How do I raise my ejection %?

Maja1959
By Maja1959 Latest Reply 2011-12-22 22:46:47 -0600
Started 2011-11-19 12:46:57 -0600

Does any one know of a way to raise my ejection %? I have taken my meds and watch my diet and I am exhausted. I am told to listen to my body so I don't get to walk as often as I should. I am guessing I need to walk more often? My ejection % stayed at 20%. Now I have to go see an pacemaker doc on 11/25. I am not real sure about this know I have to go but not sure what to think…


31 replies

redorangedog
redorangedog 2011-12-14 13:15:20 -0600 Report

Redorangedog, there is a forum on Google who are dealing with the issue of raising their ejection fraction. A common thread among these people is not to focus on the number, just on how you are feeling. Ejection fraction is a transient number and can change many times during a day. It also can depend on how well the technique of the person doing the measuring and the time of day it is being measured. If you measure a patient's EF when they are stress and short of breath it will be lower than when the patient is relaxed. Just having the patient stand up will raise their EF. Red

redorangedog
redorangedog 2011-12-11 02:47:55 -0600 Report

Redorangedog, Besides the drugs your doctor advises like an antiarrhythmic, angiotehsin-converting enzyme inhibitor, beta blocker, digoxin, and a diuretic, treat the cause if you know what it is, successful heart transplant cures the disorder. Now this is bound to cause a difference of opinion, but the people who have this disorder have their own network of people on Goggle, that say that to change your lifestyle via regular exercise monitored by cardiac rehab. Change your diet if your cholesterol is high, lower it with medication and eliminate all animal products. Lose weight, it is better to be 10% less than normal body weight for your height. Meditate or find a way to eliminate negative emotions, prayer is a powerful tool, it actually causes your parietal lobe to grow and helps to deal with negative emotions. You must put yourself first and exercise while being monitored like it is a religion. Love is a powerful emotion and produces beneficial hormones, let go of anger, do not hold grudges, forgive. Where goes salt, water follows, monitor your fluid intake and your output, be aware of edema especially in your lower extremities and lips, note any weight gain, especially if it is a few pounds that happen overnight without an increase in caloric intake. Keep cholesterol within normal limits. Did I say to exercise? All of these people say that these changes have brought their ejection fraction up and improved their lives. Your ejection fraction goes up every time you stand up. Rest when you are tired, if you push yourself too much with housework and striving to be perfect ,your heart muscle will become more fibrous and decrease in contractability. Dilated cardiomyopathy can be caused by an acute inflammation of the heart muscle due to a viral infection. In the USA, infection with coxsackie B virus is the most common cause. Occasionally, it can be a bacterial infection. Other causes include certain hormonal disorders like long-standing diabetes or thyroid disease, alcohol, cocaine, antidepressants, malnutritrition, and a few chemotherapy drugs. Rare causes include pregnancy and connective tissue disorders like rheumatoid arthritis. You have to try to improve the time you have now, it is the only time we all have. Even if it sounds silly,i[t is your time, make it count and perhaps last longer and sweeter. I only wish you well, Red

HeartHawk
HeartHawk 2011-11-20 01:58:48 -0600 Report

Maja,

The standard prescriptive therapies are ACE Inhibitors, beta blockers, and - yes - a defibrillator. As I have mentioned to others, a cardiologist I work with called defibrillator implantation as the cardiac equivalent of an appendectomy - easy to do and little risk given the benefit.

HH

Maja1959
Maja1959 2011-11-20 06:36:13 -0600 Report

What are the risk and beneifit?

