u/BalanceImpressive637

Hi so update again : my father had a mi in may 2025 due to blocked artery it was stented but due to the mi his ef became 20-25 for 2 months he walked 1 hour everyday ate healthy and than his ef came 30-35 we wanted further improve consulted the cardio he said there is potential for further increase.

Now 1 year later again got the echo done and were terrified that it again came 30-35 but the doctor has prescribed these two new medicines and says that this will help in increasing the ef (so there is still hope of the ef to increase)
The medicines are(new):
CARCA CR 10 (beta-blocker)
ARNOZA 50 (this one is the one that the cardio says will help increase the ef)
His previous medicines are(old):
DAPANOVA 10
ALDACTONE 25
ATORLIP 20(statin- cholestrol lowering )
JULIROS GOLD 10( combination of two blood thinners and a statin)
(WHAT DO YA’LL THINK ABOUT THE MEDICINE PLAN)

Besides that my father has again started walking again (started with 15 mins than gradually increase 5 mins every day) and he has reduced tobacco to almost zero and now i really want to do every essential life style change that will help him increase the ef

Note:he already is on a low sodium diet, liquid intake is also moderate and vitals are checked almost daily and others he eat some dry fruits like walnuts , almonds etc.

But i want to include everything that could help him increase the ef so can ya’ll please suggest some life style changes or some essential foods/fruits/dry fruit that helped ya’ll either maintain or increase the ef

Also i am kind of looking into the Ayurveda treatment and i fined some things like Arjuna,hawthorn berries, coq 10
Has anyone of ya’ll tried any of these

Please tell me any essential factor that helped you increase the ef be it anything

Thank you.

UPDATE:(long read but please read) So we finally went to the cardiologist today for his opinion on my father’s echo and the ef being stable (30-35 after 1 year ) and not increasing

So first thing i asked was sir why didn’t the ef go up my father had no symptoms whole year and is working completely fine and even you mention in an appointment that his heart has potential for further ef increase so why did it not increase

For this he just explained the whole apical wall hypokinesia and SCARRED HEART MUSCLE DUE TO THE MI which i knew but even considering that his ef went up from 20-25 to 30-35 just in 2 months and now after a whole year it hasn’t gone a bit up he didn’t answer this very question

Than i asked him is their still potential for further increase he again stayed silent

I also asked him about all the other echo readings and i myself stated that are a little improvements like the mr & tr were mild first but now they are trivial(little to normal) so is that a slight improvement on that he said yes

i even asked sir is there any need of advance heart care facilities or cardiac rehab he said that in our city there is no cardiac rehab centre and when i asked should we consider going to the big cities he said no need

Than i added is my father allowed to perform certain daily activities like driving, attending functions, gardening etc he said yes he is

Basically the whole time he said he is stable no need to worry i also asked about reassuring that is my father’s medicine plan following the 4-Pillars of heart failure medicines like entresto and is this very medicine usable in my father’s case he just said no (didn’t even care to explain)

BUT HE STILL ADDED 2 MEDICINES ONE WAS BEFORE THE ECHO HE MENTIONED THAT IS GENERALLY ADDED AFTER 1 YEAR RECOVERY NAMED CARCA 10 (which when i searched came to be a beta blocker my father was on a beta blocker named CONCOR but it caused dizziness and that’s why it was on hold since august and now it has started again)

AND VERY IMPORTANT AFTER THE SEEING THE ECHO REPORTS AND THE EF HE ADDED A NEW MEDICINE AND WHEN ASKED WHAT IS IT FOR HE SAID IT IS TO INCREASE THE EF IT IS CALLED ARNOZA 50 (BUT I AM SCARED TO DEATH TO START IT BECAUSE IT HAS A BLACK BOX WARNING IT IS EXTREMELY HIGH RISK AND HAVE HISTORY OF SEVERE SIDE EFFECTS BUT IT IS STILL A VERY EFFECTIVE HEART SAVING MEDICINE WHAT SHOULD I DO) I DON’T GET IT WHY DID HE ADDED IT NOW WHY DIDN’T HE ADD IT FIRST I AM VERY CONFUSED AND HAVING SO MUCH TRUST ISSUES IS MY PARENT’S FUTURE IN SAFE HANDS)

than he was like just in so much hurry he didn’t say but expressed that okay now i need to check my next patient but i had to get my mum’s reports checked too but he clearly told me that wait i’ll check them later and they all came very bad (i’ll ask about it in other q’s) and he just didn’t give neither much time nor listened to me

do ya’ll think we should consider an opinion from any higher cardiologist also there were so so so many questions that i couldn’t ask like getting a scan or mri done for a more discrete ef neither what are the lifestyle changes that could support my father’s heart the most and the most critical one is there any need of pacemaker or implant (but again i very much think if my father was in the state of urgent need to get it implanted win’t the cardiologist say himself HE DIDN’T EVEN MENTION THESE) and

like there were just so many questions i wanted to ask but couldn’t .

