Mr.

[gb1938]

My cardiologist informed me that my heart pumping was at 49 % but didn't recommend any further treatment other than the medications that I am on. I have had 6 bypass surgeries and 3 heart stints. I am 74 years old. My symptoms of course are shortness of breath, however I can walk briskly for 30 minutes per day. What can be my immediate future expectations from this pumping condition?

[ed34]

I totally agree with Vienna, and think it's just likely that you have developed a bit more disease causing some ischemia. The EF is probably calculated from an echo scan? which means it is an estimate and could really be 50% or higher, meaning normal. It is important to note that it isn't all about the EF. If you have an ejection fraction of just 35-40% and no ischemia, it is possible you would feel much healthier than someone with an EF of 70% and ischemia.

[vienna13]

People often think 100% is the normal. Not so. Healthy individuals typically have ejection fractions between 50% and 65%  some sources consider an ejection fraction of 55-75% to be normal.
So most likely you have nothing to worry about yours 49% almost normal. But shortness of breath is an issue, so ask your doctor about more details; he should explain all the numbers from your latest ECHO, not only give you one number the EF %. Because you can have a normal ejection fraction reading and still have heart failure. If the heart muscle has become so thick and stiff that the ventricle holds a smaller-than-usual volume of blood, it might still seem to pump out a normal percentage of the blood that enters it. In reality, though, the total amount of blood pumped isn't enough to meet your body's needs.

Keep walking!