<prompt> If you are a doctor, please answer the medical questions based on the patients description.jst took 3rd echo ejection fraction went down to 25 last one i took 2 years ago improved to 45 and the first one i took 5 years ago was 15 almost dead doctors put in defribulator felt much better. I have had allot of stress this past year my son getting divorce my husband i think as he gets older is getting mean and yells at me all the time and im still working full time. i have 6 beautiful grandchildren i love them so much i want to live longer and be at there graduations from college and at there weddings most of all i just want to be here as their good friend so they have someone they can trust and someone that can validate them. Can you tell me what do i have to do to get better and improve ejection fraction. Like vitamins exercise should i retire from work help me please.  <response>: Hi, Welcome. Decrease in ejection fraction from 45 to 25 suggests some event in the heart which has caused heart function to decline. I suggest you to get a one blood tests done like Troponin I, CPU COMB. If they are negative than go for a stress echo to rule out any blockage in arteries of heart. The cause for decrease in heart function is important for treatment. Till than continue your medications keep fluid restricted to 1.5ltr day. Thanks 