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Low Ejection Fraction Signs and Symptoms
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Low Ejection Fraction Signs and Symptoms

Hi, I was wondering what could be some signs and symptoms of a low ejection fraction?
Also, is it possible to have a low ejection fraction and not have heart failure?
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162069_tn?1224681011
looking back at how my daughter was before we knew her ejection fraction was low the most telling thing was how tired she became...  she was 20 yrs old at diagnosis and was going to her day program and taking naps..  i had thought it was her age and possibly from psych meds (she is mentally impaired)     so if there is a possibility of a heart problem and you notice that become increasingly tired with regular activity it can be a concern
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367994_tn?1304957193
Heart failure is a condition when the heart does not meet the system's demand for blood/oxygen and usually but not always causes symptoms such as chest pain (angina), shortness of breath, muscle fatigue, fast heart rate, etc.

Medically an EF (ejection fraction...amount of blood pumped out with each heartbeat) below 29% is characterized as heart failure and frequently that is not enough blood/oxygen to sustain physical functionality for normal tasks without symptoms.  

However, there are individuals of the heart failure population that do not know they have a heart problem and function well with an EF below 29%.
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Avatar_n_tn
Thanks for the information!

What are the chances of survival if one is diagnosed with heart failure?
Is it possible to make complete recovery? Especially with a younger patient
in his/her 20's.

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162069_tn?1224681011
it depends on the reason, what stage of heart failure... my daughter was 20 when she was diagnosed and is doing relatively well on meds now
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367994_tn?1304957193
If the cause of a weak heart is successfully treated, that can increase the EF to normal.  Four years ago, my heart was enlarged from being stressed and overworked.  Medication reduced the workload (dilated vessels, reduced volume from the kidneys, etc) and today my EF is normal at 59% and heart size is normal.

Do you have other information regarding underlying cause or is the condition ideopathic (cause unknown)?
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Avatar_m_tn
I just turned 33 and was diagnosed with hypertrophic cardiomyopathy and my ejection fraction is 35-40%, and that was on a good day!  I am feeling worse and worse, when should I worry?  I take nitroglyserin everyday but i don' feel like it helps at all.  
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367994_tn?1304957193
Apparently, you have occluded coronary vessels that need a nitrate for relief from angina pectoris (chest pain related heart). If your enlarged heart is the result of lack of blood flow to the heart cells, you probably should get a stent implant if applicable.

Your ejection fraction is low (normal 50 to 70%) and indicates the heart's pumping strength.  Your enlarged heart can impair the EF.  And to successfully treat the enlarged heart the EF can increase.  Nitro tolerance can occur if there isn't a break from usage.

You should have some concern for your present condition and prevent any further decrease of the EF and if possible raise.  Your symptoms will be shortness of breath, pulmonary edema (fluids in the lungs...congested heart failure), possibly chest pains.  With congested heart failure, there will be a dry cough, hyperventilation, fast heart rate, etc.  At this time you would be required to have emergency care to reduce the fluids in your lungs, treat any vessel occlusions, stabilize oxygen level, etc. Or with a hypertrophic heart there can be an abnormal heart rhythm.....

Hope this he[ps and if you have any followup questions, you are welcome to respond.  Take care.
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Avatar_m_tn
thank you for your response.  my heart is within normal range with minimal blockage.  i still continue to have daily chest pains sometyimes lasting all day.  i went to my cardiologist and he told me its not cardio???  i go to my pcp on wed.  hopeful i can get some light!  bless you all
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367994_tn?1304957193
I wish you well and good news with your Wednesday visit. Thanks for your response.
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