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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Ejection Fraction Value Of 18 A Cause For Concern?

I just had an economic done and my ejection fraction is 18. I had eschemic heart disease in January of 2010. I had 4 valves replaced with open heart surgery. I have a pace maker and defibulator. I don t expect an exact amount of time that I have to live. I just want a ball park figure. It is as if doctors are afraid to answer that question. Do I have 2 4 6 or 10 years to live. I also have copd. Please give me some kind of answer. When I had my first eco in 2010 it was 27. Now it s 18. The doctor only said my heart is getting weaker which I already knew. I take carvedolo. I don t like being kept in the dark.
Mon, 19 Aug 2019
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Internal Medicine Specialist 's  Response
Hello,

Life expectancy cannot be exactly calculated from ejection fraction but EF as low as 18% (normal 55-75%) is really of concern. Co-morbid condition like COPD adds only to poor prognosis.

If you want to live long avoid exacerbating factor-like lung infection such as pneumonia or acute exacerbation of COPD, undue exertion, extra salt, etc.

A 2016 study estimated that only about half of people who develop heart failure live beyond 5 years after being diagnosed.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Tushar Kanti Biswas, Internal Medicine Specialist
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Is Ejection Fraction Value Of 18 A Cause For Concern?

Hello, Life expectancy cannot be exactly calculated from ejection fraction but EF as low as 18% (normal 55-75%) is really of concern. Co-morbid condition like COPD adds only to poor prognosis. If you want to live long avoid exacerbating factor-like lung infection such as pneumonia or acute exacerbation of COPD, undue exertion, extra salt, etc. A 2016 study estimated that only about half of people who develop heart failure live beyond 5 years after being diagnosed. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Tushar Kanti Biswas, Internal Medicine Specialist