Heart Failure

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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Why has my mother's EF fallen since last year?

Query: Hi doctor, My mother was diagnosed with mitral valve regurge and atrial fibrillation before many years. She is taking Dilatrend twice a day with vitamins. She is 65 years old now and done an ECHO every six to nine months. For the past three years, she has the following ejection fraction. She had an...  Read Full »


Dr. Muhammad Zohaib Siddiq

Cardiologist, General Practitioner

Answer: Hi, Welcome to icliniq.com. Echocardiography is a subjective test and the results may vary between the observers and from time to time. Mitral regurgitation can occur due to ischemia or valvular pathology. In the case of secondary mitral regurgitation, if the heart muscle is viable, angioplasty he...  Read Full »

How to get treated for the problem of heart failure present along with swollen feet?

Query: Good morning. I am 35 years old with height 5'4" and weight of 75 kg. I suffer from swollen feet for a month till today. I had heart failure before two years and six weeks of confinement. I discontinued taking treatment. Last check up was done last year. Till now, it did not go for a check up due to...  Read Full »


Dr. Muhammad Zohaib Siddiq

Cardiologist, General Practitioner

Answer: Thanks for the query sir What I could understand from your question is that you have heart failure diagnosed before two years and now you have both swollen feet. You are taking above mentioned medicines. Please tell why you had heart failure? was it due to heart attack or other causes such as dila...  Read Full »

What should I do to help my mom's severe breathing problem with PAH and heart failure?

Query: Hello doctor, My mother has been suffering from breathing problems for quite a long time. Local doctors used to provide inhalers and Deriphyline tablets for that. Since last year, it went severe, and lately, it has been diagnosed with severe PAH and right heart failure. She is unable to walk or do ...  Read Full »


Dr. Zubayeralam

Family Physician, General Medicine Physician, General Practitioner, Pulmonologist, Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. I can understand your concern. According to your statement, your mom has been suffering from severe breathing problems in a little activity for a long time. According to the ECHO report, severe PAH (pulmonary arterial hypertension) and right heart failure, but EF (eject...  Read Full »

Is there any correlation between heart failure and kidney impairment?

Query: Hello doctor, I would like to enquire about a 72-year-old male who is suffering from heart failure and kidney impairment. He is diagnosed with mild kidney impairment, despite normal urine output and no physical complications. He is currently taking Cortrop 5 mg, Aspirin 100 mg, Lasix 120 mg, Zylo...  Read Full »


Dr. Manzoor Ahmad Parry

Nephrologist

Answer: Hello, Welcome to icliniq.com. I read your query, before answering your query I would like to know about USG (ultrasound) of kidney and urine examination if done. What was KFT before this test? His kidney impairment can be due to age-related or due to heart failure. That is why I want to know a...  Read Full »

What can cause weakness and breathing trouble?

Query: My mom is 45 years old. She's having trouble breathing. Every move exhausts her very much. She is very weak and needs assistance when walking. She needs to be in front of a fan or aircondition all day or else she'd have trouble breathing. It's episodic and usually she have attacks when she's really ...  Read Full »


Dr. Ahmed Goha

Cardiologist

Answer: hi there i understand your concern likely your mother dyspnea is due to what is called heart failure whoch is the inability of the heart to pump sufficent amount of blood to meet body needs and this may be due to her previous heart problem whoch can be either rheumatic valvilar heart disease or c...  Read Full »

Why are my dad's feet so puffy?

Query: Hi doctor, My dad is 83 years old. He keeps coughing up phlegm and sleeping all the time. He is cold and his feet are very swollen. His feet are so puffy and he feels difficult to wear shoes or walk. He weighs about 300 lbs. He is suffering from congestive heart failure. Currently, he is on Lisinop...  Read Full »


Dr. Sadaf Mustafa

General Medicine Physician, Internal Medicine Physician

Answer: Hello, Welcome to icliniq.com. I am worried about depressed cardiac function, kidney dysfunction or liver disease. If the swelling is increasing; after he saw his doctor, then he should be seen again sooner rather than later. He would need further testing and evaluation for the swelling. It is not n...  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 »


Dr. Muhammad Zohaib Siddiq

Cardiologist, General Practitioner

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 »

How to help my mom with breathlessness that aggravates on lying down?

Query: Hello doctor, My mom is suddenly getting breathless for about a month. It never happened before. Now, the shortness of breath has increased a lot and she cannot even sleep all night. Please help. She is 46 years old.  Read Full »


Dr. Zubayeralam

Family Physician, General Medicine Physician, General Practitioner, Pulmonologist, Internal Medicine Physician

Answer: Hello, Welcome to icliniq.com. I can understand ur concern. According to your statement, she has been suffering from breathlessness for one month and it becomes worsen while she is lying. Sudden breathlessness can occur in asthma, heart failure, COPD (chronic obstructive pulmonary disease), inters...  Read Full »

What can be done for swollen arms and feet in a heart failure patient?

Query: Hello doctor, I am a 41-year-old, who is obese. I have high blood pressure. Also heart failure. I am also having problems with water building up inside my body, I do use medication but it feels like I am swollen and that the water is pushing upwards. I am also struggling to get air at times and I d...  Read Full »


Dr. Senduran N

Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. The problems you are facing is due to heart's failure to maintain the normal circulation. So the fluid gets stagnated in the interstitial tissue causing swollen feet, arms and fluid in lungs causing breathing problems. I hope you are already following the prescripti...  Read Full »

Is there any medicine available to cure left ventricular dysfunction?

Query: Hello doctor, My mother is 53 years old. I have to discuss with you about my mother's heart problem. Two years ago, we get to know that she is suffering from heart disease so we consulted a reputed cardiologist. He examined her and said that the only treatment for her problem is bypass surgery and...  Read Full »


Dr. Ilir Sharka

Cardiologist

Answer: Hello, Welcome to icliniq.com. As far as I understand your mother is suffering from heart failure. Unfortunately, there is not too much to be done. A definite solution would be a heart transplant. Anyway, an optimization of her therapy can help improve her situation. So, I would recommend adding a...  Read Full »

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