Dr. Muhammad Zohaib Siddiq
Cardiology
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Patient's Query
Hello doctor,
My mother had a heart attack four years back. She had a blockage of the left ascending artery and got it surgically corrected with a stent. She is also a diabetic patient. So please suggest to me how to improve her heart function with medicines. Kindly help.
Hello,
Welcome to icliniq.com.
I read your query and can understand your concern. Heart muscle weakens after a heart attack if the patient is noncompliant with medicines. However, after a heart attack, if timely angioplasty or bypass is done and medicines are taken as prescribed, then the weakening of the heart is uncommon. After heart muscle becomes weak, even it can reverse in some cases if medicines are taken. However, if not changed, then depending upon ejection fraction, ICD (implantable cardioverter-defibrillator) is implanted, or a CRT (cardiac resynchronization therapy) device is implanted. First, tell me what her ejection fraction (send me an echocardiography report) is. Secondly, what medicines and dosage is she taking, and for how long? Thirdly, what are her symptoms? Also, send her baseline lab tests, including CBC (complete blood count), serum urea, creatinine, and electrolytes. Is her blood sugar level under control, and on what medicine? Please provide this information so that I may guide you regarding proper medicines and dosages and then arrange follow-up and guide you accordingly. I hope this helps. Thank you and take care.
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