Raising Ejection Fraction with pacemaker
In August of 2018 I had heart surgery to replace my porcine aortic valve (2011)with mechanical valve, mitral valve repair, and triple bypass. My Ejection fraction prior to surgery was 40-45%. I have had 3 echocardiograms since then, last one in May 2019. My ejection fraction has been at 20-25%, Entresto in March raised it to 30%. I really don't have symptoms of that lowered EF, I work 50-60 hours a week, cut firewood, work out on rowing machine 6 days a week.
My cardiologist in June talked to me about this. He says the surgery can sometimes cause the EF to lower like that, but is very confused as to why I don't have the symptoms that I should. He is wanting me to have a pacemaker put in to raise the EF. I told him I wasn't ready for that yet, will talk to him in December about it. I do have a good relationship with him and trust his judgement.
I have 2 questions about this. 1) Can the echocardiogram be wrong? The same tech has done the last 3 echo's, am curious whether I should go somewhere else for my next echo to see if results are the same? 2)Does a pacemaker generally improve the EF?