Hello,
With an LVEF of 30%, which decreased from 35%, she can be classified as
heart failure with reduced
ejection fraction.
There are yet conflicting results with regards to medications increasing the LVEF, but the goal is to prevent symptoms or cardiac events in her case.
There are certain medications which she basically needs (I presume that she has these medications, including antiplatelet, statins, beta-blockers, ACE inhibitors or ARBs), and in addition,
spironolactone, as suggested by guidelines.
I would suggest a consult with a doctor for a comprehensive history and physical examination to tailor appropriate medications.
Hope I have answered your query. Let me know if I can assist you further.
Take care
Regards,
Dr Daryl Derick B. Dizon, General & Family Physician