Low Ejection Fraction After Heart Attack and Angioplasty

What is the 10 year survival rate after acute anterior wall MI followed by thrombolytic therapy, then PTCA for LAD block 89%. Ejection fraction is just 30% for me.

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Current Postings on This Page (5):

• I am 39yr (current age) male, living in my village town in my dad's house in Rajasthan India, I have 2 little daughters, 3 yrs back at age of 35-36 yrs, when I was doing job in Kathmandu Nepal, I got severe heart attack with 100 % blockage in LAD, the angioplasty was done immediately as an emergency in a govt hospital of Kathmandu, after the stent insertion was done one month later my echo reports gave result of 22 - 25 % LVEF, which is still the same at 22-25 % even now I am taking treatment medicines of Medanta Medicity Gurgaon, there are no signs of any improvement in EF. Currently I am taking cardivas 3.125 twice, ivabradin 5 mg twice, Lasix 40 once,Rozovel 20 once, Aspirin 150 once, Clopidogrel once daily accompanied by two vitamin supplements. now my cardiologists are suggesting me to have an ICD / CRTD implantation as soon as possible. can anybody help me, if EF can be improved by medicines only ? I don't want any implantation at this age and stage of life or if I go for the ICD implantation, will it improve the efficiency / EF of the heart ? please help me if anyone can suggest me any suggestions, I am totally jobless for last almost 3 yrs....
Ankush saravagi, Ankush, PILANI, RAJASTHAN, INDIA, February 25, 2015

• Dear Left Atrium Dilated -- thank you for writing. The angioplasty unblocks a heart artery, maybe the one that caused your heart attack. We cannot tell from here. The 2D echo does not test the success of the angioplasty. Instead it tests how well your heart muscle is working, which is the important thing. It looks like you do have some damage from the heart attack (although some may have been there before as well). How much there is we cannot tell but your cardiologist should be able to give you more information, and also medications or other therapy to help you. Certainly, "GOOD LV FUNCTION" is a good thing to hear. Did you get a value called "Ejection Fraction" or EF?
Angioplasty.Org Staff, Angioplasty.Org, November 20, 2010

• sir (i have language problme try to understand this letter) i am 68 years old last year have heart attack and check Dr. and give the medicines. now do the coronary angioplasty one month give the rest and check up the doctor he do the 2D echo test the test result is left atrium dilated the test conclusion is
POST PTCA TO LAD
MILD ASH
NO RWMA
GOOD LV FUNCTION
REDUCED LV COMPLEANCE
NO INRACADIAC MASS
NO PE
now success the angioplasty or not please give advise next what can i do sirs
left atrium dilated, rtd employee, visakhapatnam, andhra pradesh, india, November 20, 2010

• It really depends on your lifestyle (stress levels, diet, physical activity, etc), and making sure you take your medications. If all is well, you should be expected to live a long, normal, healthy life with little to no complication. Don't get too caught up with ejection factor, but rather with how you feel. Ejection factor can be improved over time with exercise and medications.
Scientist, Fresno Institute of Health and Fitness, USA, July 2, 2007

• What is the 10 year survival rate after acute anterior wall MI followed by thrombolytic therapy, then PTCA for LAD block 89%.....Ejection fraction is just 30% for me. Do I need to worry about that? It's now been 1 year. What is the best management in this case?
Rohit Singla, RML Hospital, Delhi, INDIA

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