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Had pace maker. After exercise therapy, diet, been advised as 35% proficiency. Prognosis?

My Brother, 65 yo had a Widow Maker MI after Hiking a Mountain in the Elkin area of North Carolina in July, 2012. He seems to be doing very well and is also doing well in his Exercise Therapy and Diet . States that he feels fine, but recently told me his Physician advised him he has 35 percent proficiency, with 50-55 percent being normal. Can you tell me the prognosis regarding the next few years, in general based on the 35 percent and in general. Thank You, Ann
Asked On : Tue, 8 Jan 2013
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Cardiologist 's  Response
Dear Anne,

He has now what we called ischemic heart failure; before we had good medications for this condition, mortality at 5 years was 50%! Now, with good medications and follow up, mortality could be between 5-20% at 5 years which is an improvement. One of the issues is that if after several months (usually at least 6) of optimal medications his function is still 35% or less, he would qualify for an implantable defibrillator to prevent sudden cardiac death.

Hope that helps, wish you the best,

Dr Brenes-Salazar MD
Mayo Clinic MN
Answered: Thu, 30 May 2013
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