When the heart fails to pump blood as well as it is supposed to, it is called heart failure. Certain conditions that can lead to heart failure are heart attack, high blood pressure, heart valve problems, inflammation of the heart muscles, and heart arrhythmias. The symptoms include shortness of breath, weakness, irregular heartbeat, chest pain, etc.
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I am worried about my diastolic dysfunction. Kindly help me.
Query: Hi doctor, I am a 59 year old male. My weight is 507 pounds and height is 5'11". I am suffering from high blood pressure for the last 15 years. I am taking Metoprolol and a combination of Triamterene and Hydrochlorothiazide. I had an echocardiogram before four years. It was mostly normal except for ... Read Full »
Answer: Hi, Welcome to icliniq.com. Do not worry. Your report is not that bad. Most of the regurgitant lesions are very well tolerated by our body. Unless you are symptomatic like you have breathlessness or angina, etc., it is nothing to worry. Repeat your echocardiogram once every year and keep taking... Read Full »
Please explain my father's heart problem from the medical report.
Query: Hi doctor, My father has diabetes for the past 15 years and he is suffering from heart problem for the past four years. Recently he was admitted to the hospital due to severe breathing problem, sudden fainting, loss of appetite and water accumulation in the stomach and legs. After taking treatment i... Read Full »
Answer: Hi, Welcome to icliniq.com. After careful review, I can appreciate well the sensitivity of the issues you and your family is suffering from. Your father seems to have left heart failure (attachment removed to protect patient identity) that landed him twice in the hospital. He is having the valve i... Read Full »
I have cardiac amyloidosis and stage 3 heart failure. Please interpret my smartwatch ECG readings.
Query: Hi doctor, I have attached the smartwatch ECG readings. I have been diagnosed with AL cardiac amyloidosis and have Mayo Stage IIIa heart failure. I am especially interested in the "peaks" between 6s and 7s, and between 16s and 17s, as they correspond with an odd sensation, which I would characterize... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern regarding ECG (electrocardiogram) changes. I have gone through your ECG readings (attachments are hidden to protect the patient's identity). Grossly, I can see premature ventricular complexes here, which can be explained by underlying amyloido... Read Full »
My father has acute heart failure and MI. Is CRTD recommended for him?
Query: Hi doctor, My father has acute heart failure and extensive MI since two months ago. Also, he got a pleural effusion and leg edema. He is in bed symptomatic depending on oxygen device most of the time. His EF is 21. The ECG shows possible left atrial enlargement, nonspecific intraventricular block... Read Full »
Answer: Hi, Welcome to icliniq.com. As he had a heart attack, first priority is revascularization of angioplasty or bypass surgery. If this is done and heart function improves, then it will be good. In right bundle branch block, there is very little benefit of CRT (cardiac resynchronization therapy). If ... Read Full »
Why is there ankle edema even after delivery in a heart failure patient?
Query: Hello doctor,My daughter was pregnant and had extreme edema. The doctors said it was normal. As it turned out she was sent by ambulance to another hospital as she went into heart failure, her BNP levels were extremely high and the baby had to be induced. She is now back to her original hospital. The... Read Full »
Answer: Hi, Welcome to icliniq.com. If the BNP (B-type natriuretic peptide) levels were high, it is probably due to heart failure as you said. For the ankle edema, she needs to be given diuretics (drugs which decrease waterlogging) in the body and fluid restriction should be adhered to. Daily intake shoul... Read Full »
My cardiologist informed me that I have diastolic heart failure. Please explain.
Query: Hello doctor, I am a 41-year-old male with 5'11" height and weight 214 pounds. Multiple sclerosis and bipolar disorder are co-morbid conditions. I was recently admitted for a heart catheterization to check for any potential blockage after an abnormal ECG, chest and chin pain, months of breathlessne... Read Full »
Answer: Hello, Welcome to icliniq.com. I am sorry to hear that you did not receive any detailed explanation of your condition. Diastolic dysfunction is the inability of the heart to relax, which can be diagnosed with echocardiogram or with evidence of high pressures inside your heart chambers, as evidence... Read Full »
How long does it take to recover from the aortic valve replacement surgery?
Query: Hi doctor, After aortic valve and mitral valve replacement surgery for heart failure and long-term pulmonary artery hypertension (50 to 60), weakened kidney function (100 to 200 ml of urine per day), a hemofiltration machine is used. The question is, can the patient be moved outside ICU? Read Full »
Answer: Hi, Welcome to icliniq.com. I am taking into consideration both valves are functioning normally, and the patient was on proper oral anticoagulation (e.g., vitamin K antagonists) to prevent clots. Right now, the patient is in heart failure with low urine output - After electrolyte correction, nor... Read Full »
Are sleep apnea and heart failure associated with Crohn's disease?
Query: Hello doctor, Crohn's was an assumed cause for symptoms (bloody stool, abdominal pain) I was experiencing for the past two and a half years. Unfortunately, I was never officially diagnosed due to my negligence in receiving follow-up care. Almost ten months back, I was diagnosed with acute congestive... Read Full »
Answer: Hi, Welcome to icliniq.com. I am sorry you have to suffer this way. Please do not worry. Would untreated Crohn's disease be the cause of my heart failure? The answer is no. You can control the symptoms of heart failure like sleep apnea with the following measures. I suggest you 1. Control your bl... Read Full »
Can you explain cardiac dysfunction in a patient with deep vein thrombosis?
Query: Hello doctor,I need to know about cardiac dysfunction. I was told it was found on venous Doppler looking at DVT. What all information can you tell me about the blood vessels having a pulse and it being a cardiac dysfunction? That is all I was left with until the cardiologist consult. Read Full »
Answer: Hello, Welcome to icliniq.com. DVT or deep vein thrombosis is a condition where blood clot accumulates in lower limb veins due to prolonged bedridden state, reduced physical activity, after a major surgery or fracture of bones. These blood clots can often dislodge and go through the right heart to... Read Full »
What are the reasons for tachycardia?
Query: Hi doctor, I am suffering from shortness of breath, and also I have a pacemaker in my heart due to a complete heart block. Can you please tell me about the findings in my EKG? Read Full »
Answer: Hi, Welcome to icliniq.com. I can understand your concern. According to your EKG (electrocardiogram) tracing (attachment removed to protect the patient's identity), it shows tachycardia, which means heart rate is 100 or above 100 BPM. Tachycardia may result from various physiological and pathologi... Read Full »