Ischemic Heart Disease Case Study: LVEF Improved From 35% to 60%

Case Overview

Mr. Shankar Bhikaji , a 72-year-old resident of Mumbai, visited Madhavbaug Miraroad Clinic, with severe breathlessness, weakness, He had Ischemic Heart Disease (IHD) and Coronary artery Disease (CAD), with a severely reduced Left Ventricular Ejection Fraction (LVEF) of 35% and history of Myocardial infarct a month back. His symptoms significantly limited mobility ,his work and everyday activity. A personalised, physician-supervised care plan combining regular medical review, lifestyle guidance, dietary support, structured wellness therapies and gradual activity progression was initiated. Over approximately nine months, documented improvements were observed in cardiac function, metabolic parameters, exercise capacity and functional independence.

Patient at a Glance

The Patient Story

Before beginning treatment at Madhavbaug, Mr. Shankar experienced progressive physical limitations related to his cardiac condition. Breathlessness while walking, severe weakness, nocturia and poor exercise tolerance disrupted his daily routine. Routine activities became difficult, reducing his independence and confidence. Concerned about his worsening symptoms and quality of life, he visited Madhavbaug Miraroad Clinic for a structured and supervised cardiovascular care programme.

Symptoms and Impact on Daily Life

Medical History Before Madhavbaug

The patient had a confirmed diagnosis of Ischemic Heart Disease and Coronary artery disease and had undergone cardiac evaluation and conventional medical management. Despite prior treatment, severe breathlessness, weakness and functional limitations continued. Investigations showed apical 2/3rd anterolateral and basal wall of heart hypokinetic ,moderate left ventricular dysfunction in his 2decho.Elevated HbA1c ,NTpro levelsand an unfavourable lipid profile added to his overall cardiovascular risk. Ongoing medication was reviewed and coordinated according to the treating physician’s advice.

Why He Chose Madhavbaug

Mr. Shankar sought a physician-supervised programme focused on improving cardiovascular health, exercise tolerance, mobility and quality of life. At Madhavbaug Miraroad Clinic, he received a personalised assessment, regular follow-up and an integrated care plan based on his age, clinical condition and functional capacity.

Clinical Assessment and Treatment Goals

The major clinical concerns were severe breathlessness, reduced exercise tolerance, mobility limitations, elevated HbA1c and dyslipidaemia. The treatment goals in this patient were secondary prevention following MI ,strict glycaemic control ,lipid management and prevention of future cardiovascular event.

Personalised Care Plan

The care plan was tailored to the patient’s age, cardiovascular status, symptom burden and limited exercise capacity. Physician supervision, lifestyle guidance, dietary recommendations, structured wellness therapies and gradual activity progression were integrated into one programme. Follow-up investigations, symptom monitoring and functional assessments were used to track progress. The approach emphasised safe, gradual improvement, consistent adherence and continued evaluation rather than a one-size-fits-all treatment pathway.

Progress Over Time

Before-and-After Results

What the Results Meant for the Patient and Patient testimonial

“ I am 72 years old and I have been working in a garage for most of my life. Because of the nature of my work, I hardly had fixed meal timings. Almost every day I used to eat outside food, and being a non-vegetarian, I would eat non-veg regularly without paying much attention to my health. I never thought these habits would one day affect my heart.

About a week before coming here, I suddenly suffered a heart attack. It was one of the most frightening experiences of my life. During my hospitalization, the doctors told me that I also had diabetes. I was shocked because I had never been diagnosed with diabetes before.

Even after I returned home, I was not feeling like myself. Walking even a short distance would make me breathless. Climbing stairs became difficult. I had to wake up several times at night to pass urine, and throughout the day I felt weak and tired. I had lost confidence in my body and was constantly worried that another heart attack could happen at any time.

Further investigations showed that all three major blood vessels of my heart were affected. When I heard that I had blockages in my heart blood vessels, I became very anxious. I wondered whether I would ever be able to return to a normal life or continue supporting my family.

The doctors at Madhavbaug miraroad clinic explained my condition patiently and advised me that treatment would involve much more than medicines. I was asked to completely change my eating habits, control my diabetes, and make major lifestyle changes. Initially, it was difficult because I had followed the same routine for decades. Giving up outside food and changing my diet was not easy, but with regular counseling and encouragement from the medical team and my family, I slowly started following the advice.

Today, I feel much better than I did after my heart attack. My breathlessness has reduced significantly, I feel stronger, and my day-to-day activities have become easier. I sleep better at night, my energy levels have improved, and most importantly, I have regained confidence. I now understand that controlling diabetes, eating healthy food, taking medicines regularly, and following the doctor’s advice are just as important as treating the heart disease itself.

This illness changed my life, but it also taught me the importance of discipline and preventive healthcare. I am grateful to the treating team for helping me recover and for giving me a new perspective on living a healthier life.”

Doctor’s Clinical Note

The documented records indicate improvements in cardiac function, exercise capacity, metabolic parameters and overall functional status during the treatment period. This case highlights the importance of individualised care, regular monitoring, treatment adherence and lifestyle modification. Individual outcomes may vary according to the patient’s medical condition, clinical risk, adherence and other factors. Continued follow-up remains essential.

Conclusion

Mr. Shankar Bhikaji presented with severe breathlessness, weakness and advanced cardiac dysfunction associated with Ischemic Heart Disease and Coronary artery disease . During approximately nine months of structured, personalised and physician-supervised care, measurable improvements were documented in LVEF, HbA1c, exercise capacity, cardiac function and daily activities. His progress demonstrates the value of timely assessment, ongoing monitoring and care tailored to the individual.