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Does Ejection Fraction Have An Effect On The Survival Rate Of A Person?
Question: Does ejection fraction have alot to do with the survival rate for heart failure ?
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome on HCM!
Regarding your concern, I would explain that ejection fraction is an important indicator of your heart function.
But, you should know that heart failure is a clinical syndrome, which does not always correlate with the ejection fraction.
Besides, comorbidities are another important factor contributing in the patients prognosis.
An optimization of the heart failure therapy may help improve the survival and also the quality of life.
You should discuss with your doctor on the above issues.
Hope you will find this answer helpful!
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello!
Welcome on HCM!
Regarding your concern, I would explain that ejection fraction is an important indicator of your heart function.
But, you should know that heart failure is a clinical syndrome, which does not always correlate with the ejection fraction.
Besides, comorbidities are another important factor contributing in the patients prognosis.
An optimization of the heart failure therapy may help improve the survival and also the quality of life.
You should discuss with your doctor on the above issues.
Hope you will find this answer helpful!
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
What stage would this be ? Dr said severe heart failure but no major symptons . He had fluid build up and sometimes breathless - they saying hes had heart failure for 6 yrs already . Approx in ur experience what can survival time be?
Brief Answer:
Opinion as follows:
Detailed Answer:
Hello again!
I could explain that as the patient is suffering from heart failure at least for 6 years now and systemic congestion coupled with episodic breathlessness it seems to be an advanced heart failure.
But, when dealing with severity of heart failure, several clinical and therapeutic features should be considered.
Besides echo findings of ventricular dysfunction, cardiac chambers dilatation, hypertrophy, adverse myocardial remodeling, valvular dysfunction, elevated pulmonary artery pressure and systemic venous congestion; other features need to be investigated, such as overall physical capacity; how the patient copes with everyday life activity.
In addition, the level of medication adherence should be sought.
In case, the patient follows a strict regular therapeutic regimen, but still those sighs of congestion and dyspnea keep persisting, then all this is a marker of severe heart failure.
Whether a patient will suffer acute and frequently relapsing CHF complications, it will depend not only on the severity of myocardial dysfunction, but also on the level of medical supervision (regular periodic followups by the attending cardiologist) and proper adherence of the recommended therapy and life-style advices.
So, coming to your final question, it is necessary to consider all the above mentioned issues in order to give a more precise and correct professional opinion.
In general, if the daily physical performance is uneventful, without appearance of complex life-threatening cardiac arrhythmias, a careful optimization of CHF therapy could be an important clue for life prolongation and avoidance of expensive re-hospitalizations.
Regards,
Dr. Iliri
Opinion as follows:
Detailed Answer:
Hello again!
I could explain that as the patient is suffering from heart failure at least for 6 years now and systemic congestion coupled with episodic breathlessness it seems to be an advanced heart failure.
But, when dealing with severity of heart failure, several clinical and therapeutic features should be considered.
Besides echo findings of ventricular dysfunction, cardiac chambers dilatation, hypertrophy, adverse myocardial remodeling, valvular dysfunction, elevated pulmonary artery pressure and systemic venous congestion; other features need to be investigated, such as overall physical capacity; how the patient copes with everyday life activity.
In addition, the level of medication adherence should be sought.
In case, the patient follows a strict regular therapeutic regimen, but still those sighs of congestion and dyspnea keep persisting, then all this is a marker of severe heart failure.
Whether a patient will suffer acute and frequently relapsing CHF complications, it will depend not only on the severity of myocardial dysfunction, but also on the level of medical supervision (regular periodic followups by the attending cardiologist) and proper adherence of the recommended therapy and life-style advices.
So, coming to your final question, it is necessary to consider all the above mentioned issues in order to give a more precise and correct professional opinion.
In general, if the daily physical performance is uneventful, without appearance of complex life-threatening cardiac arrhythmias, a careful optimization of CHF therapy could be an important clue for life prolongation and avoidance of expensive re-hospitalizations.
Regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Ok. Can ppl
Live less than 2 years with low ef and gjven hes had it 6 yrs?
Live less than 2 years with low ef and gjven hes had it 6 yrs?
Brief Answer:
I would explain:
Detailed Answer:
Hi,
It is difficult to predict an exact life expectancy, as there are no clear evidences on the level physical activity disability and also additional medical tests that confirm or exclude potential underlying complications (complex cardiac arrhythmia, renal & liver dysfunction, etc.)
It is necessary review all the recent medical evidence on his cardiovascular conditions in order to give a more precise opinion about your last question.
Nevertheless, the most important clue to consider for a maximal life prolongation is optimization of therapy and a regular medical follow up strategy.
Greetings!
Dr. Iliri
I would explain:
Detailed Answer:
Hi,
It is difficult to predict an exact life expectancy, as there are no clear evidences on the level physical activity disability and also additional medical tests that confirm or exclude potential underlying complications (complex cardiac arrhythmia, renal & liver dysfunction, etc.)
It is necessary review all the recent medical evidence on his cardiovascular conditions in order to give a more precise opinion about your last question.
Nevertheless, the most important clue to consider for a maximal life prolongation is optimization of therapy and a regular medical follow up strategy.
Greetings!
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Also his bnp level was 800- is this an indication of how severe it is too?
Brief Answer:
Explanation as follows:
Detailed Answer:
A BNP level of 800 pg/ml doesn't confirm a severe abnormality facing his age (in fact is within normal ranges for his age).
In addition, one should be careful when interpreting BNP level, as enen when abnormally high, this may be due also to other different concomitant conditions such as an acute inflammation/infection unrelated to CHF. B
When BNP is not abnormally increased it may exclude a decompensated HF; meanwhile when it is elevated a careful differential diagnosis should be performed.
Hope to have clarified your uncertainties!
Regards,
Dr. Iliri
Explanation as follows:
Detailed Answer:
A BNP level of 800 pg/ml doesn't confirm a severe abnormality facing his age (in fact is within normal ranges for his age).
In addition, one should be careful when interpreting BNP level, as enen when abnormally high, this may be due also to other different concomitant conditions such as an acute inflammation/infection unrelated to CHF. B
When BNP is not abnormally increased it may exclude a decompensated HF; meanwhile when it is elevated a careful differential diagnosis should be performed.
Hope to have clarified your uncertainties!
Regards,
Dr. Iliri
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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