To support a patient with low ejection fraction (LVEF) of 25% post-heart attack, it’s critical to integrate all necessary medical care. First, it’s highly recommended to follow the advice of any cardiologists regarding medical interventions or surgeries, as these situations can be highly critical.
In Ayurveda, alongside allopathic treatments, we focus on strengthening the heart (hridaya) and improving lifestyle and diet. For dietary recommendations, it is beneficial to consume warm, light, and easily digestible foods. Incorporate green leafy vegetables, pomegranates, and whole grains like barley. Avoid heavy, oily, and processed foods, which may burden the heart and cause dosha imbalances.
Guggul, a traditional Ayurvedic remedy, is known for its potential in improving heart function. Take guggul in the form of a standardized extract, as per the guidance of a qualified Ayurvedic practitioner. Arjuna (Terminalia arjuna) is another potent herb recognized for supporting cardiac health and can be consumed as a tea or in supplement form - again, under expert advice.
Incorporate daily practices like meditation, pranayama (breathing exercises), and gentle yoga to reduce stress and stimulate circulation. However, any physical activity should be undertaken with medical clearance to ensure safety, given the heart condition.
Maintaining a regular routine is advantageous for minimizing stress, promoting better sleep, and supporting overall cardiac health. Ensuring a good night’s rest and minimizing exertion is also important for recovery.
It is crucial to keep communication open between your cardiologist and any Ayurvedic practitioner involved to align treatments well. Also, avoid delaying immediate medical interventions needed for the heart if such a need is indicated by medical professionals.
NAMASTE MAHENDRA JAIN,
Improving ejection fraction(EF)-especially after a heart attack- requires a careful approach . A 70 year old with LVEF of 25% is at high risk for heart failure progression, arrhythmias, and other complications. Preventing surgical intervention like pacemaker of ICD(implantable cardioverter defibrillator) placement depends on stabilising and improving cardiac function.
AYURVEDIC MANAGEMENT(SUPPORTIVE, NOT REPLACEMENT) GOAL- strengthen cardiac muscles, improve microcirculation, reduce oxidative stress, and balance vata-pitta which are often disturbed in heart failure.
1) ARUJUNARISHTA= 15 ml with water twice daily after food
2) PUSHAKARMOOL GHANVATI= 1 tab twice daily after food
3) PRABHAKAR VATI= 1 tab twice daily after meals
4) YOGENDRA RASA= 125 mg once daily with honey or ghee
5) SARPAGANDHA VATI- 1 tab at night with water
6) ASHWAGANDHA CHURNA- 1 tsp with warm milk at bedtime
use classical brands= dootpapeshwar, baidyanath, Arya Vaidya sala, himalaya, charak
HERBAL DECOCTION -arjuna ksheer paka:- boil 1 tsp Arjuna bark in 1 cup milk + 1 cup water -> reduce to 1 cup-> take once daily in morning
YOGA AND LIFESTYLE
-Anulom vilom= 5-7 min twice daily -Bhramari pranayam= 3 mins twice daily -mild asanas= shavasana, tadasana, vajrasana -slow walking = 25-30 mins once or twice daily - rest= frequent short rests throughout the day.
DIET RECOMMENDATIONS -salt restricted diet= 2-3 g/ day max - fluid restriction= 1.5- 2 L/day - avoid heavy , oily, spicy, sour food - prefer warm, light, easy to digest foods - daily walk, no strain or overexertion
If EF remains <30% even after 3 months of the above treatment, the risk increases so kindly go for surgery
THANK YOU
DR. HEMANSHU MEHTA
Regular breathing exercise. Tab.Arjun 2-0-2 Tab.Puskermul 2-0-2
I will advice Homemade Heart Drink (Safe, Natural)
Arjuna Bark Decoction
Boil 1 tsp Arjuna bark powder in 2 cups of water → reduce to 1 cup
Filter and give warm once a day on empty stomach
It improves LVEF, cardiac rhythm, and relieves pressure on the heart
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Allow Avoid Completely
Boiled vegetables, moong dal, oats, khichdi Salt, pickles, fried food Cow’s ghee (1 tsp/day max) Red meat, milk, curd Pomegranate, papaya, apple (1 fruit/day) Banana, mango (if fluid overload) Jeera-ajwain water Tea, coffee, cold drinks
🚫 Salt should be minimized – only natural salts in cooking, no added table salt. This alone can reduce load on heart.
Rx Arjuna tab 1 tab twice a day Trifala powder 1/2 tsf 2hr after having dinner
Don’t worry Mahindra… First of all avoid excessive salt… Start taking 1.Arjuna tab 1-0-1 Follow up after 15 days…
HELLO MAHENDRA JAIN,
For 70 year old patient with an LVEF(left ventricular ejection fraction ) of 25% following a recent heart attach (march 15, 2025), it is critical to treat this seriously. LVEF of 25% indicates severe heart failure. This condition requires urgent medical intervention and careful long-term management.
IMPORTANT:- An ejection fraction of 25% is considered dangerously low. Ayurvedic support can only be complementary- no a suitable - for modern heart failure treatments
START INTERNALLY WITH
1) ARJUNARISHTA- 20 ml with equal water after meals twice daily for 3-6 montths = improves cardiac contractility , tones heart muscles, regulates blood pressure.
