Your husband has a low EF but that does not necessarily mean he has symptoms.
Apparently, for his daily activities (including the running), the total amount of blood pumped is still enough to meet his body's needs.
I would not call his heart weak but rather call it a strong heart.
Why did they put him on BP meds when his BP is already "ideal"?
That's what we're wondering. The doctors said the ramipril is not just for blood pressure but is also for his weak heart to see if it improves the EF. They've sent him for additional tests and even recommended a higher dose of ramipril despite the fact that his oxygen level was 114 when he did the bicycle test. The doctor kept talking about him being in a state of heart failure which is very unsettling.
I agree with Tacolino.
Ramipril is an ACE inhibitor. Studies have demonstrated the benefits of ACE inhibitors for people with lower EF (for patients with as well as for patients without symptoms).
If till now only an echo was made, it seems advisable to do further testing to find the cause of the low EF.
Yes, the term "heart failure" sounds unsettling That is however the term cardiologists use when EF is below 40%.
Keep in mind that EF can go up again, although mainly in those cases where there was clear cause (i.e. high BP).
One possible side effect of the ramipril could be a very low BP.
It is so encouraging that medication can actually result in the EF going up again. I don't think that was clearly explained to us.
My husband is reluctant to go any higher with the ramipril dosage because his blood pressure is now around 106/70. They're recommending 5 mg per day up from 2.5 which is where he started a couple of months ago. He feels 5 mg per day makes him woozy, but I suspect it's his imagination. He's always been averse to taking prescription drugs.