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 pandemic. I am taking these medicines.
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 dilated cardiomyopathy and myocarditis etc? Also tell left Ventricular ejection fraction so that I may guide you accordingly.
Also send an ECG. Untill then take following medicines for heart failure.
Tab Carvedilol 12.5 mg twice a day
Tab Ramipril 5 mg (in place of Amlodipine. Stop Amlodipine, it can cause swelling of feet)
Tab Furosemide 40 mg morning and afternoon
If you had heart attack then take (in addition to above): Tab Aspirin 75mg daily once Tab Rosuvastatin 20mg daily once
Please Send me your ECG, echocardiography reports and recent renal function tests.
Fluid overload due to Amlodipine, excessive salt use, renal disorder, non c adherence to medicinesInvestigations to be done:
ECG, ECHOCARDIOGRAPHY, RENAL FUNCTION TESTS, ELECTROLYTESTreatment plan:
As mentioned above. May be changed after seeing investigationsPreventive measures:
Reduce salt intake,Regarding follow up:
After a week with above history and reports
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