Cardiovascular Health: Insights on Ejection Fraction and Blood Pressure

Cardiac Problem Report

Due to being diagnosed with peripartum cardiomyopathy postpartum, I have consulted many doctors.
One doctor mentioned that at my age (27 years old), the ejection fraction should be around 60-70%.
Currently, my ejection fraction has recovered to 54%.
Is this considered low for my age, or is it unrelated to age? Additionally, is an ejection fraction of 54% considered normal? I am concerned about it decreasing further.
Sometimes my blood pressure is 90/58 or 58; is that too low? (I am taking medication for this.)

Si Si, 20~29 year old female. Ask Date: 2023/02/13

Dr. He Dongjin reply Cardiology

Hello, at this age, 54 is not considered too low; it's within the normal range.
Your blood pressure of 90/58 is not excessively low.
Changhua Hospital cares about you.

Reply Date: 2023/02/13

More Info

Understanding cardiovascular health is crucial, especially when it comes to parameters like ejection fraction (EF) and blood pressure (BP). Ejection fraction is a measurement of the percentage of blood that is pumped out of the heart's left ventricle with each contraction. It is a key indicator of heart function and is often used to diagnose and monitor heart conditions. A normal EF typically ranges from 55% to 70%.
In your case, at 27 years old, an EF of 54% is slightly below the normal range. While it may not be drastically low, it does indicate that your heart is not pumping as efficiently as it ideally should. Factors such as pregnancy-related conditions, like peripartum cardiomyopathy, can impact heart function, and recovery can vary significantly from person to person. It's essential to continue monitoring your EF and discuss any concerns with your healthcare provider, as they can provide tailored advice based on your specific situation and medical history.

Regarding your blood pressure readings of 90/58 mmHg, this is considered on the lower side of the normal range. While some individuals may naturally have lower blood pressure without any symptoms, readings consistently below 90/60 mmHg can be concerning, especially if accompanied by symptoms like dizziness, fainting, or fatigue. If you are experiencing these symptoms, it would be prudent to consult your doctor. They may recommend lifestyle changes, medication adjustments, or further evaluation to ensure your blood pressure is managed appropriately.

It's also important to note that blood pressure can fluctuate throughout the day and can be influenced by various factors, including hydration, stress, and physical activity. If you are taking medications like "可悦" (which I assume is a form of medication for blood pressure or heart health), it’s vital to discuss with your healthcare provider how these medications might be affecting your blood pressure and overall heart function.

In summary, while an EF of 54% is slightly below the normal range, it is not necessarily alarming, especially considering your recent history of peripartum cardiomyopathy. Continuous monitoring and open communication with your healthcare provider are key. As for your blood pressure, while it is low, it may not be problematic if you are asymptomatic. However, if you experience any concerning symptoms, it is essential to seek medical advice promptly. Regular follow-ups and possibly lifestyle modifications can help manage both your ejection fraction and blood pressure effectively.

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