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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Ejection Fraction Of 25% A Cause For Concern?

Hi My husband is an otherwise healthy fit Air Force man with a heart branch bundle, just diagnosed with ejection fracture of 25% and he has had an arrithmyia... I think its from chronic drinking, and family history. What can he expect for life expectancy. Im worried that he won t comply with quitting drinking. He is only 47. thx
Mon, 19 Dec 2016
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Internal Medicine Specialist 's  Response
Hello
I understand your concern.
An ejection fraction of 25 percent is low with normal being 70 percent. Associated you mention an arrhythmia of which there are several types. He should definitely be on medical treatment to prevent symptoms such as weakness, fatigue, shortness of breath and strokes.
There is also a device called an implantable cardiac defibrillator (ICD) which can be placed in the chest that helps prevent sudden death.
As far as the prognosis, it is very difficult to tell you and would need more information.
As far as lifestyle he will be limited in what he can do, no strenuous exercise, no heavy lifting and may even find that he gets short of breath going up a flight of stairs.
He should take medications as instructed by a physician to help his heart pump improve and to prevent heart failure.
If he is no longer drinking ( as you mention) he may be a candidate for a cardiac transplant. If he is still drinking he should stop immediately.
Best regards

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Is Ejection Fraction Of 25% A Cause For Concern?

Hello I understand your concern. An ejection fraction of 25 percent is low with normal being 70 percent. Associated you mention an arrhythmia of which there are several types. He should definitely be on medical treatment to prevent symptoms such as weakness, fatigue, shortness of breath and strokes. There is also a device called an implantable cardiac defibrillator (ICD) which can be placed in the chest that helps prevent sudden death. As far as the prognosis, it is very difficult to tell you and would need more information. As far as lifestyle he will be limited in what he can do, no strenuous exercise, no heavy lifting and may even find that he gets short of breath going up a flight of stairs. He should take medications as instructed by a physician to help his heart pump improve and to prevent heart failure. If he is no longer drinking ( as you mention) he may be a candidate for a cardiac transplant. If he is still drinking he should stop immediately. Best regards