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Suggest Treatment For Low Ejection Fraction
Question: My uncle's heart function is reduced to 17%. Can it be treated in some way.
Brief Answer:
Please see below.
Detailed Answer:
Respected Sir
The treatment of severely low ejection fraction (i.e. 17% heart pumping) primarily depends upon the cause of decrease pumping. Principally there are two main causes. They are ischemic (related to anginal heart disease) and non-ischemic dilated cardiomyopathy (decrease in functioning of heart).
If a patient has addressable anginal heart disease, an improvement in pumping is expected.
In other cases (non ischemic and un-addressable anginal heart disease) there are a number of options available. Beta-blockers, aldosterone, Angiotensin blockers are three classes of drugs which help improving life expectancy in these patients. They also improve ejection fraction or prevent it from falling further. They also help in improving symptoms.
If a patient is a candidate, device therapy in the form of bi-ventricular pacing and implantable defibrillator also improves life expectancy and symptoms.
Diuretics, digoxin, nitrates, hydralazine are also used to provide symptomatic relief.
Hope this provides some insight. Feel free to discuss further.
Sincerely
Sukhvinder
Please see below.
Detailed Answer:
Respected Sir
The treatment of severely low ejection fraction (i.e. 17% heart pumping) primarily depends upon the cause of decrease pumping. Principally there are two main causes. They are ischemic (related to anginal heart disease) and non-ischemic dilated cardiomyopathy (decrease in functioning of heart).
If a patient has addressable anginal heart disease, an improvement in pumping is expected.
In other cases (non ischemic and un-addressable anginal heart disease) there are a number of options available. Beta-blockers, aldosterone, Angiotensin blockers are three classes of drugs which help improving life expectancy in these patients. They also improve ejection fraction or prevent it from falling further. They also help in improving symptoms.
If a patient is a candidate, device therapy in the form of bi-ventricular pacing and implantable defibrillator also improves life expectancy and symptoms.
Diuretics, digoxin, nitrates, hydralazine are also used to provide symptomatic relief.
Hope this provides some insight. Feel free to discuss further.
Sincerely
Sukhvinder
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Answered by
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