I am really clueless now what to do the cardio visit is in one month now and idk what i am supposed do till that or should i just consider a new cardio also my father or mother didn’t come with me because internally they were sacred and the outside they said that these are just reports so you just get the consultation and come

when i came out i wanted to to cheer my father i said that the cardio said that everything is ok and I WAS REALLY SCARED SO I JUST HIGHLIGHTED MORE ABOUT THE BETTER PART LIKE HE SAID THAT THE EF STILL HAS POTENTIAL TO INCREASE EVEN IF BY A LITTLE LITLLE PERCENT AND THINGS LIKE EF TAKES TIME TO IMPROVE IT INCREASES THE MOST ONE TIME LIKE IT DID IN INITIAL MONTHS AND THAN IT SLOWLY INCREASE LIKE 1 or 2 PERCENT INCREASE IN WHOLE YEAR BUT IT WILL INCREASE (I INTREPATED ALL OF THIS JUST BECAUSE THE DOCTOR ADDED A MEDICINE AND VERY CLEARLY SAID IT WOULD INCREASE EF)

I DID THIS BECAUSE I WANTED MY FATHER TO FEEL THE SAFETY NET AGAIN I LITERALLY TOLD HIM LET’S CELEBRATE I AM REALLY HAPPY SO WE DID AND I JUST OVERALL TOLD HIM THAT EVERYTHING’S GOOD AND YOU ARE STABLE NO NEED TO WORRY AT ALL AND NOW JUST LET’S WORK ON OUR HABITS LIKE TOBACCO REDUCTION WHICH MY FATHER HAS PROMISED HE WILL REDUCE IT AND WALKING DAILY (STARTING FROM 15 MINS AND THAN INCREASE 5 MINS EVERY WEEK )

SO NOW I AM CLULESS ABOUT WHAT TO DO ALSO ABOUT THE MRI FOR DISCRETE EF VALUE I TALKED TO MY FATHER ON THIS AND HE SAYS RN IT IS NOT REALLY NECESSARY SO WE WILL DO IT AFTER A FEW MONTHS

IDK WHAT TO DO SHOULD WE TRY A 2ND CARDIOLOGY OPINION OR SHOULD WE GO TO THE HIGHLY FACILATED HOSPITALS FOR CARDIAC CARE THOUGH THIS CARDIO SAYS THERE IS NO SUCH NEED BUT I AM STILL VERY SACRED ALSO THE UPCOMING ONE MONTH TILL THE MONTHLY CHECKUP OF THE SAME CARDIO I MEAN I CANT FULLY TRUST EVEN HIM NOW SO WHAT SHOULD I DO I AM CLUELESS

ALSO ONE VERY IMPORTANT THING I HAVE MY MEDICAL ENETRANCE EXAM IN EXACT ONE MONTH (AND IT MATTERS SO SO SO MUCH TO MY PARENTS BECAUSE THEY REALLY HAVE THEIR TRUST IN ME AND THEY REALLY WANT ME TO BE A DOCTOR AND I WANT IT MORE THAN ANYTHING) AND IT IS REALLY VERY ESSENTIAL FOR ME TO CARCK IT AND GET GOOD GRADES TO GET IN MED SCHOOL SO

IS IT OKAY IF JUST FOR ONE MONTH THINGS CONTINUE THE WAY THEY ARE WITH THE NEW MEDICINES AND THE VERY IMPORTANT THING THAT IS GONNA CHANGE IS MUST DO LIFESTYLE CHANGES TOBACCO REDUCTION AND WALKING DAILY AND REDUCE STRESS SO WHAT SHOULD WE FINALLY DECIDE SHOULD WE JUST FOR A LITTLE TIME CONTINUE WHAT MY FATHER IS UP TO WITH EXTREME LIFESTYLE CHANGES AND THE SAME CARDIO OR SHOULD WE GO IMMEDIATELY AND URGENTLY FOR HIGHER CARDIAC CARE PLEASE HELP I AM SO SCARED

Hi, my father had a heart attack due to a blocked artery it was stented but due to the attack my fathers ejection fraction dropped to 20-25 percent he was than put on multiple cardiac medicines and just within 2 months his ef went up to 30-35 that was in july 2025 just recently my father completed one year after the attack and we had the echo again and we were expecting it to be around at-least 40-45 because even the cardiologist said that it will sure go up to 5 percent more which puts you in a better condition. But on seeing today’s reports we were all shocked it came 30-35 again it didn’t increase a bit my father rn is on dapavel 10, aldactone-25 and atorlip 20 and jupiros gold 10 now we have our consultation with the cardio tomorrow and i am really scared also my father has no major other issues just the low ef and trivial mr,tr but the main thing he has severly hypokinetic lad territory (apical wall hypokinesia), Grade 1 LV DIASTOLIC DYSFUNCTION and RWMA and my father is just 46 he doesn’t have any other major symptoms my mother also has a serious heart condition and overall we are so stressed that this is the final reading of my fathers ef and it will not go up from it please tell me can it go up from here or will it stay the same forever and do ya’ll think we should change the cardiologist and go to another better (please suggest) cardio, because even the cardio said that it would increase but it did not also my father takes his medicines regularly has a low salt diet but the main thing is he doesn’t work out doesn’t even walk because he is busy in work he drives his car 80 km alsmost everyday (the doctor allowed it) and he also has addiction of tobacco chewing since last 20 years so please help i am really scared