
I Have Just Been Diagnosed With Congestive Heart Failure .My

Question: I have just been diagnosed with congestive heart failure.My ejection factor is 42.I also have a complete left bundle branch block. I am 69 years old and in otherwise good health..What are the chances of getting my ejection factor back to normal
Brief Answer:
Please refer to the detailed answer below
Detailed Answer:
Hello Sir
After going through the medical query raised by you I can understand your concern for your health and I would like to tell you that before proceeding further I would like to know more about your medical history
1. Other medical conditions which you have like diabetes or hypertension etc
2. What meds you are currently on
3. Your latest echocardiogram report and ecg image
4. Any coronary angiography done recently or in the past
5. Any cardiac event in past like heart attack
6. Smoking habit
Kindly revert back with required information.
Kind Regards
Please refer to the detailed answer below
Detailed Answer:
Hello Sir
After going through the medical query raised by you I can understand your concern for your health and I would like to tell you that before proceeding further I would like to know more about your medical history
1. Other medical conditions which you have like diabetes or hypertension etc
2. What meds you are currently on
3. Your latest echocardiogram report and ecg image
4. Any coronary angiography done recently or in the past
5. Any cardiac event in past like heart attack
6. Smoking habit
Kindly revert back with required information.
Kind Regards
Above answer was peer-reviewed by :
Dr. Yogesh D


I have no other medical conditions other than high blood pressure and cholesterol. I take 50mg Losartan and 10 mg amlodopine for high blood pressure..Also 10 mg Crestor.No angiography done and never had heart attack.Don't smoke.never have.
Don't have access to my echocardiagram report.
Let me know if you need anything else.
Thanks
Don't have access to my echocardiagram report.
Let me know if you need anything else.
Thanks
Brief Answer:
Please refer to the detailed answer below
Detailed Answer:
Hello
Thanks for the feedback. See the presence of LBBB itself means some cardiac events has happened in the past which has affected the LVEF.
Also you have hypertension which can also lead the hypertension heart disease thereby affecting overall LVEF.
The reason why I want to see your echo report was to find out whether the decrease in EF is global or some particular area of your heart muscle is not functioning well. This is important because it gives an idea that whether things can be restored back to some extent or not.
Considering your age group, achieving the completely full EF is not the goal, the goal is to maintain the present EF.
Just keep your lifestyle healthy and keep regular and timely follow ups with your treating doctor and stick to prescribed medications.
Kind Regards
Please refer to the detailed answer below
Detailed Answer:
Hello
Thanks for the feedback. See the presence of LBBB itself means some cardiac events has happened in the past which has affected the LVEF.
Also you have hypertension which can also lead the hypertension heart disease thereby affecting overall LVEF.
The reason why I want to see your echo report was to find out whether the decrease in EF is global or some particular area of your heart muscle is not functioning well. This is important because it gives an idea that whether things can be restored back to some extent or not.
Considering your age group, achieving the completely full EF is not the goal, the goal is to maintain the present EF.
Just keep your lifestyle healthy and keep regular and timely follow ups with your treating doctor and stick to prescribed medications.
Kind Regards
Above answer was peer-reviewed by :
Dr. Vaishalee Punj


I just received the results of my Cardiac MRI.Would it be possible for you to look at this and respond..I will pay an additional fee if required.
Thanks XXXXXXX BAYUS
Thanks XXXXXXX BAYUS

I just received the results of my cardiac MRI.Would it be possible for you to look at this and respond .I will pay an additional fee of required.
Thanks
Tom Bayus
Thanks
Tom Bayus
Brief Answer:
Hello XXXXXXX
Detailed Answer:
Thank you so much l, but there’s no need to pay me extra for that. Just upload the report image from your profile dashboard in attachment column for me to review it.
Kind Regards
Hello XXXXXXX
Detailed Answer:
Thank you so much l, but there’s no need to pay me extra for that. Just upload the report image from your profile dashboard in attachment column for me to review it.
Kind Regards
Above answer was peer-reviewed by :
Dr. Kampana


I just sent the report.I hope it came through ok
Thanks
Thanks
Brief Answer:
Hello again
Detailed Answer:
Thanks for the reports. I would now like to know your detailed recent and past medical history. About any sort of symptoms which you experienced recently.
Any recent viral fever or viral illness?
Why cardiac MRI was done?
Kind Regards
Hello again
Detailed Answer:
Thanks for the reports. I would now like to know your detailed recent and past medical history. About any sort of symptoms which you experienced recently.
Any recent viral fever or viral illness?
Why cardiac MRI was done?
Kind Regards
Above answer was peer-reviewed by :
Dr. Vaishalee Punj


I haven't had any type of sickness or viral infection lately..I had the MRI because an echocardiagram showed my injection factor was 40..I've had the LBBB for over 30 years.
Really haven't had any symptoms of heart failure..I do get tired more than I used to but thats about it.
Really haven't had any symptoms of heart failure..I do get tired more than I used to but thats about it.
Brief Answer:
Hello again
Detailed Answer:
Presence of LBBB along with reduced ejection fraction makes the possibility of having a underlying coronary artery disease highly likely.
It’s advisable that you should personally consult a cardiologist near you and discuss about the possibility of getting a coronary angiography done to know the status of coronary artery circulation.
Kind Regards
Hello again
Detailed Answer:
Presence of LBBB along with reduced ejection fraction makes the possibility of having a underlying coronary artery disease highly likely.
It’s advisable that you should personally consult a cardiologist near you and discuss about the possibility of getting a coronary angiography done to know the status of coronary artery circulation.
Kind Regards
Above answer was peer-reviewed by :
Dr. Prasad


They are testing me tomorrow for amyloidosis.....The they want to do a heart biopsy. Never mentioned an angiography. I had a stress test the same day as athe echocardiagram. Came back negative
Brief Answer:
Hello again
Detailed Answer:
Sir, you never mentioned that you have already underwent a stress test and if that came out to be negative then the possibility of underlying coronary artery disease becomes less significant and so is the need of coronary angiogram.
Now the next possibility of decreased ejection fraction as per the reports of your cardiac MRI is an infiltrated disease process like sarcoidosis, amyloidosis. To make the diagnosis cardiac biopsy is the test of choice.
Kind Regards
Hello again
Detailed Answer:
Sir, you never mentioned that you have already underwent a stress test and if that came out to be negative then the possibility of underlying coronary artery disease becomes less significant and so is the need of coronary angiogram.
Now the next possibility of decreased ejection fraction as per the reports of your cardiac MRI is an infiltrated disease process like sarcoidosis, amyloidosis. To make the diagnosis cardiac biopsy is the test of choice.
Kind Regards
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Kampana

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