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Hello. I have heard many times of improved cardiac ejection fractions. After a serious heart attack, the part affected was about 50% damaged, but the other areas were good, a stress test showing. The MUGA test, however, showed about a 30% ejection fraction. I have normal heart rhythm, which I'm thankful for. Can ejection fraction's really be improved? I'm in cardiac rehab, exercise on my own, and my diet''s much better. But the first cardiologiSt was a real downer, saying he didn't see improvements in my future. The second was better, encouraging cycling and work. How can my ejection fraction be improved?
AHAASAKatie, January 9, 2019 9:03am EST
Good morning! I believe that in certain cases it is possible to improve your ejection fraction and thrive with HF. I have read many conversations on this site that are inspiring and hopefully helpful to you. I can share the patient education information that we have on living with heart failure if that is helpful at all. Thanks Katie
JamesPL, January 9, 2019 7:08pm EST
I'd stick with the second cardiologist. They should absolutely encourage exercise as it can improve your EF. Not that it definitely will but it certainly can and you should be making every effort to work toward that goal. Your cardiologist and/or the therapists in cardiac rehab should be laying out a plan of the exercises you are allowed to do or at least you should be telling him/her what exercises you are doing at each visit. They should be fully knowledgeable of what you are doing. When I was in rehab, I asked if I could start jogging on the treadmill. They allowed me to do it but gave me strict orders not to jog at home until I've done it for a few sessions in rehab. My cardiologist has encouraged exercise from the very beginning during my recovery. When I see her now she asks me if I'm still exercising. My EF has improved over time but it was not as low as yours. Bottom line, exercise helps strengthen your heart which is what you want!
I wish you the best in your recovery.
DolphinWrite, January 10, 2019 12:48am EST
DolphinWrite, January 12, 2019 9:15pm EST
Thanks. After my stents, the firSt cardiologist came in like the grim reaper, wondering why I was still alive, and gave nothing but the negatives. Yeah, I know it''s bad, but I needed what positives there could be, if only to look forward. And he never got me in rehab for 10 weeks plus. The second immediately signed me up, encouraged cycling because that''s what I wanted to do and had started anyway, and after 5 plus weeks, I'm taking some hills and rsin active. Yeah, I know I'm in long term recouperating, but tell me what we can do. I'm sure my hf was due in part to cholesterol, but stress was also a part from work. So, I've got to learn how to be calmer, destress, find more hobbies, and definitely socialize more, which is one major change I've made on my life. Diet too. Thanks.
JamesPL, January 13, 2019 8:35am EST
Stress is a big part of the equation. Relaxing is the cure and one excellent way to do that is exercise. Keep it up!
JohnP, January 15, 2019 9:33am EST
Different for everyone of course but i had an EF of 20-25% in June 2018 and yesterday found out my EF is now 55%. I changed the way I eat and i attribute a lot to that as well as the medicine. Don't lose hope. That first cardiologist is an asshole.
DolphinWrite, January 28, 2019 12:06am EST
Panman, January 29, 2019 2:21pm EST
EF can absolutely improve, though mine hasn't yet. The combo of a B-blocker and ACE is thought to help, along with exercise.
Low salt diets are thought to help, outside of the obvious blood pressure lowering effect.