redorangedog
redorangedog 2011-12-08 17:44:34 -0600 Report

Redorangedog, The implantation of a device to keep your heart beating brings relief and a sense of security. But pacemakers and implantable cardioverter defibrillators (ICDs) also bring the risk of infection."These infections are caused by bacteria, over 80% gram positive bacteria, staphylococcal organisms, either aureus or epidermidis," says Bruce Wilkoff, MD, Cleveland Clinic's Director of Cardiac Pacing & Tachyarrythmia Devices. He says the infections are infrequent when the devices are first implanted. However, the risk goes up during the life of the device. Researchers blame the rise of infections on the greater number of devices in use and the increasing comorbidities of patients receiving such implantable devices. The most common major comorbidities in patients receiving an ICD in the study were renal failure, respiratory failure, heart failure and diabetes. While causes may differ, symptoms usually do not. Dr. Wilkoff says to be on the look out for fevers, chills, a swollen pocket, redness, pain and sepsis. Treating infections requires antibiotics and the removal of the pacemaker or ICD and it's leads, called transvenous lead extraction. Before a patient undergoes that procedure, Dr. Wilkoff recommends doing a little research. "The patient should go to a physician who has kept tract of his outcomes of his device procedures, including lead extraction, and has the capability of going extraction if needed," Dr. Wilkoff advises. When it comes to prevention, patients must take the role of investigator. Dr. Wilkoff recommends that patients be vigilant about looking for changes in the appearance of the device pocket, and immediately report any changes perceived. If you have an implantable device: Avoid activities that lead to rough contact with the device or lead wire, such as contact sports. Have your ID and your medical alert bracelet with you at all times. Use your cellphone on the opposite side from your cardiac device. Give airport security personnel your medical information, and do not walk through metal detectors. Go to the emergency room if you receive multiple ICD shocks within a short period of time. From the Heart Advisor/November 2011 Red

redorangedog
redorangedog 2011-12-17 10:13:52 -0600 Report

This really happened to my brother, the ICD kept shocking him every few minutes. The brilliant doc thought that he was having heart attacks every three minutes. A leading Cardiologist that charges top prices, let this man suffer needlessly. I truly hope that what goes around comes around. I slept on the floor in CCU for 12 days, protecting my brother from countless mistakes. When his doc made rounds, I hid under my brother's bed, so the doc would not see me. He always looked around the room and asked If 'she' was here. I sprung up whenever he made the wrong choice of meds. The next day there was a picture of me in a circle with a line through it at the front door of the hospital. Nothing could stop me when my family was concerned. I replaced his picture for mine. (The picture part is a long-standing joke in my used-to-be family.) The rest is sadly the truth.) All the money in the world can't buy a competent doctor. Red

redorangedog
redorangedog 2011-12-08 19:04:20 -0600 Report

Redorangedog, I went to Google and the article that I was quoting from (the Cleveland Clinic article with Dr Wilkoff popped up) it maintains that you should use your cellphone on the opposite side of your ICD because of strong electro-magnetic fields producing currents. Google agrees Red

Maja1959
Maja1959 2011-12-08 17:59:52 -0600 Report

Why do I have to use my cell phone on the opposite side as my defibrillator? I am scheduled 12/16 to talk to pacemaker doc again about the defib and to schedule. Just pretty tired. Was refused by the dentist till after I see the pacemaker doc.

redorangedog
redorangedog 2011-12-08 19:17:21 -0600 Report

Redorangedog, You have to Google this one and see the article from the Cleveland Clinic. The Cleveland Clinic has a free health news letter that is available monthly. There is an article on the same subject in the free email newsletter go to www.health.harvard.edu and subscribe to Healthbeat for a free weekly news letter via email in the December 2011 there is an article "Preventing pacemaker, ICD infections now a priority." Red

redorangedog
redorangedog 2011-12-08 18:52:32 -0600 Report

Redorangedog, Hi Maja, It probably has to do with an electronic issue. However, my husband the genius said that it is almost impossible for that to cause a problem. It is like when you are in Intensive Care and the sign says "do not use your cellphone in this area" and everybody does. That is what the article recommended I really do not know if that is fact or fiction, I will ask my friend Google and get back to you on that one. See, even though you are tired, you are still very sharp. Do you take antibiotics before you have any dental work done? Red

Maja1959
Maja1959 2011-12-14 15:20:32 -0600 Report

The dentist cleaning my teeth. Because they don't want any bacteria released in my bloodstream before they do the defibrillator in the next couple of weeks here before the end of the year.

