what will raise my ef heart function??l

[HOWIES]

i am a 79 yr old male who had a quadruple bypass over 20 years ago. Recently an mri of the heart had an ef of 33. I would like to know how to raise it. i am on atenalol 25mg, aspirin 81mg, lipitor 40mg,prilosec 20mg, glucosamine complex, a multivitamin, and fish oil capsules. what would you recommend to raise this ef? please reply..thank you..howie

[kenkeith]

ACE inhibitor (lisinopril)...10mg 2x, beta blocker (coreg) 12.5 2x, diuretic for about a year.  Hospitalized for congested heart failure and subsequent to tests received a stent in the RCA,  LAD is totally blocked but collateral vessels provide a natural bypass, and circumflex was 72% blocked...not stented.

[HOWIES]

WHAT DRUGS DID YOU TAKE TO ACHIEVE YOUR NEW EF OF 59%??

[kenkeith]

Frequently, a low EF is attributed to an enlarged left ventricle (it was for me).  The left ventricle normally dilates to increase (compensates) contractions (higher EF) and provide a balance between the left and right side of the heart.  When heart pathology develops, the heart will enlarge to a degree that overcompensates and contraction strength decreases (lower EF).

If the lower EF is due to dilation of the LV, medication to the heart's workload by dilating vessels, reduce blood volume, etc. and the enlargement can/will return to normal size and increase EF.  My EF was 13-29% about 5 years ago...currently it is normal at 59%.  Have you had an echocardiogram?