Hello, Thanks for writing to Health Care magic, I am Dr , Muhammad Ahmad , I have read your question closely, I understand your concern and will be helping you with your health related problem. If your ejection fraction is above 40% you have a good life expectancy infact as good as a normal person but yes to keep it above 40 and to prevent it from going below you will have to take good care of your medication , blood pressure and weight. You are indeed on the right track , you are controlling your weight and blood pressure, a pro will help you reduce weight safely and in a healthy way , and weight loss, in turn, will help you control your blood pressure and your heart will be saved from coronary artery disease, heart attack and insult to heat by high blood pressure. In this journey you also have to keep an eye at your fat intake and salt intake specially. Salt determines your blood pressure to much extent and you can get wonderful changes in control if you keep an eye at your salt intake. I hope this answered your question, If you have more queries I am happy to answer you. Regards. Dr.Muhammad Ahmad