redorangedog
redorangedog 2011-12-15 19:42:04 -0600 Report

Redorangedog, How inconsiderate of your time and energy. But, at least they were concerned enough about you to check with your doc before the chance of causing an infection in your body and delaying your ICD. You will most likely have to take antibiotics before any dental or invasive procedures for the rest of your life. I have to take antibiotics before dental work because of my mitral and tricuspid valve regurgitation. It is not bad, it is a big single dose an hour before any procedure is done and it will cure any pimple that may be occurring. The doctor that put in my dental implants, tells me to rinse my mouth with a mixture of baking soda, a squirt of peroxide and 8 oz. of water several times a day to change the pH of my mouth and inhibit the growth of bacteria. My Infectious Disease do said that sounded OK to her, so I do it and it does help to keep my mouth clean of debris. I did not check it out with the gods of the internet, but I will and retract it if I am wrong. I am so sorry that your son is not feeling well. Mono takes a long time time to pass, rest is important. And, I would have the doc check for the Epstein Barr Virus, it might be important for his medical history. I am sure your good cooking will cure anything that ails him. I have a nephew that is a Rabbi in Israel, I sent an e-mail and asked him to put your name in the Wailing Wall. My great nephew is a Priest at Notre Dame, I asked him to mention your name when they pray for special friends. I thought I would cover all me bases. I also have a group of friends when I was a Buddhist that are chanting the paint off their beads for your speedy recovery. I like to pray in the closet and the backyard with the birds. I hope this will be a good memory, 20 years from now. All my best to you and yours for a joyous holiday with your family. Red

Maja1959
Maja1959 2011-12-15 20:08:30 -0600 Report

lol Thanks for covering all the basis! I meet with the pacemaker doc about the defibrillator tomorrow at 9:30am. I hope he will schedule the week after xmas and not xmas week. We drive home for xmas dinner about an hour away don't think I will feel up to the drive if he does it the week of xmas. I am glad tomorrow is Friday. Helped Jeff study for history test tonight. He went to be early last night wish he would go early again tonight. But that is too much to ask from a teenager! lol He had the mono three to four mos ago but they say that his whatever is up and they mentioned the Epstein thing you talked about they said it will stay in his body all his life and could reoccur latter he will have good and bad days and be tired too. He complained of tiredness when I was quizzing him on the review sheet for the test. Happy Holidays to you and your family too! It is hard for me to get excited about xmas. My mom passed xmas eve 2008. I still try to go through the motions for my son even though he is 16. He is still a kid. Might do some more choc chip cookies for him this weekend. We are driving to inlaws to do cut out cookies grandma made and she mixes colored icing for kids to paint cookies with. Weather has been good. Hope it remains that way it is an hour drive. It has been tradition every since we've been married and the kids have been little. It is fun! I am tired and have a big day tomorrow with the pacemaker guy about the defibrillator. Nite.

redorangedog
redorangedog 2011-12-22 22:46:47 -0600 Report

Redorangedog, Dear Maja, sometimes all you have to do is go through the motions and something magical happens; you become overjoyed with the feelings of Christmas. Bah Humbug, Red

redorangedog
redorangedog 2011-12-16 16:39:00 -0600 Report

Redorangedog, Hello Maja, I as so afraid that I would sound bossy and you would not like me anymore. It just the nurse in me takes over like it is a separate personality and the things I learned over 40+ comes over me and I can't my evil twin from expounding all these health tapes in my head. I truly, only mean well. We have something else in common. My Mother passed away the last night of Hanukkah, just as the last candle flicked out, she died. When my son passed away so did most holidays. When my Mother-in-law, moved away from Texas to Florida, Christmas went with her. My husband and I are really all alone in the great state of Texas. They do have the best veteran's hospital in the USA. Although, we buy insurance so we can see a doctor in a timely fashion and have access to some of the better doctors in the area. I am sorry that Epstein Barr showed up, that needs to be part of his medical history. If he ever complains of swollen glands in his neck, call the doctor. Although, your son does not seem like the kind of person to complain. You are so lucky to have such a nice, responsible and loving son. I hope you have a wonderful time with your family at Christmas, sounds nice to have traditions to celebrate, even if your heart is not in it. You will enjoy your son having a good time and score a lot of points with your hubby. I hope all goes well today with the ICD appointment and you can have it done when you want it. I hope that I can be as brave as you are when my time comes. It is fated for me, due to my diagnosis and family history. I put some pictures on HC, my beloved departed canine daughter, flowers on the block and me, with and without wrinkles ( they happened so fast .) I hope that you will enjoy them. Red

