What's the treatment for an elderly patient with 15% heart function?

Question

Hello doctor,

My father's 2D echocardiography shows only 15 % of his heart is working. Currently, he is in MICU for the last day, and for the last three days, his sugar has been getting very low, frequently around 50 to 80 mg/dL, and his blood pressure is also low at 60 to 100 mm of mercury. Creatinine is high, around 5.2 mg/dL (this problem arose last month). His heart bypass surgery happened ten years back. Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and understand your concern. I understand your concern regarding your father's condition. I have gone through the summary and reports (attachments removed to protect the patient's identity) you have provided. The situation here is multiorgan dysfunction, including heart and kidneys, along with systemic infection. Due to poor cardiac functioning, the kidneys are further compromised.

Hypoglycemia may be attributed to multiple factors here, like kidney dysfunction, sepsis, or medications. He needs ICU (intensive care unit) care because he has an increased tendency to retain fluid again and again due to the poor functioning of the heart; it is not pushing the blood forward, and kidneys are not able to remove extra fluid from the body. The medications that he is on are accurate enough to tackle the current situation; we can only wait for improvements here. Does he have fever spikes as well?

I hope this helps.

Please revert so I can assist you further.

Thank you.

Answer 2

Hello,

Glad to have you back!

I am here to help you get the best medical advice. You can consult a cardiologist at icliniq. Treatment would be carried out depending on the patient's condition. I hope your query was resolved.

Please feel free to reach out to me again if you have further queries.

Thank you.