2) HRIDAYARNAVA RASAA- 250 mg twice daily with honey for 3-4 weeks then taper =supports cardiac function, reduces fluid retention . useful in heart failure.
3) DIVYA MUKTA VATI- 1 tab twice daily = controls high bp naturally, reducing strain on the heart
4) ASHWAGANDHA CAPSULES- 1 cap twice daily for 3 months = reduces stress hormones , strengthens cardiac muscle, improves energy
5) CARDITONE(ayushakti)- 1 tab twice daily =used for hypertension and supporting overall cardiac function.
6)SARASWATARISHTA(WITH GOLD)- 15 ml with water after meals for 1-3 months = supports nervous and cardiac health in elderly, especially post MI
DIET PLAN
EAT
-FRUITS= papaya, apple, pomegranate, guava, oranges avoid very sugary fruits like mangoes- if diabetic
-VEGETABLES= boiled, steamed or lightly cooked- spinach, bottle gourd, pumpkin, carrots, ridge gourd, beets,drumsticks for minerals
-WHOLE GRAINS= brown rice, millets(ragi, jowar, bajra in moderation), oats, whole wheat or multigrain chapati
-PROTEINS= moong dal , massor dal(de-skinned), tofu, panner(low fat) small quantity of boiled egg white
-HEALTHY FATS= use small amounts of cold pressed oils- olive oil, mustard oil include nuts like almonds (2-3 soaked) and walnuts(1-2 daily)
-FLUIDS= lukewarm water, jeera water, coriander water limit fluid if there’s fluid retention
WHAT TO AVOID -SALT= very low salt diet(preferable<1.5 g per day). No added salt -Fried, spicy, oily food= causes fluid retention and heart strain -processed and canned food- high. in sodium and preservatives -red meat, organ meat, seafood high in cholesterol -full cream milk, cheese, butter -white sugar, sweets, bakery items -caffeinated drinks= coffee, strong tea, cola -alcohol and tobacco- strictly prohibited.
LIFESTYLE PLAN
1) PHYSICAL ACTIVITY - gentle walking, not fast or uphill -start with 10-15 mins/day if tolerated; increase gradually - avoid exertion, breath-holding, or lifting heavy objects
2) BREATHING EXERCISES -anulom vilom, bhramari(if bp and heart rate are stable) -avoid kapalbhati or aggressive breathing
3) REST AND SLEEP -7-8 hours of restful sleep - afternoon rest(but avoid long naps)
4) STRESS MANAGEMENT -meditation, chanting, or listening to calming music - gentle social interaction, hobbies
5) MONITORING -check weight, bp, and pulse daily -watch for swelling in feet, face, or breathlessness
WHAT TO AVOID -overexertion -cold weather exposure without protection -sudden lying flat after meals -mental stress, arguments, overthinking -late night eating or irregular sleep
USE GARLIC AND TURMERIC IN COOKING light home cooked meals- light, cool, Satvik small, frequent meals preferred over large ones use jeera, ajwain , hing in cooking to aid digestion.
MONITORING -repeat Echocardiogram every 3-6 months -be alert for swelling, breathlessness, chest pain
DO FOLLOW
HOPE THIS MIGHT BE HELPFUL
THANK YOU
DR. MAITRI ACHARYA
The condition is related to the most important organ of the body the HEART.
Please note that no science is complete in itself and needs support of other sciences for betterment of the patient… So ayurveda has SUSHRUT SAMHITA that elaborates on SURGERY.
The following regime can be supportive but also remember you may need allopathy medication and also surgery in case of severity of the condition.
Follow some simple lifestyle changes and dietary changes and you will see results for your problem.
✔️Do’s✔️ Eat freshly cooked light food like khichadi or dal chaval. Prefer millets over wheat. Drink warm water. Lunch and dinner on fixed timings. 100 steps after every meal. If possible dinner as early as 7-8 pm.
🧘♀️ Pranayam: 🧘♀️ 1. Bhramari 2.Jyoti Tratak 3. Anulom Vilom
❌Don’ts:❌ Dairy products Packed and processed food. Ready to eat items. Oily and spicy food. Sour and fermented products. Dals (only moong dal can be eaten) Besan Raw vegetables and sprouts Curd
💊 Medication 💊 Syp. Arjunarishta 3 tsp twice a day before food.
Does he have issues like CHB ?? For CHB , they plan for pacemakers, not for low EF better to give detailed history so that it vl be easy for us to diagnose properly
Take Arjunarist 10 ml twice daily after food with water Divya hridayamrit vati -DS extra strong 0-0-1 after food with water. Ashwagandha churan 0-0-1tsp at bedtime with water Do pranayam lom -vilom kapalbhatti bhastrika bhamri 5-10mins daily. Slow walking atleast 30 mins daily.
Divya Arjun kwath=100gm Dalchini powder=20gm… Take 1 tsp boil 200ml of water till 100ml strain and take empty stomach twice daily
Divya cardioghrit gold=1-1 tab with above kwath empty stomach twice daily
Divya hardyamrit vati Divya lipidome tab=2-2 tab after meal twice daily…
AVOID sticky food/ghee/butter/fast food
Consult with in 3 months
