what dose LVEF: 30% mean?

[mirwais]

Hello all:



I did Gated SPECT (single photon emission computed tomogrphy) for my father in lady reading hospital in pakinstan and it shows LVEF: 30% EDV: 177ml.  ESV: 124ml.

Impression:      
• large transmural infarct (scar myocardium) involving apex , apical ½ of anterior wall, septum and all other apical segments.
• Marked LV cavity dilatation.
• Myocardial viable territories:
LAD: 1/10 (10%)
LCX: 4/6 (67%)
RCA: 2/4 (50%)


what dose LVEF: 30% and EDV: 177ml.  ESV: 124ml mean?
and how is my father overall situation and please advice about completly.

[Dr_Veena]

Hi,
     Transmural infection means damage of all the layers of the heart in that particular area, this cannot be regenerated and remain as scar tissue. While LVEF can be improved with drugs, strict diet and exercise regime. At first the underlying cause that lead to low EF values should made out for further assessment on drugs. In your case large transmural infarct has affected heart muscles making them weak leading to LV dilatation in the long term. You should take drugs to improve LV contractibility as well as reduce preload over heart.
I would recommend that you consult a cardiologist for further assistance on this. Best.

[mirwais]

Dear Dr:

thank you for your kindness. the doctor administrated the following medicines:

1-    PROGREL   -   AP           one tablet per day

2-     NICOGET                       tow tablet per day

3-     LASORIDE    10 mg      one tablet per day

4-    RAST              10 mg      one tablet per day

5-     CORBIS         2.5 mg     one tablet per day

so is there any chance for improving or recovering of LVEF,LV dilition, and transmural infraction with above medicines or not and also

thank you in advance

[Dr_Veena]

Hi,
     Ejection fraction around 50-70% is considered normal, but less than 35% is considered risky , as patient’s can develop arrhythmias which can be life threatening at this stage. In addition to this LV(left ventricle) dilatation and large transmural infarct leads to deterioration of proper functioning of the ventricle leading to left ventricular failure.
EDV and ESV are slightly on higher side and are attributed to the functioning of the left ventricle. It is important to improve EF value for better prognosis. This can be done with medications and angioplasty. Hope this helps. Best.