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heart & exercise
kybill54 posted:
I have cardiomyopathy and would like to do some yoga to keep weight in check plus get energy levels back up. Do to the high heat I am unable to go for walks. My E/F at last check was at 15. I was at 20 Had a stent placement 3 months ago and that's when it dropped. I feel that doing yoga would help my heart as well as my over all health. Got any suggestions to which course I should take ?. I thank you for your time . Peace be with you.
James Beckerman, MD, FACC responded:

I am a big fan of exercise for people with heart disease or who are at higher risk of developing it, but I strongly feel that any exercise prescription is an individual disease between you and your doctor as to what's appropriate, safe, etc. But I love that you are thinking about it - I would definitely recommend you discuss with your cardiologist as the next step!
cardiostarusa1 responded:

"I feel that doing yoga would help my heart as well as my over all health. Got any suggestions to which course I should take?"

This should be discussed with your doctor(s) first and foremost.

Yoga in heart failure patients: a pilot study


Yoga practice was safe, with participants experiencing improved physical function and symptom stability. Larger studies are warranted to provide more nonpharmacological options for improved outcomes in patients with HF.

"My E/F at last check was at 15".

That's considered as severe heart failure.

As applicable to the patient, in some cases, along with a doctor recommended/authorized exercise regimen (unless contraindicated), left ventricular ejection fraction (LVEF) can be increased, sometimes substantially, by customizing/tweaking prescription drug-therapy (e.g., Coreg, which showed, back in its clinical trial days, that it could boost LVEF in some individuals) and supplemental (complimentary or integrative medicine) therapy, as deemed applicable.

ust one example of complimentary medicine is the use of the supplement Coenzyme Q10 (CoQ10 or ubiquinone, a vitamin-like substance) for heart failure (though currently not scientifically proven, some doctors may advise the patient to give it a try) which may/can (i.e., along with doctor directed prescription drug-therapy, and with the doctor knowing about any supplements being taken) help to improve LVEF in some, with other supplements sometimes added to the mix.

Additionally, as reported, as applicable to the patient, if/when the LVEF improves substantially or even recovers, and the heart appears to function near-normal or normally, other problems (unseen, that is, at a cellular or molecular level) often exist, or possible problems may/can occur anytime down the road, putting one at an increased risk.

Understanding Your Ejection Fraction

**To get a decent estimate of LVEF, a MUGA scan is reported as being the most accurate of the non-invasive methods.

Pertinent excerpt from an article on by Richard N. Fogoros, M.D.

When is the MUGA scan more useful than other heart tests?

The advantages of the MUGA scan over other techniques (such as the echocardiogram) for measuring the LVEF are twofold
. First, the MUGA ejection fraction is highly accurate, probably more accurate than that obtained by any other technique. Second, The MUGA ejection fraction is highly reproducible. That is, if the LVEF measurement is repeated several times, nearly the same answer is always obtained. (With other tests, variations in the measured LVEF are much greater.)

Best of luck down the road of life.

Take care,

WebMD member (since 8/99)




WebMD/Cleveland Clinic

Living with Heart Failure

Heart Failure Society of America

Heart Failure Stages

(Class I-IV)

Heart Failure Center

Stages of Heart Failure

Classifications of Heart Failure



The Heart: (Human Anatomy) Pictures, Definition, Location in the Body and Heart Problems

How the Heart Pumps

Animated Tutorial


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