HomeAnswersCardiologycabgWhat is the cause behind breathlessness after CABG?

What could be the reason for breathlessness after CABG?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At June 17, 2018
Reviewed AtJanuary 22, 2024

Patient's Query

Hello doctor,

My father had undergone a CABG x3 a year ago, but for the last three days, he is feeling breathlessness. What could be the reason?

Hello,

Welcome to icliniq.com.

How much is his ejection fraction in echo? The likely cause for his shortness of breath is an accumulation of fluid in lungs which occurs in patients with heart diseases. This is especially common in patients with reduced ejection fraction. I guess he does not have a history of asthma or smoking in the past. Is there any wheezing like sound whenever he is breathing? In treatment, he should restrict fluid intakes like water and other liquids, and have a low salt diet. We have to initiate diuretics like Torsemide, after seeing his ejection fraction. I have gone through reports, his triglycerides are elevated. He should have a healthy lifestyle like avoiding fatty, oily and sugary diet. Have regular walk. We have to initiate Fenofibrate 160 mg in his current medicines to control his triglycerides if he is not taking. His eosinophils are borderline elevated, but it is fine. Does he have any abdominal complaints like indigestion, pain, etc, for worm infestation which can cause raised eosinophils? So overall, upload his echo report, list of all medicines he is having, and provide some history which I have asked.

Patient's Query

Thank you doctor,

His EF was 49 before six months. And he does not have any sound of wheezing when breathing. I do not have his last echo report. Will there be any other issues other than the accumulation of fluid in lungs?

Hi,

Welcome back to icliniq.com.

I guess he does not have any cough, fever just to rule out infection. Also, make sure he does not have any chest pain during exertion. So as I mentioned, he should restrict his fluid and salt intake. This usually settles without much problem. If it is not resolving then better to get started on diuretics like Torsemide from a local doctor which will increase urine output to decrease fluid accumulation. If it is too troublesome, then better to visit the nearby doctor for examination. Also, get his medicines modified for triglycerides which I mentioned above.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sagar Ramesh Makode
Dr. Sagar Ramesh Makode

Cardiology

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