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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Prognosis With A Heart Loss Of 40% Or 60%?

Almost a year ago my husband had a widow maker. Now he stays tired and sluggish and just not the same as before. He said that one of the things he remembers is the Dr. told him about heart function loss. It was either 40% or 60%. My mother-in-law said that she read somewhere that he would probably not make it a year. Please tell me this is not true.
Thu, 10 Nov 2016
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Cardiologist,  's  Response
Hello!

Welcome and thank you for asking on HCM!

I would explain that heart failure is a clinical syndrome and not only based on Ejection Fraction. These EF levels are not too low.

Does he have shortness of breath? Is he able to take care of himself?

Besides if there is an optimal therapy, he may live much longer than a year.

You should discuss with his doctor on the possibility of optimizing his actual therapy, try diuretics to avoid fluid retention.

From the other hand, it is important to determine the function of his other organs.

So, I would recommend performing some other blood lab tests:

- NT pro BNP for heart failure
- complete blood count for anemia
- blood electrolytes
- kidney and liver function tests
- fasting glucose.

Hope to have been helpful!

Kind regards,

Dr. Iliri

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What Is The Prognosis With A Heart Loss Of 40% Or 60%?

Hello! Welcome and thank you for asking on HCM! I would explain that heart failure is a clinical syndrome and not only based on Ejection Fraction. These EF levels are not too low. Does he have shortness of breath? Is he able to take care of himself? Besides if there is an optimal therapy, he may live much longer than a year. You should discuss with his doctor on the possibility of optimizing his actual therapy, try diuretics to avoid fluid retention. From the other hand, it is important to determine the function of his other organs. So, I would recommend performing some other blood lab tests: - NT pro BNP for heart failure - complete blood count for anemia - blood electrolytes - kidney and liver function tests - fasting glucose. Hope to have been helpful! Kind regards, Dr. Iliri