about the possibility of getting a coronary angiography done to know the status of coronary artery circulation.

Kind Regards

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Brief Answer:
Hello again

Detailed Answer:
Sir, you never mentioned that you have already underwent a stress test and if that came out to be negative then the possibility of underlying coronary artery disease becomes less significant and so is the need of coronary angiogram.

Now the next possibility of decreased ejection fraction as per the reports of your cardiac MRI is an infiltrated disease process like sarcoidosis, amyloidosis. To make the diagnosis cardiac biopsy is the test of choice.

Kind Regards

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