- male
- 65 Years
- 29/01/2025
What's the deal with moderate left ventricular (LV) function if the LVEF is 45%? My dad had an Inferior Wall Myocardial Infarction (IWMI) last week. Any advice on what this means for his heart health and what steps we should be taking?
Answered by 1 Apollo Doctors
Moderate LV function means that the left ventricle of the heart is not pumping as effectively as it should be. An LVEF (Left Ventricular Ejection Fraction) of 45% indicates that the heart is pumping out 45% of the blood with each heartbeat, which is slightly below the normal range (55-70%). For your father's condition following an IWMI (Inferior Wall Myocardial Infarction), it is important to manage his heart health carefully. He may benefit from medications such as ACE inhibitors like Enalapril 5mg once daily, beta-blockers like Metoprolol 25mg twice daily, and statins like Atorvastatin 20mg once daily to help improve heart function and prevent further complications. Additionally, lifestyle modifications such as a heart-healthy diet, regular exercise, and stress management are also important for his recovery. Regular follow-up with a cardiologist is essential to monitor his heart function and adjust treatment as needed.
Dr. Shubham Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
0

More Cardiology Health Queries
View allI'm in a bit of a dilemma here. All of my tests, like ECG, echo, TMT, and chest X-ray, came back normal except for high LDL cholesterol. So the doctor put me on Rosuvas, which I've been taking. But now, after a month of feeling okay, the chest pain and tightness are creeping back. I remember the doctor saying to take BP meds if this happened, but I'm not sure which one to pick. My weight is around 110 kg, and my blood pressure was 14090 last month, but I can't check it now because of the lockdown. Should I stick with the Metoprolol I got last year, or should I go out and get Amlopidine? Which one would be better in this situation?
"Based on your symptoms of chest pain and tightness, and your history of high LDL cholesterol, it is important to manage your blood pressure effectively. Considering your weight and previous blood pressure reading of 14090, you can take amlodipine to help lower your blood pressure. Amlodipine is a calcium channel blocker that can help relax the blood vessels, making it easier for the heart to pump blood. Since you already have metoprolol with you, you can also consider taking it as it is a beta-blocker that can help lower blood pressure and reduce chest pain. The usual dosage of metoprolol for high blood pressure is 25-100mg once or twice daily. However, please note that metoprolol may not be as effective in controlling chest pain compared to amlodipine. If you choose to take metoprolol, start with a lower dose and monitor your blood pressure closely. If your symptoms persist or worsen, it is important to seek medical advice promptly. Additionally, try to monitor your blood pressure regularly, especially during this time when access to healthcare may be limited due to the lockdown."
Answered by 1 Apollo Doctors
I'm looking over my cholesterol results and I'm trying to figure out what they mean. My total cholesterol is 198mg, triglycerides are at 236mg, HDL cholesterol is 40mg, non-HDL cholesterol is 158mg, and my LDL cholesterol is 130mg. Plus, the atherosclerosis index is 5. Does this report look alright, or is there something off? If there's a problem, should I be thinking about medication?
Based on these values, your cholesterol levels are not optimal. To improve your cholesterol levels, you can make lifestyle changes such as adopting a healthy diet, exercising regularly, and avoiding smoking. If lifestyle changes alone are not sufficient, medication may be prescribed by a healthcare provider. In your case, considering your lipid profile, a statin medication such as Atorvastatin (Lipitor) may be recommended. The usual starting dose for Atorvastatin is 10-20mg once daily. However, the specific medication and dosage should be determined by a healthcare provider after a thorough evaluation.
Answered by 1 Apollo Doctors
I'm really concerned about this ongoing chest pain I've been experiencing along with pain in my left arm. It's been happening quite a lot over the past eight months. I'm trying to figure out what's really going on. Any ideas what could be causing this?
This could be a sign of a heart condition, specifically angina or a heart attack. It is important to seek immediate medical attention. In the meantime, you can take aspirin (e.g. Bayer Aspirin) 325mg to help reduce the risk of blood clot formation.
Answered by 1 Apollo Doctors
Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.





