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Suggest Treatment For LVEF Rate Of 37%

Posted on Mon, 19 Jan 2015

Question: i was hospitalized for 5 days for cardiac issues, 2 nuclear scans, echocardiogram, and cardiac XXXXXXX I have a left ventricular refraction ejection rate of 37%.

Answered by Dr. Benard Shehu (6 hours later)

Brief Answer:
Angiography reports needed. .

Detailed Answer:
Hi,

I am sorry for the situation you are in.

First, I need to have the results of heart XXXXXXX to analyse myself.
If angiography was ok, then everything is due to heart failure.
The aim is to rule out ischemia due to heart failure.
Diabetes too can contribute to heart failure.
If I was your caring doctor would advise to :
- take moderate doses of diuretics
- limit salt intake
- walk or jogging on daily basis

Looking forward to have the angiography reports in.

Dr.Benard

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Benard Shehu (4 hours later)

Review of the gated images demonstrates decreased wall motion with an
ejection fraction calculated to be 37 %.
IMPRESSION:
Decreased wall motion with a left ventricular ejection fraction of 37 %

what does this mean exactly, you have not answered this to any detail......

also, when i was in hospital, they did not give me oral hypoglycemics, they did my bs only after i ate and gave me insulin, which i found to be strange....
my bs usually is 125......normal....
i enclosed my hospital record.......
thx XXXXXXX

Answered by Dr. Benard Shehu (1 hour later)

Brief Answer:
Following answer to your queries...

Detailed Answer:
Hi back,

I read carefully all the data you provided.

Ejection fraction (EF) is the percentage of blood that leave the heart during each heart beat. On nuclear stress test is reported an ejection fraction of 37%. An EF <50% is to be considered "a reduced" EF and is sign of heart failure.

Based on the previous (done on 2011) and present nuclear test, there are sign of previous myocardial scars on antero apico-septal myocardial wall. This is a sign of a previous myocardial infarction and this is the most obvious cause of HF (reduced EF).

It's a standard medical protocol, when you are on critical care with suspect of cardiac problems (and eventualy cardiac catheterisation), to start insuline instead of oral hypoglicemiant.

Hope this information will be of help!
Wish you health!
Dr. Benard

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar