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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diabetes. Had Bypass Surgery, Followed By Chemotherapy For Tumor In Small Intestine. Suggested Taking Dytor 20 Instead Of Cardivas. Suggest

i am 62 yrs.old. i was operated for bypass in march 2012 & tumor of small intestine in april 2012. this was followed by 5 cycles of chemo. my E F % till 4 cycles was 50%. after 5th cycle i had breathing trouble . 2d echo showed EF% 29. I was given DYTOR 10 , CARDIVAS 6.25, CARDACE 2.5, ECOSPRIN AV, LENOXIN 0.25 ,apart from medicines for diabetes.my recent EF% is 25%. I am now told to stop cardivas and take DYTOR 20.PLEASE GUIDE
Wed, 5 Jun 2013
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General & Family Physician,  's  Response
Hello,
Thanks for the query to H.C.M. Forum.
Normal E F ( ejection fraction ) 55- 78 %.
As bypass is there.
They started Chemotherapy for intestinal tumor.
You stated that ejection fraction was 50 % after 4th cycle of Chemotherapy.
Now after 5th chemotherapy E F is 29 %.
As there are medicines for Congestive heart failure and they stopped cardivas, but continued dytor ( diuretic) apart lanoxin,aspirin and cardace.

Before any conclusion , we would like to know the heart condition as in March 2012 you operated for bypass.
Still you are on Congestive Heart Failure treatment ,so even after bypass assessment of heart condition is very important.
After tumor chemotherapy reduction in Ejection Fraction is natural.
It will reach up to normal level if condition of heart muscles are otherwise normal.
Hope I have answered your query.
If further any question I will gladly reply.
Good wishes for recovery.
Dr. HET
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Diabetes. Had Bypass Surgery, Followed By Chemotherapy For Tumor In Small Intestine. Suggested Taking Dytor 20 Instead Of Cardivas. Suggest

Hello, Thanks for the query to H.C.M. Forum. Normal E F ( ejection fraction ) 55- 78 %. As bypass is there. They started Chemotherapy for intestinal tumor. You stated that ejection fraction was 50 % after 4th cycle of Chemotherapy. Now after 5th chemotherapy E F is 29 %. As there are medicines for Congestive heart failure and they stopped cardivas, but continued dytor ( diuretic) apart lanoxin,aspirin and cardace. Before any conclusion , we would like to know the heart condition as in March 2012 you operated for bypass. Still you are on Congestive Heart Failure treatment ,so even after bypass assessment of heart condition is very important. After tumor chemotherapy reduction in Ejection Fraction is natural. It will reach up to normal level if condition of heart muscles are otherwise normal. Hope I have answered your query. If further any question I will gladly reply. Good wishes for recovery. Dr. HET