Maja1959
Maja1959 2011-12-17 06:33:51 -0600 Report

Please do not take my lack of interest as anything else but tiredness. I am not sure what to think. My pacemaker/defib is scheduled for 12.27 @ 10am. Tues after xmas. We are to go to inlaws to paint cut out sugar cookies with colored icing today. It has been a tradition for years. Meds changed again pacemaker doc increased my doivan to 80 and my coreg to 25. He would like to see what meds do first. But my osteopath said that the meds have not helped yet it is best to do this and just get it done. So that is the path I have decided to take. I am afraid if I wait for another three mos what happens if something happens. The pacemaker doc upset me because this disease says that you get tired and all the med I am on says side affect is tiredness. I said to him what about the tiredness. And he tells me to talk to my pcp about a sleep test. He said that he doesn't deal with tiredness. I was totally upset with him with everything I read the dilated cardiomyopathy talks about tiredness and so do all my meds. And he can't figure this out. It is common sense and I am no rocket scientist. Smart people who are so stupid excuse me piss me off! Well better go figure out my meds this morning he changed them again. I have to take my bp first if it is under 100 on top I am not to take the new dose of coreg but slide it back to the old dose. I got up at 7am because my back was sore from laying in bed. I am tired. Inlaws are a hour away. Glad my son has his permit he can drive for awhile. He did good at Thanksgiving when we went. Have to see if it is snowing. He did not say which side he is going to put it in. Books say opposite side then your dominant hand. I hope he read the book! lol Since my cardiologist changed to UPMC I had to pick another cardiologist I meet her on Feb 13. So we shall see. I don't like to pick new docs I know nothing about any of them. At least she is local and I don't have to drive to Pittsburgh. Well better go get moving. Happy Holiidays to you and yours. Happy Holidays to all my friends here on the Heart Connect too.

redorangedog
redorangedog 2011-12-17 09:41:26 -0600 Report

Redorangedog, Yes, all the meds make you tired. Especially the Coreg, it is infamous for the side effect of tiredness, but it is supposed to subside in 8 to 9 days. If not, they say to lower the dose. How are you supposed to know where the tiredness is coming from? Especially with 'tiredness' being the cardinal sign for your illness. The sleep test should have been done first. If you have sleep apnea, it could explain your current diagnosis and the treatment C-PAP is beneficial from night one. The continuous positive airway pressure is so helpful, that people do not have any trouble wearing the face mask to bed. I know a few people that insist on taking a nap during the day just so they can wear their C-PAP and get the oxygen boost that they so desperately need. It can stave away progression of many respiratory and cardiac problems. It is elementary 'dear Watkins,' we need oxygen to live and C-PAP has been the answer for many without further intervention. I wish you good luck with that test, please don't be put off by the head piece, it can make you feel wonderful in the morning. Pretend that you are the daughter of the Chief Indian that holds all the property that the railroad needs to build tracts to the great land of opportunity and the sleep center must have your approval, if they are allowed to build any further. Make them fluff your pillow and remove the paper on your straws. So much to deal with in so short of time. My husband says " don't believe anything you hear or anything you say." He hates doctors even more than I do. We pay for outside ( the VA) insurance every year, and he never goes to the doctor ( outside the VA ), not even once. I dream about how I could be spending that money. I am a witch on wheels, I am not a good patient. And, how do you know how to pick a doctor when all they are but an unknown bunch of names. Doctors hate me, I am so opinionated and I expect them to be at least smarter than I think I am. I go through the list (which is usually out of date ), like Kleenex. My new Internal Medicine doc keeps saying that I am "out of her scope" and sends me off to a specialist, which usually have developmentally disabled staff, which looses my referrals at least twice, and takes three months to be seen. When I finally get there, they speak some kind of dead language and smell from a mixture of pungent spices and BO. So, I have taken the role as the patient most likely to fail. I refuse to pay the co-payment of $65 until I am through with the visit instead of their ritualistic pay before you get into a room. Then, I interview them, which goes over like a lead balloon. But they don't get to see my body unless they went to an accredited school in America, forget the U of Swalhelli with their Mother making little Voodoo dolls at the front desk. Just to test their patience, I never sign HIPPA, stating that that paper is solely for the doctors' benefit, not mine, and No they cannot disclose my information for their profit, and I do not want to be the fat old lady under the blue towels with the docs hand up or down my boy-toy on the front page of JAMA, titled " what do you do with the the patient nobody wants." If the doctor passes my interview, I tell the desk to bill me, just to see their hair stand up like an angry cat. And, I quietly leave the check on the counter on my way out, as the docs mother is stabbing my Voodoo doll with assorted sized needles. I hope that this is the best holiday. Do not volunteer to do the dishes or any work what-so-ever, Drs orders. Red

redorangedog
redorangedog 2011-12-17 09:46:13 -0600 Report

The site would not let me write anymore, sorry for the long post. I wish you and yours the holiday ever. I am sending you the very best of vibrations across America. I wish you well, Red

