Decrease the resistence with
medication (
ramipril), the heart may reverse the remodeling
with rest
and return the heart to proper size
and that can increase the EF....my experience.
If your heart condition cannot return to normal, the heart's functionality can be sufficient as evidenced by many individuals who do well with a lower than normal EF. There are compensating factors that help the system cope with a weak heart, and with the proper life style, proper diet, exercise, etc.