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Suggest Treatment For Severe Wheezing Trouble After Suffering A Heart Failure
Question: I suffered heart failure 2/3 years ago, and OK until recently. A virus caused my problem. Of late I am wheezing on every breath but it is manageable, though seems to be getting worse.
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello,
Welcome and thank you for asking on HCM!
I understand your concern and would like to explain that facing your recent complaints (wheezing) seems that your properly controlled heart failure (by taking Bisoprolol, Furosemide, etc.) has been decompensated by a triggering factor.
Probably a respiratory infection, an anemia, an arrhythmia, or even cardiac dysfunction exacerbation, etc. may have led to such a clinical scenario.
Coming to this point, I recommend performing a medical checkup by your attending cardiologist including:
- a careful physical exam (to investigate for possible congestive symptomatology),
- a resting ECG (possible arrhythmia),
- cardiac ultrasound (investigating cardiac performance, possible valvular dysfunction, etc.),
- chest X ray study
- complete blood count,
- PCR (for inflammation)
- renal function tests,
- blood electrolytes level,
- NT-proBNP (to investigate heart failure)
Only after following such a differential diagnosis work up, would be possible to find the right responsible cause of your complaints.
Hope to have been helpful to you!
In case of further uncertainties, feel free to ask me again.
Wishing you a happy New Year!
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello,
Welcome and thank you for asking on HCM!
I understand your concern and would like to explain that facing your recent complaints (wheezing) seems that your properly controlled heart failure (by taking Bisoprolol, Furosemide, etc.) has been decompensated by a triggering factor.
Probably a respiratory infection, an anemia, an arrhythmia, or even cardiac dysfunction exacerbation, etc. may have led to such a clinical scenario.
Coming to this point, I recommend performing a medical checkup by your attending cardiologist including:
- a careful physical exam (to investigate for possible congestive symptomatology),
- a resting ECG (possible arrhythmia),
- cardiac ultrasound (investigating cardiac performance, possible valvular dysfunction, etc.),
- chest X ray study
- complete blood count,
- PCR (for inflammation)
- renal function tests,
- blood electrolytes level,
- NT-proBNP (to investigate heart failure)
Only after following such a differential diagnosis work up, would be possible to find the right responsible cause of your complaints.
Hope to have been helpful to you!
In case of further uncertainties, feel free to ask me again.
Wishing you a happy New Year!
Kind regards,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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