Myocardial hypoxia / Left Ventricular Ejection Fraction (LVEF)
I would like to ask the doctor, recently I had a myocardial perfusion study arranged by my physician, and when I checked the report through the National Health Insurance Express, I noticed that my LVEF value is only 53% (Stress/Rest LVEF: 53%/53%).
During my follow-up appointment, the doctor did not mention this specifically, but I saw that other people's values online are between 60%-70%, which makes me a bit worried if this could lead to gradual heart failure.
Thank you.
H, 30~39 year old female. Ask Date: 2023/12/21
Dr. Wu Xueming reply Cardiology
The normal systolic power of the left ventricle is above 60%.
To confirm the search function, it is recommended to perform an echocardiogram.
Reply Date: 2023/12/21
More Info
Left Ventricular Ejection Fraction (LVEF) is a critical measurement used to assess the heart's pumping efficiency. It represents the percentage of blood that is ejected from the left ventricle with each heartbeat. A normal LVEF typically ranges from 55% to 70%. When the LVEF falls below this range, it can indicate potential heart issues, including heart failure.
In your case, an LVEF of 53% is indeed below the normal threshold. This could suggest that your heart is not pumping as effectively as it should. However, it is essential to understand that a single measurement of LVEF does not provide a complete picture of your heart health. Various factors can influence LVEF, including underlying heart conditions, medications, and even temporary states such as stress or dehydration.
The fact that your LVEF was measured at 53% during both stress and rest conditions indicates a consistent finding, which is important for interpretation. While this value is lower than the normal range, it does not automatically mean that you are on a direct path to heart failure. Heart failure is a complex condition that can develop over time and is influenced by numerous risk factors, including hypertension, diabetes, coronary artery disease, and lifestyle factors such as smoking and diet.
It is also worth noting that LVEF is just one aspect of heart function. Other parameters, such as diastolic function (how well the heart fills with blood), wall motion abnormalities, and the presence of any valvular heart disease, are also crucial in assessing overall heart health. For instance, if your heart is still able to maintain adequate blood flow and there are no significant symptoms (like shortness of breath, fatigue, or swelling), your risk of developing heart failure may be lower than if you had other concerning signs.
Given your LVEF of 53%, it would be prudent to have a thorough discussion with your healthcare provider. They may recommend additional tests, such as an echocardiogram, to evaluate your heart's structure and function more comprehensively. This can help determine if there are any underlying issues contributing to the reduced ejection fraction and what steps can be taken to manage or improve your heart health.
In terms of improving LVEF, lifestyle modifications can play a significant role. These include adopting a heart-healthy diet rich in fruits, vegetables, whole grains, and lean proteins, engaging in regular physical activity, managing stress, and avoiding smoking and excessive alcohol consumption. Additionally, if you have any underlying conditions such as hypertension or diabetes, managing these effectively is crucial.
In conclusion, while a 53% LVEF is a point of concern, it is essential to view it in the context of your overall health and any accompanying symptoms. Regular follow-ups with your healthcare provider, adherence to recommended lifestyle changes, and possibly further diagnostic evaluations will be key in monitoring and managing your heart health.
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