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Doctor insights on: Ejection Fraction Of 40

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Dr. Tamara Modilevsky
Board Certified, Internal Medicine
49 years in practice
113K people helped
1

1
I have been having chest pain- dull ache from my left to center of chest. I do have CHF and ejection fraction at 40%. What could be causing the ache?

Dr. Tamara Modilevsky
Board Certified, Internal Medicine
49 years in practice
113K people helped
I have been having chest pain- dull ache from my left to center of chest.  I do have CHF and ejection fraction at 40%.  What could be causing the ache?

See your doctor: You need work up to rule out coronary artery disease. You need ECG and stress test, I assume that ECHO has been already done, because you know that you EF is 40 %. Your lipid profile has to be checked as well. ...Read more

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Dr. Tonga Nfor
Board Certified
11 years in practice
506K people helped
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Dr. Tonga Nfor
Board Certified
11 years in practice
506K people helped
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Dr. Oktavijan Minanov
Board Certified, Thoracic Surgery
24 years in practice
3K people helped
2

2
Tropinon i test - negative / ejection fraction 35% - 40% . High BP / diabetes patient for the last 12 years. Would you recommend an open heart surgery?

Dr. Oktavijan Minanov
Board Certified, Thoracic Surgery
24 years in practice
3K people helped

Yes: Yes if your cardiac cath shows blockage in your main artery that feeds the heart or all three vessels that supply the heart. ...Read more

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Dr. Tonga Nfor
Board Certified
11 years in practice
506K people helped
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Dr. Tonga Nfor
Board Certified
11 years in practice
506K people helped
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Dr. John Szawaluk
Board Certified, Cardiology
26 years in practice
2M people helped
3

3
What does an ejection fraction (ef) of 40% mean?

Dr. John Szawaluk
Board Certified, Cardiology
26 years in practice
2M people helped
What does an ejection fraction (ef) of 40% mean?

Dysfunction: A normal ef is 50-55% or greater. An ef of 40% indicates that there is a mild degree of cardiac dysfunction. Medical therapy is very effective depending on the cause. Speak with your cardiologist. ...Read more

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Dr. Rifat Naghmi
Board Certified, Internal Medicine
41 years in practice
1M people helped
4

4
Mild left ventricular systolic dysfunctionLeft ventricular ejection fraction 40 % with global left ventricular hypokinesis,Myxomatousmorphology mv?

Dr. Rifat Naghmi
Board Certified, Internal Medicine
41 years in practice
1M people helped

Heart: With this diagnosis you need to be under the supervision of a cardiologist and follow his advice. ...Read more

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Dr. Tonga Nfor
Board Certified
11 years in practice
506K people helped
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Dr. Calvin Weisberger
Board Certified, Cardiology
46 years in practice
30M people helped
5

5
My echocardiogram report says LVEF "reasonable to good" what does this mean Ejection fraction wise? 30% 40% 50% 60%?

Dr. Calvin Weisberger
Board Certified, Cardiology
46 years in practice
30M people helped
My echocardiogram report says LVEF "reasonable to good" what does this mean Ejection fraction wise? 30% 40% 50% 60%?

Echocardiogram: "reasonable to good" is that reader's usage and you'd have to ask that reader to be sure what was meant. In my view 50-55% is reasonable to good. ...Read more

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Dr. Martin Raff
Board Certified, Infectious Disease
51 years in practice
103M people helped
6

6
Hepc, cirohsis, episode of grade 2 hepatic enceplopathy, minor bleeding in esophagus, ejection fraction 40....Is there any new medicines available ?

Dr. Martin Raff
Board Certified, Infectious Disease
51 years in practice
103M people helped
Hepc, cirohsis, episode of grade 2 hepatic enceplopathy, minor bleeding in esophagus, ejection fraction 40....Is there any new medicines available ?

Cirrhosis: Portal hypertension secondary to cirrhosis has no new therapies available short of transplantation. ...Read more

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Dr. Rick Koch
Board Certified, Cardiology
17 years in practice
22M people helped
7

7
If suffering from heart disease with ejection fraction 40% can we start with interferon and other drugs for hep c cure?

Dr. Rick Koch
Board Certified, Cardiology
17 years in practice
22M people helped
If suffering from heart disease with ejection fraction 40% can we start with interferon and other drugs for hep c cure?

Probably but...: Cardiologist needs to initiate CHF ned's & keep a very close eye on things. ...Read more

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Dr. Victor Bonuel
Board Certified, Internal Medicine
33 years in practice
35M people helped
8

8
Hepc, decomposed liver cirohsis, heart ejection fraction 40 %. Can new drug sofosbuvir still help in reducing the hep c infection?

Dr. Victor Bonuel
Board Certified, Internal Medicine
33 years in practice
35M people helped
Hepc, decomposed liver cirohsis, heart ejection fraction 40 %. Can new drug sofosbuvir still help in reducing the hep c infection?

It may but no: Guarantees. God bless u! http://www.m.webmd.com/a-to-z-guides/features/hepatitis-c-alternative-treatments. http://www.nhlbi.nih.gov/health/health-topics/topics/cm/.

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Dr. Tony Ho
Board Certified, Infectious Disease
9 years in practice
3M people helped
9

9
74yr old , heart ejection fraction 40%. Hep c n liver cirohsis. Enzyme level high! sgot is 169 n sgpt is 96. Albumin is 2.52. Pl advice?

Dr. Tony Ho
Board Certified, Infectious Disease
9 years in practice
3M people helped
74yr old , heart ejection fraction 40%. Hep c n liver cirohsis. Enzyme level high! sgot is 169 n sgpt is 96. Albumin is 2.52. Pl advice?

What is the problem?: The numbers given need to have a context for evaluation; what symptoms do you have? Are these new fluctuations in the numbers, or are they stable? ...Read more

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Dr. Camilla Graham
Board Certified, Infectious Disease
22 years in practice
469K people helped
10

10
74yr old patient . Mvr done 2006, ejection fraction 40%. Diagnosed with hep c and liver cirohsis, genotype 1, sgot 169 , sgpt 97. What i best treatment?

Dr. Camilla Graham
Board Certified, Infectious Disease
22 years in practice
469K people helped
74yr old patient . Mvr done 2006, ejection fraction 40%. Diagnosed with hep c and liver cirohsis, genotype 1, sgot 169 , sgpt 97. What i best treatment?

Tough situation: Is your background asian? If so, it is likely you have a favorable genetic background that makes interferon work really well to eliminate hepatitis c. But it can be very hard to tolerate in older patients with heart issues. And it depends on how advanced the cirrhosis is. I would probably wait for sofosbuvir, although approval may take a while. Talk to your doc and follow the news in the us fda. ...Read more

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Dr. Tonga Nfor
Board Certified,
11 years in practice
506K people helped
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