HeartHawk
HeartHawk 2011-12-14 23:23:24 -0600 Report

Maja,

Yup, that is a standard procedure. I used to take antibiotics before teeth cleaning for my prolapse mitral valve. Same reason.

HH

Maja1959
Maja1959 2011-12-15 04:00:59 -0600 Report

I realize this. But was upset because they called the cardiologist before they would touch me. Because I am a candidate for the defibrillator before the end of the year the cardiologist said no to the cleaning. I feel the dentist office could have done this a day before I came and saved me a wasted trip. I go to see the pacemaker/defib doc tomorrow @9:15am. They will decide wether they will do two or three leads and give me a date and time for the procedure. They said we could do it before the end of the year. I am hoping for the week after xmas. Not xmas week. We shall see won't know till tomorrow. Just found out why my son has been irritable and tired and sore. He has had mono in the last three mos doc says. Medicine is such a wonderful thing. We had him swabbed when he had the sore throat and it came up neg.

HeartHawk
HeartHawk 2011-12-15 23:15:09 -0600 Report

Maja,

Yeah, that is pretty inconsiderate but that seems to be the norm in the medical profession. They all seem to feel THEIR time is valuable but YOURS is not! Unfortunately, all too typical. The trick is to find good docs - no easy task these days!

HH

Maja1959
Maja1959 2011-12-16 03:51:11 -0600 Report

Yes inconsiderate especially when you are anxious about the unknown they are going to tell you or whatever. When this stuff haoppens I remember a news article about a lady who had to wait forever for a doc and she sent him a bill for her time! lol And I heard he paid it! lol Glad it is Fri then we get to sleep in next two days don't have to get son up for school yeah! Only a week to go before xmas break too then can sleep in for a week. lol You would think I am the one who was in school. He gets himself up but I am the morning police to make sure he doesn't roll over and go back to sleep. We recently found out that he has had mono in the last few mos. I am anxious today because I meet with the pacemaker doc about the defib at 9:30am to find out if he is doing two or three leads with this defib. He talks about defib and not the pacemaker. Nurse says the pressures are normal. So I am guessing he won't do the pacemaker. Although I do understand the two are connected in one unit. We shall see. He was going to decide if he was doing two or three leads he said the three was a double edged sword. That is a bit scary I want to ask him more about that. He was booked here where I live so I have to drive to his other office about half hour away. I am glad I just looked out it doesn't look like it snowed just cold. Brrr…I like spring, summer, and fall. Although it has been warmer than usual for mid Dec here in Western PA. Yeah!

redorangedog
redorangedog 2011-12-22 22:41:10 -0600 Report

Redorangedog, The doctors are just names in an outdated book. I have a new attitude, I will interview them on my first visit. Then so much depends on the office staff, they can make or break the whole doctor's visit. May the G-ds be with you dear Maja, Red

Maja1959
Maja1959 2011-12-15 04:00:51 -0600 Report

I realize this. But was upset because they called the cardiologist before they would touch me. Because I am a candidate for the defibrillator before the end of the year the cardiologist said no to the cleaning. I feel the dentist office could have done this a day before I came and saved me a wasted trip. I go to see the pacemaker/defib doc tomorrow @9:15am. They will decide wether they will do two or three leads and give me a date and time for the procedure. They said we could do it before the end of the year. I am hoping for the week after xmas. Not xmas week. We shall see won't know till tomorrow. Just found out why my son has been irritable and tired and sore. He has had mono in the last three mos doc says. Medicine is such a wonderful thing. We had him swabbed when he had the sore throat and it came up neg.

redorangedog
redorangedog 2011-12-16 16:50:37 -0600 Report

Redorangedog, Mono spot tests ( the throat swab ) are notoriously unreliable. I had Mono when I was in high school. It was referred to as the "kissing disease," I always wondered who kissed me and when. I was a so ugly in high school. Red