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HomeAnswersCardiologycongestive heart failureMy husband has heart failure. What could it cause?

My husband has heart failure. What could it cause?

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. Hemalatha

Published At January 7, 2020
Reviewed AtJune 3, 2024

Patient's Query

Hi doctor,

My husband was just diagnosed with congestive heart failure with 25% ejection fraction. They also found an artery 100% blocked, but his own body made another vein and they discovered it is viable, so no bypass surgery is needed. They also discovered his mitral valve is stiffened, and not working. He has some kidney damage also. We are going to have a scope done, and I guess that will determine how to fix the mitral valve. Will they do another test to determine the cause? He has told them he used some steroids during his bodybuilding days, and he drinks occasionally. But, he drinks every night and has used mild steroids up until this happened. They are going to do a test that would determine how it was caused. Could it be due to a virus or abuse? I am just trying to be educated before we go to the next visit. My husband is not always honest with the doctors.

Hi,

Welcome to icliniq.com.

Thanks for the query madam. Good to know you are worried about your husband. Yes, alcohol and steroids do cause harm to the heart. Make sure your husband never uses these suicidal drugs again, as now he has an ejection fraction of only 25%. Coming to the mitral valve, it depends upon how much it has narrowed. If severe narrow, then options are either surgery to change the valve or percutaneous mitral balloon valvotomy (PMBV), in which the mitral valve is widened by inflating balloon in the valve. If not severely narrowed, then only medicines of heart failure are sufficient for your husband. Comply with the doctor's advice and medicines. Have vaccination against influenza done yearly, and also pneumonia five-yearly. If EF (ejection fraction) is 25% and not improving, then have a device installed in the heart called ICD (implantable cardioverter-defibrillator), to save from sudden cardiac arrest.

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

Dr. Muhammad Zohaib Siddiq
Dr. Muhammad Zohaib Siddiq

Cardiology

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