NT-proBNP is 229. My ejection fraction is 42. I was diagnosed with CHF. How bad is it?

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A normal LVEF reading for adults over 20 years of age is 53 to 73 percent. An LVEF of below 53 percent for women and 52 percent for men is considered low. An RVEF of less than 45 percent is considered a potential indicator of heart issues. 

As we age, our hearts do too. Heart walls thicken and lose some of their capacity to contract and relax as the years go on. But, a low EF reading can also indicate some form of heart damage, including:

  • Cardiomyopathy. This condition thickens your heart tissues.
  • Heart attack. This occurs when your heart muscle’s damaged when one or more of your arteries become blocked.
  • Coronary artery disease. This condition narrows or blocks your heart’s left and right arteries, making blood flow to the heart very difficult.
  • Systolic heart failure. This occurs when your left ventricle cannot pump enough blood to your body.
  • Heart valve disease. This occurs when your heart’s valves can’t open and close properly and blood can’t flow into your heart normally.

In most cases, with diligent care and medications, you can manage your symptoms and continue living a normal life. Remember to pay attention to your body. Try to eat a balanced, low-fat diet with plenty of leafy green vegetables. Get daily exercise and maintain a regular sleep schedule.

Hi, NT-proBNP is not that high, the ejection fraction 42% belongs to mild heart failure. In your daily life, do you feel chest distress, shortness of breath or disability to walk for a long time? You are suggested to go to see a cardiologist regularly, perform echocardiography each year and check BNP every three to six months. In your daily life, you are not suggested to do fierce exercises, avoid infections, overwork, etc. Those are risk factors for heart failure.
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