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Suggest Treatment For Low Ejection Fraction

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Posted on Mon, 29 Dec 2014
Question: How long can on expect t survive with a very low ejection fraction (10)?
doctor
Answered by Dr. Noble Zachariah (2 hours later)
Brief Answer:
Please inform diagnosis and symptoms

Detailed Answer:
Hello,

Welcome to HCM
I understand your concern.
Please let me know the primary condition producing this very low ejection and also your symptoms.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Noble Zachariah (48 hours later)
I have congestive heart failure evidently resulting from a virus (there is no blockage of any vessels,.) I've been on medication and have had a bi-lateral defibrillator for 6 months. My ejection fraction has only moved from 8 to 10. My heart is still considerably enlarged. I'm am a symptomatic (no fatigue, weakness, etc)
My question is how long can I legitimately expect to live with an ejection fraction so low? At what point am I likely to need the transplant?
doctor
Answered by Dr. Noble Zachariah (41 minutes later)
Brief Answer:
Prognosis better as you are asymptomatic

Detailed Answer:
There is no formula by which we calculate the life expectancy and whatever I write will only be speculative. I am happy to note that you are asymptomatic even with an ejection fraction of 10%. Most people are very symptomatic at that EF. In fact you are eligible to be on the list for heart transplant. Specific indications for a transplant include the following:
Dilated cardiomyopathy
Ischemic cardiomyopathy
Congenital heart disease for which no conventional therapy exists or for which conventional therapy has failed
Ejection fraction of less than 20%
Intractable angina or malignant cardiac arrhythmias for which conventional therapy has been exhausted
Pulmonary vascular resistance of less than 2 Wood units
Age younger than 65 years
Ability to comply with medical follow-up care
Let us be optimistic and as your ejection fraction has shown some improvement, let us hope that it would continue to.
Please let me know the medicines you are on.
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Noble Zachariah

Internal Medicine Specialist

Practicing since :1974

Answered : 2319 Questions

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Suggest Treatment For Low Ejection Fraction

Brief Answer: Please inform diagnosis and symptoms Detailed Answer: Hello, Welcome to HCM I understand your concern. Please let me know the primary condition producing this very low ejection and also your symptoms.