Those over 40, what is your Ejection Fraction Rate and when should we worry?

[Bio-hazard]

Not exactly sure what I was thinking on my last thread but I meant to say "Ejection Fraction Rate" and not eGFR lol Mods you can delete that thread.

I have a good friend of mine who's 44/45yo former marine, Tactical Force Officer and usually around 215lbs. He just got out of the hospital the other day with a eGFR of 30. Which obviously got me worrying ab myself. I went and looked back at my last heart check and I was at 57 back in 2021. I've gained some body fat due to dropping all gear and on fertility drugs for a year now so I'm out of whack physically but at what point should we start being concerned? I'm 44yo now and 260lbs and 40/45 pounds of it gained this last year.

 

[danieltx]

PM a mod to edit this thread because you again wrote it as eGFR instead of ejection fraction.

 

[LK3]

Not exactly sure what I was thinking on my last thread but I meant to say "Ejection Fraction Rate" and not eGFR lol Mods you can delete that thread.

I have a good friend of mine who's 44/45yo former marine, Tactical Force Officer and usually around 215lbs. He just got out of the hospital the other day with a eGFR of 30. Which obviously got me worrying ab myself. I went and looked back at my last heart check and I was at 57 back in 2021. I've gained some body fat due to dropping all gear and on fertility drugs for a year now so I'm out of whack physically but at what point should we start being concerned? I'm 44yo now and 260lbs and 40/45 pounds of it gained this last year.

sounds like its time for diet and cardio bro.

 

[buck]

I am 64. doing cycle/TRT for 25 years. Working out for over 50 years. My EGRF is in the upper 90's. My ejection fraction is 60-65.

 

[KingOfSushi]

sounds like its time for diet and cardio bro.

I personally by no means would call a 57 EF poor or anything

 

[trackstar19]

Not for nothing but mine was 26% in 2021 and I fixed it and it’s maintained 50-55% over the last few years. If you do the right things and take the right things and have your heart in the right environment it can heal pretty well

 

[Reload]

I wish my EF was 57. I've been in and out of Afib RVR for about 5 weeks. Had an ECHO about 3 days after my first cardioversion that showed my EF at 20-25%. I'm mostly in sinus rhythm now with all the meds the cardiologist has me on. I have a followup ECHO in a couple weeks. Fingers crossed. After that it looks like I'll need a catheter ablation. Time will tell...

 

[Reload]

Not for nothing but mine was 26% in 2021 and I fixed it and it’s maintained 50-55% over the last few years. If you do the right things and take the right things and have your heart in the right environment it can heal pretty well

Very interested in what steps you took to improve your #'s?

 

[Sectør]

Not for nothing but mine was 26% in 2021 and I fixed it and it’s maintained 50-55% over the last few years. If you do the right things and take the right things and have your heart in the right environment it can heal pretty well

Also curious what you did to improve the number that substantially

 

[tommyguns2]

I wish my EF was 57. I've been in and out of Afib RVR for about 5 weeks. Had an ECHO about 3 days after my first cardioversion that showed my EF at 20-25%. I'm mostly in sinus rhythm now with all the meds the cardiologist has me on. I have a followup ECHO in a couple weeks. Fingers crossed. After that it looks like I'll need a catheter ablation. Time will tell...

As a word of encouragement, I was in similar shape to you. I went into Afib several weeks after getting my second Covid jab, and then suffered multiple PEs (thankfully they occurred while I was in the ICU). My EF was 39 at the time. Got a cardioversion, that didn't hold, and was put onto amlodipine, metropolol and a blood thinner. The heart imaging showed no muscle damage. Got a second cardioversion and was put on tycosin (an anti-arrythmia med), and maintained sinus rhythm afterwards. Upon the recommendation of my doc, I subsequently got an ablation.

A year later I was given a clean bill of health and told I didn't need to see him anymore, just go back to my regular doc. Told me that I need to continue my cardio and that the EF, which is now better, will continue to improve. I've been doing LISS, and while I don't enjoy cardio, it's working and I'm going to stick with it. Good luck.

 

[Reload]

tommyguns2 that is encouraging. Thank you.
Curious, what meds (if any) are you still on?
I'd love to get back to just having to take my
daily BP medication and that's all.

 

[Swifto]

38 years old, 56 EF.

Added more cardio.

 

[Swifto]

You may find this useful going forward.

Meta-analysis of Exercise Training on Left Ventricular Ejection Fraction in Heart Failure with Reduced Ejection Fraction: A 10-year Update - PMC

The role of exercise training modality to attenuate left ventricular (LV) remodeling in heart failure patients with reduced ejection fraction (HFrEF) remains uncertain. The authors performed a systematic review and meta-analysis of published reports ...

www.ncbi.nlm.nih.gov

"Overall, moderate-intensity continuous training (MICT) significantly increased LVEF" (and was better when compared to HIIT).

"18 trials reported LV ejection fraction (LVEF) data, while 8 and 7 trials reported LV end-diastolic and LV end-systolic volumes, respectively. Overall, moderate-intensity continuous training (MICT) significantly increased LVEF (weighted mean difference, WMD = 3.79%; 95% confidence interval, CI, 2.08 to 5.50%) with no change in LV volumes versus control. In trials ≥6 months duration, MICT significantly improved LVEF (WMD = 6.26%; 95% CI 4.39 to 8.13%) while shorter duration (<6 months) trials modestly increased LVEF (WMD = 2.33%; 95% CI 0.84 to 3.82%). High-intensity interval training (HIIT) significantly increased LVEF compared to control (WMD = 3.70%; 95% CI 1.63 to 5.77%) but was not different than MICT (WMD = 3.17%; 95% CI −0.87 to 7.22%). Resistance training performed alone or combined with aerobic training (MICT or HIIT) did not significantly change LVEF."

