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A member asked:
A little over a year ago, ef was 20-25. had echo yesterday and was told ef is now 20 (+or- 3). have icd. heart failure since 1996. advice? progosis?
A doctor has provided 1 answer
Cardiomyopathy: Depends. Based on underlying cause. Is the patient receiving full medical Rx eg beta blockade, Entresto ,ACEI,ARB ,isosorbide dinitrate/hydralazine etc etc Is there an arrhythmia burden? If progressively declining has a referral to a tertiary center been made with a view to VAD/transplant options? Are there any reversible or modifiable environmental or dietary factors; any sleep apnea etc etc etc
Answered 9/11/2015
2.3k views
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