Final answer:
Systolic CHF is characterized by a decreased left ventricular ejection fraction on an echo. The reversibility of systolic CHF depends on the underlying cause.
Step-by-step explanation:
In systolic congestive heart failure (CHF), the left ventricle of the heart fails to contract effectively, leading to a decrease in the pumping ability. This can be assessed using cardiac imaging techniques like echocardiography. In an echo, systolic CHF is characterized by a decreased left ventricular ejection fraction (LVEF), which refers to the percentage of blood pumped out of the ventricle during each heartbeat. A normal LVEF is usually above 55%.
As for reversibility, it depends on the underlying cause of the CHF. If it is caused by a condition that can be treated or managed effectively, such as hypertension or valve disease, then there is a possibility of reversing or improving the heart function. However, if the damage to the heart muscle is extensive or irreparable, the CHF may not be reversible.
To determine the reversibility of systolic CHF, it is crucial to identify the underlying cause and work with a healthcare professional to develop an appropriate treatment plan.