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Cardio Disorders
Question #24702
230 days ago
1,282

How to increas ejection fraction ? - #24702

Mahendra Jain

There is a 70years old patient having lvef 25% only after a heart attack in 15 march 2025...need treatment so that he can save from surgery like pace maker inserting. Plz guid us and ayurvedic safe treatment along with allopathy

Age: 70
Chronic illnesses: Heart failure
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Doctors' responses

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.

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Dr. Hemanshu Mehta
I’m Dr. Hemanshu, a second-year MD scholar specializing in Shalya Tantra (Ayurvedic Surgery), with a focused interest in para-surgical interventions such as Agnikarma, Viddhakarma, and Kshara Karma. My academic and clinical journey is rooted in classical Ayurvedic surgical wisdom, complemented by a modern understanding of patient care and evidence-based approaches. With hands-on training and experience in managing chronic pain conditions, musculoskeletal disorders, hemorrhoids, fistula, and other ano-rectal conditions, I provide treatments that emphasize both relief and long-term wellness. I am deeply committed to offering individualized treatment plans that align with the patient’s prakriti (constitution), disease progression, and lifestyle factors. I believe healing is not limited to procedures alone; it also requires compassion, communication, and continuity of care. That’s why I ensure each patient receives personalized guidance—from diagnosis and therapy to post-treatment care and preventive strategies. I also incorporate Ayurvedic principles like Ahara (diet), Vihara (lifestyle), and Satvavajaya (mental well-being) to promote complete healing and not just symptomatic relief. Whether it's managing complex surgical cases or advising on conservative Ayurvedic therapies, my goal is to restore balance and improve the quality of life through authentic, safe, and holistic care. As I continue to deepen my clinical knowledge and surgical acumen, I remain dedicated to evolving as a well-rounded Ayurvedic practitioner who integrates traditional practices with modern sensibilities.
226 days ago
5

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

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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

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.

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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

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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.

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Dr. Prasad Pentakota
I am Dr. P. Prasad, and I have accumulated over 20 years of experience working across multiple medical specialties, including General Medicine, Neurology, Dermatology, and Cardiology. Throughout my career, I have had the opportunity to diagnose and manage a wide range of health conditions, helping patients navigate both acute and chronic medical challenges. My exposure to these diverse fields has given me a comprehensive understanding of the human body and its interconnected systems. Whether it is managing general medical conditions, neurological disorders, skin diseases, or heart-related issues, I approach every case with careful attention to detail and evidence-based practices. I believe in providing accurate diagnosis, patient education, and treatment that is both effective and tailored to the individual’s specific needs. I place great emphasis on patient-centered care, where listening, understanding, and clear communication play a vital role. Over the years, I have seen how combining clinical knowledge with empathy can significantly improve treatment outcomes and patient satisfaction. With two decades of continuous learning and hands-on experience, I am committed to staying updated with the latest medical advancements and integrating them into my daily practice. My goal has always been to deliver high-quality, ethical, and compassionate medical care that addresses not just the illness but the overall well-being of my patients.
230 days ago
5

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

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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.

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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

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I am an Ayurveda doctor with about 1 yr of hands on clinical practice, still learning everyday from patients and the science itself. My journey started as a VOPD doctor with Hiims Hospital under Jeena Sikho Lifecare Ltd. For 6 months I was into virtual consultations, understanding cases online, preparing treatment protocols and doing follow ups to track progress. That phase trained me well in quick patient assesment and also in explaining Ayurveda in a way that fit with modern expectations. I dealt with many chronic and acute cases during that time.. things like gastric issues, joint pain, stress related complaints, skin problems. The remote setting forced me to sharpen my diagnostic skill and rely more on careful history taking, prakriti analysis, and lifestyle understanding. After that, I moved to a Resident Doctor role at Chauhan Ayurved and Panchkarma Hospital, Udaipur. This was very different.. more practical, hands on, and really grounded me in classical Panchakarma. I was actively part of planning and performing therapies like Vamana, Virechana, Basti, Abhyanga, Shirodhara, and other detox and rejuvenation procedures. Many patients came with long standing spine issues, metabolic disorders, skin complaints, or hormonal imbalance and I got to see how tailored Panchakarma protocols and lifestyle advice together can bring changes that medicines alone couldn’t. Working closely with senior consultants gave me better clarity on safety, step by step planning and how to balance classical texts with practical hospital settings. Now, whether in OPD consultations or Panchkarma wards, I try to meet patients with empathy and patience. I focus on root cause correction, using herbs, diet, daily routine guidance, and therapy whenever needed. My belief is that Ayurveda should be accessible and authentic, not complicated or intimidating. My aim is simple—help people move towards long term wellness, not just temporary relief. I see health as balance of body, mind and routine.. and I want my practice to guide patients gently into that space.
5
167 reviews
Dr. Shilpa Shijil
I am still learning how to describe myself without sounding too stiff, but I do feel that my personal and inter-personal skills shape a big part of how I work. I try to stay approachable and not make pts feel rushed, even on days when time is slipping fast. I listen first, maybe longer than needed sometimes, just to catch the small hints in their words or their silence. I end up absorbing a bit of their pain or worry too, and then I remind myself to stay focused so I can actually help them, not just feel it. I am seeing people as whole beings, not just their symptoms or test values, and that keeps my treatment more grounded. I explain things in simple ways, though I get tangled in my phrasing here and there, but I make sure they and their family know what we’re doing and why. I try to stay honest even when the truth is slow progess or a rough patch in the condition. I am pretty dedicated to ethical practice, sometimes to the point where I double-check a simple step, and I don’t mind spending extra time if it means the plan is right. I push myself to keep learning, reading, attending discussions, all without getting scared of criticism, though a harsh comment stings me for a bit. I enjoy public interaction too—talking to groups, answering doubts, explaining Ayurveda without overcomplicating it. I am still shaping these skills every day, but they guide me in giving care that feels human, steady and trustworthy, even on the messy days when I am juggling too many things at once.
5
7 reviews

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Hailey
1 hour ago
Thanks for the clear and detailed advice! Really appreciate the step-by-step on using neem oil. I feel more confident managing this now. 😊
Thanks for the clear and detailed advice! Really appreciate the step-by-step on using neem oil. I feel more confident managing this now. 😊
Dylan
2 hours ago
Really appreciate the detailed response! The insight on Ayurveda options was super helpful for us. Exactly what we needed to hear, thanks!
Really appreciate the detailed response! The insight on Ayurveda options was super helpful for us. Exactly what we needed to hear, thanks!
Landon
4 hours ago
Thanks a ton for the clear, detailed advice! Feel more confident managing these symptoms now. Appreciate the practical tips!
Thanks a ton for the clear, detailed advice! Feel more confident managing these symptoms now. Appreciate the practical tips!
Peyton
4 hours ago
I really appreciated the detailed response! It was clear and reassured me about handling my symptoms. Thanks a lot for the advice!
I really appreciated the detailed response! It was clear and reassured me about handling my symptoms. Thanks a lot for the advice!