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Can exercise improve ejection fraction?

4 answers | Last updated: Mar 29, 2015
A fellow caregiver asked...

Can exercise improve ejection fraction? My mother-in-law has had heart failure and coronary artery disease for many years. She had bypass surgery six weeks ago, and her ejection fraction (EF) is now 10 percent -- what it was before surgery. She'll begin a cardiac rehabilitation program in two weeks, for three days a week. Will that help raise her EF? Right now she can only walk about half a block, once a day. Should we encourage more exercise for improving ejection fraction?


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Barry M. Massie is chief of cardiology at the San Francisco V.A. Medical Center.
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A fellow caregiver answered...

Cardiac rehabilitation may not play a major role in raising your mother-in-law's EF, but it should improve her quality of life and her ability to be active. EF is a See also:
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helpful marker for physicians, but it isn't the be-all and end-all of rehabilitation. Some patients feel good and remain active in spite of having a low EF. The real goal is to improve your mother-in-law's health and quality of life.

That said, your mother-in-law's EF may rise over the next few months as a result of the surgery, which should improve blood flow to her heart. Her return to activity should be gradual, so it's helpful to have the close follow-up that's available in a cardiac rehabilitation program. The program will also provide emotional support and patient education. Three days a week is a good start, and her doctor will provide recommendations for appropriate levels of activity at other times.


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A fellow caregiver answered...

Recently, there was an article in vitasearch where 53 patients with heart problems took pycnogenol along with CoQ10 for 12 weeks and it resulted in a 22.4% increase in their ejection fractions, along with other benefits.


A fellow caregiver answered...

I am a Sr Consultant Cardiac Rehabilitation at Life Center Apollo Hospital Hyderabad.Me & my time condition Post CABG,Post Valve Replaced , Post Angioplasty cases, Patients with Systolic/Diastolic Dysfunction with preserved/low ejection , ICD/Pace Maker Implanted patients,HF/Cardiomyopathy, Angina etc Even patients with 30% EF improves but gradually EF is very rigid in increasing. Lot of others benefits patient gets . He gets conditioned to sustain at low ejection fraction , with medication.


A fellow caregiver answered...

Exercise helped me go from EF of 25% to EFof 50% from 2012 to 2015. I started with water aerobics and this last year more consistent with treadmill 30 min 3-4x per week. Along with carvedilol, diuretics, losartan, COQ10,L carnitine, gemifibrizil, zetia, and pycogenol.