What is the cause of breathlessness after CABG?

Question

Hello doctor,

My father underwent a CABG x3 a year ago, but for the past three days, he has been experiencing breathlessness. What could be the reason?

Please advise.

Answer 1

Hello,

Welcome to icliniq.com.

What is his ejection fraction on the echocardiogram? The likely cause of his shortness of breath could be fluid accumulation in the lungs, which often occurs in patients with heart disease. This is especially common in patients with reduced ejection fraction. I assume he does not have a history of asthma or smoking. Is there any wheezing sound when he breathes?

For treatment, he should restrict fluid intake, including water and other liquids, and follow a low-salt diet. We need to initiate diuretics, such as Torsemide, after reviewing his ejection fraction.

I have reviewed his reports, and his triglycerides are elevated. He should adopt a healthy lifestyle, avoid fatty, oily, and sugary foods, and maintain a routine of regular walking. If he is not currently on it, we should consider adding Fenofibrate 160 mg to his medication regimen to control his triglycerides. His eosinophil count is borderline elevated, but that is acceptable.

Does he have any abdominal complaints, such as indigestion or pain, that could suggest a worm infestation, which can cause raised eosinophil levels?

Overall, please upload his echocardiogram report, provide a list of all his current medications, and share any relevant medical history that I have requested.

Regards.

Answer 2

Hello,

Welcome back to icliniq.com.

I assume he does not have any cough or fever, as these would help rule out an infection. Also, ensure that he does not experience chest pain during exertion. As I mentioned, he should restrict his fluid and salt intake. This issue usually resolves without much difficulty. If it does not improve, it would be best to start diuretics such as Torsemide under the supervision of a local doctor to increase urine output and reduce fluid accumulation. If the symptoms become too troublesome, it is advisable to visit a doctor for an examination. Additionally, consider adjusting his medications for triglycerides, as I mentioned earlier.

I hope this helps you.

Thank you.