High Ejection Fraction Score Today

By dave570

1 min read

Eighteen months after a heart attack due to a 100% blocked left artery and two stents put in, I took an echocardiogram last week. The result was an ejection fraction (EF) score of 77.

I have been eating super healthy, exercising daily, and taking many medications. I've lost ten pounds, and I am now at my goal weight. My question is: why isn't my heart doctor worried that I may have hypertrophic cardiomyopathy since my EF is so high? He was saying that my 77 is wonderful.

Which is it? Good news or bad news?

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Leslie Castro Moderator & Contributor
Thank you for sharing your experience. I believe that if your cardiologist was extremely concerned your cardiologist would recommend more testing to be done. Otherwise they would continue to monitor you if and when something changes with your heart health. Leslie (Community Moderator)
Olivia Rose Moderator & Contributor
Thank you for sharing your personal experience with us. I'm glad that you have been eating healthier and congrats on you making it to your weight goal! I would express my concerns to my cardiologist, they would be better to ask and have answers to your questions. Please keep us posted on how you are doing. -Olivia Rose Moderator
CommunityMember268 Member
Dave - I have had HCM now for 24 years and the key test for HCM seems to be the echocardiogram, so they can measure wall thickness and chamber size etc. Taken on it's own an LVEF of 77 seems like good news, but multiple different tests are often required to "triangulate" to the problem. The 12 lead EKG is often a key tool in diagnosis here. Good luck! (I realize my response is over a year late!)
1. Morgan Drutchas Moderator & Contributor
 <inline-mention username="CommunityMember268" user-id="4701733"/> Thank you for sharing. Hopefully this individual will see your response! How are you feeling these days? Morgan (heart-failure.net Moderator)
CommunityMember268 Member
Hi Morgan, I'm doing OK, thanks. My CRT-D implant and consistent exercise seem to be keeping me alive & healthy. I went through a bad patch in the first year - due to an Amiodarone side effect of hypothyroidism. I had a VT ablation this spring which seems to have successfully ablated any VT/VF rhythms. As with most HF patients, fatigue is the main problem, with good days & bad days, but I can function OK as long as I watch the intensity & duration. I had a max VO2 last year (Cardio Pulmonary exercise test) and scored 25.9, which apparently "beat the test".