 

[tommyguns2]

tommyguns2 that is encouraging. Thank you.
Curious, what meds (if any) are you still on?
I'd love to get back to just having to take my
daily BP medication and that's all.

I was on BP medication (losartan) prior to my Afib event. After Afib, they put me on metropolol, amlodipine and eliquis. Last December, the doc took me off the eliquis, but kept me on metropolol and the amplodipine. In April, he dropped both of those meds, and now I just take the losartan for BP.

I also take cialis daily for BPH and it works well, IMO.

 

[Reload]

After Afib, they put me on metropolol, amlodipine and eliquis.

I'm on the same (10mg Amlodipine, 75mg Metoprolol and Eliquis 5mg 2x/day) + Amiodarone 200mg/day currently.
I tried Cialis prescribed by my urologist a few years back but unfortunately it gave me horrible headaches.
I consider myself very active thus I can put myself into some dangerous situations so I REALLY don't want
to be on Eliquis any longer than I absolutely have to.

 

[LK3]

I personally by no means would call a 57 EF poor or anything

everything about his post to me screams diet and cardio, for a bunch of reasons.
idk how low mine was at its worst but i had a heart attack and as of my last dopler i think it was 62 but that didnt really make me happy.
just gona keep running until its perfect.

 

[nothuman]

You may find this useful going forward.

Meta-analysis of Exercise Training on Left Ventricular Ejection Fraction in Heart Failure with Reduced Ejection Fraction: A 10-year Update - PMC

The role of exercise training modality to attenuate left ventricular (LV) remodeling in heart failure patients with reduced ejection fraction (HFrEF) remains uncertain. The authors performed a systematic review and meta-analysis of published reports ...

www.ncbi.nlm.nih.gov

"Overall, moderate-intensity continuous training (MICT) significantly increased LVEF" (and was better when compared to HIIT).

"18 trials reported LV ejection fraction (LVEF) data, while 8 and 7 trials reported LV end-diastolic and LV end-systolic volumes, respectively. Overall, moderate-intensity continuous training (MICT) significantly increased LVEF (weighted mean difference, WMD = 3.79%; 95% confidence interval, CI, 2.08 to 5.50%) with no change in LV volumes versus control. In trials ≥6 months duration, MICT significantly improved LVEF (WMD = 6.26%; 95% CI 4.39 to 8.13%) while shorter duration (<6 months) trials modestly increased LVEF (WMD = 2.33%; 95% CI 0.84 to 3.82%). High-intensity interval training (HIIT) significantly increased LVEF compared to control (WMD = 3.70%; 95% CI 1.63 to 5.77%) but was not different than MICT (WMD = 3.17%; 95% CI −0.87 to 7.22%). Resistance training performed alone or combined with aerobic training (MICT or HIIT) did not significantly change LVEF."

GREAT find. Learned something new.

 

[m87r]

You may find this useful going forward.

Meta-analysis of Exercise Training on Left Ventricular Ejection Fraction in Heart Failure with Reduced Ejection Fraction: A 10-year Update - PMC

The role of exercise training modality to attenuate left ventricular (LV) remodeling in heart failure patients with reduced ejection fraction (HFrEF) remains uncertain. The authors performed a systematic review and meta-analysis of published reports ...

www.ncbi.nlm.nih.gov

"Overall, moderate-intensity continuous training (MICT) significantly increased LVEF" (and was better when compared to HIIT).

"18 trials reported LV ejection fraction (LVEF) data, while 8 and 7 trials reported LV end-diastolic and LV end-systolic volumes, respectively. Overall, moderate-intensity continuous training (MICT) significantly increased LVEF (weighted mean difference, WMD = 3.79%; 95% confidence interval, CI, 2.08 to 5.50%) with no change in LV volumes versus control. In trials ≥6 months duration, MICT significantly improved LVEF (WMD = 6.26%; 95% CI 4.39 to 8.13%) while shorter duration (<6 months) trials modestly increased LVEF (WMD = 2.33%; 95% CI 0.84 to 3.82%). High-intensity interval training (HIIT) significantly increased LVEF compared to control (WMD = 3.70%; 95% CI 1.63 to 5.77%) but was not different than MICT (WMD = 3.17%; 95% CI −0.87 to 7.22%). Resistance training performed alone or combined with aerobic training (MICT or HIIT) did not significantly change LVEF."

Do I read this right? No change in LVEF if you do resistance training together with cardio. But cardio only you get a change of positive LVEF.

 

[Swifto]

Do I read this right? No change in LVEF if you do resistance training together with cardio. But cardio only you get a change of positive LVEF.

It looks like it, yes.

But these are in people with heart failure so we need to be careful when translating to healthy athletes/bodybuilders.

If you want to follow what the study says, then split your exercise and cardio separately.

 

[m87r]

It looks like it, yes.

But these are in people with heart failure so we need to be careful when translating to healthy athletes/bodybuilders.

If you want to follow what the study says, then split your exercise and cardio separately.

I have heart failure. EF at 36%. I do moderate training now and cardio after. Then cardio only on other days.