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ejection fraction

what is the symptoms and complication of having low ejection fraction
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Avatar universal
If your EF goes down, it is because your myocardial cells are not working properly. It can be for many reasons, they can be death (like mine due to MI) or due to viral infection or many other reasons and many more that are not recognized yet.

The first complication (or group of symptoms) is Heart failure.

It is logical to think that if they does not work, his electrical properties may also become altered, and statistics says that below an EF of 35% the risk of Sudden cardiac death due to ventricular fibrillation, increases. This is the reason why the European, USA and other heart organizations, recommends the implantation of ICD for those low EF.

In addition to that, if you have a long QST interval (higer than 130 ms) or a high asynchronism, your hearth may benefit from a viventricular pacing /defibrillator that, in theory, will alliviate your symtoms.

However, in my view, the biggest complication of low EF is the risk to develop thrombus since the amount of blood left in your heart is high. This can lead to brain strokes.  

Jesus
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367994 tn?1304953593
Q: "what is the symptoms and complication of having low ejection fraction."

As vienna, I had a low EF (ejection fraction) and the EF incates the amout of blood pumped with each heartbeat. Heart failure  is generally recognized by some insurance policies with an EF below 29% is in heart failure range and that means the heart may not be pumping effectively enough to meet the oxygen demand of the heart or and system.

I didn't have any symptoms until there were symptoms of congested heart failure....If there are symptoms as previoulsy stated there can be shortness of breath, chest pain (angina), fatique, etc.

How well your symptoms compensate can indicate your tolerance level for a weak heart.  The inability of the system to adequately compensate can be due to age, weight, other health issues such as diabetes, respiratory disorders, etc.  

My low EF, and often that involves an enlarged heart, has with medication and stent 7 years ago has returned my heart to normal size and my EF is normal at 59%.

Going forward with your lower than normal EF for a favorable outcome would require treatment of the underlying cause.  My heart problem was the result of lower than normal blood flow to some heart cells, and that condition impaired the heart walls to not contract with effectively and that reduced the EF. Other causes can be heart muscle disease, blood disease that effects the level of oxygen, etc.

If you have any further informatiion, other tests, etc. You are welcome to respond and that would help.  Take care.




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967168 tn?1477584489
quick question (which I hope I'll get answered Friday by my dr) referring to a low ef being a higher risk of Arrhythmia's, is that a certain EF% or just in general?

I know in July when I had my echo and testing done my EF was 55-60%, by August when I had my cardiac cath done, my EF was down to 40% but my symptoms were the same - 50,000 pvc's, fatigue, shortness of breath, dizziness and exertion made me feel worse.

Yet in May just before I had surgery, I was walking/running at least once 4-6 times weekly and had a few episodes where I felt my heart stop (different from pvc's).

What is it that actually makes EF lower with arrhythmia's? Or is it that lower ef causes arrhythmia's? I find it interesting I had a pacemaker/icd implanted due to SCA (polymorphic VT runs) and my ef remained 40% and didn't go back up.

Any thoughts?  maybe it's untreated LVH and elevated LVEDP problems; the hospital notes I do have suspicious CHF symptoms....so if my EF decreases again I will be at risk again of my arrhythmia's increasing?
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976897 tn?1379167602
complications are varied and is basically different in each case. With a low EF you are at much higher risk of arrhythmia and some hospitals will install an ICD. Not everyone recovers and go on to be on the transplant list. Some make a full recovery. It all depends on the individual circumstances.
I watched a documentary a short while ago which revolved around a heart hospital in the uk. Several patients with very low EF were fitted with assist devices which are pumps to assist the heart. Quite a large percentage of those patients made a full recovery because the heart was able to relax so much more. So, ideas and technology are always progressing.
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Avatar universal
  I would add as a symptom, which I also had :a shortness of breath .
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Avatar universal

Extreme or several or just simple tiredness, depending how low the EF is, also depending on the person age and physical build up, weight etc…. I HAD 20% once,(as soon I learned)  still was working and forced my exercising , then  suddenly I felt I am going to die , not mentally I felt it, but my body felt it, hard to explain and  one day couldn’t go upstairs , felt unsecure going alone  shopping , it felt I will collapse if was alone, I was working from my home, felt and wished  people to go away, I couldn’t stand seeing them coming, but still could force a smile.

I had no idea I was in heart failure… so yes HEARTFALIURE , my word in my case the answer  for your second question.
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