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Should I be concerned about a recent change in EF?

In 1997, I suffered a mild heart attack. Since then I have been using Amlong-A and ecosprin 75. No operation. No stent. Doing 6kms walking/hour daily. EF% during 1997-2012 was 46 to 54. Yesterday in the routine check-up it is 36% and irregular heart beating. Age 63 yrs. What to do? Please help me. 

submitted by Narasimharao from Hyderabad, India on 9/19/2012


by Texas Heart Institute cardiologist, Jorge F. Guttin, MD    

Jorge F. Guttin, MDIt is very encouraging that you are walking 6 kilometers daily and, I assume, without symptoms. I would question the decrease in EF [ejection fraction] to 36% and wonder how this was determined? I encourage you to visit your cardiologist for further evaluation and advice.      

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Updated September 2012
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