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heart functioning low

I AM 42YEARS MALE  . DOCTOR  SAYS MY HEART FUNCTIONING ONLY 38 %. IS THERE ANY SURGERY I HAVE TO DO? WHAT IS THE TREATMENT I HAVE TO DO
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976897 tn?1379167602
Woah. No surgery? heart transplant? So if it's caused by a valve issue they won't operate, they will put on the transplant list?
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976897 tn?1379167602
so how does your Doctor know this? from which test? What is the cause for the lower function? eg viral infection, birth defect, ischemia?
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