1. Pacemaker Role:
   A pacemaker, especially a cardiac resynchronization therapy (CRT) device, can improve heart function and potentially increase ejection fraction by synchronizing heartbeats.

2. Medication:
   Lifelong medication is typically necessary for managing heart failure. These drugs help alleviate symptoms, prevent deterioration, and may enhance heart function.

3. Natural Improvement:
   Some improvement in ejection fraction is possible with treatment, but it usually requires ongoing therapy and does not return to normal naturally.

4. Follow-up:
   Regular cardiologist visits are crucial to monitor heart function and adjust treatments as needed.

For personalized advice, consult her cardiologist to tailor the treatment plan to her specific needs.