My husband just found out by an echo that his ejection fraction is .35. He s never had heart trouble before & is only 58. He had a cath in 2006 & was perfectly clear. As a matter of fact, Dr Mike McDonald said he d die from cancer from smoking before his heart gave out. He did have 3 brain surgeries last year for Chiari Malformation. The 3rd surgery last July was because it got a staph infection that had had to be cleaned out & on IV antibiotics for 6 weeks. He has been very fatigued, just tired all the time, some s.o.b., & generally hasn t felt good in a long time. Now....what are our options. The Dr did put him on cardilol? a month ago & tried him on a fluid pill but he had an allergic reaction so stopped that. We re looking for a good cardiologist in Nashville to go see, but I d like your opinion. Thank you for this service, Jeri Benjamin YYYY@YYYY 901-485-9812