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Edema, enlarged heart, breathlessness, done Echo and doppler test. What is the problem?

my mother in law is aged 54 and 125 kgs of weight and she had 2 times of heart attack ,she is having diabetis and they removed 2 fingers of her foot 3 years back and she is suffering from dipression and edema by some infection in her leg from 6 months .and we made her get treatement for that infection and it was reduced at that time but it is repeated now with more edema and we made her admit in a hospital and they had taken some reports of 2d echo and doppler test the reports are in this way lower limb cellulites,mild dysc function,cmp mild diet function , serum creatin 1.0 , sodium 141, potassium is 47,2d echo left ventricle lviDd 5.56, lviDs 4.72, lvef 30%, ivsd 1.23cms, pwd 1.23cms,lvrwna -global hyposis of lv,amd doppler report is e-0.6m/sec, a-0m/sec, ajv-1.0m/sec, tjv-6.0m/sec, impression-moderate lv dys fuction, shymial mr, mild tr, mild mr,and her blood sugar levels are random 370,and blood pressure 160/90 ,i would like to knw her status and her right hand and legs and face are very bulged with edema and the doctors were saying that her heart is enlarged and even swelled a lot ,and she is feeling very hard to take breath also. kindly understand the problem and give the answer
Asked On : Sat, 7 Jul 2012
Answers:  1 Views:  89
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General & Family Physician 's  Response
Hi, Welcome to HCM.

I understand your concern. As you are aware that your mother-in-law's blood sugar is high (370 mg/dl), she is very susceptible to any infection such as cellulities. Controlling her sugar aggressively at this time along with antibiotics will certainly help her condition. Looks like she is also suffering from moderate heart failure possibly due to long standing hypertension.

She will need to be managed with drugs such as diuretics for her swelling and difficulty in breathing, digoxin to improve the cardiac performance, ACE inhibitor and/or ARBs to reduce blood pressure etc. Her urine output (kidney function) should also be monitored.

Based on the information you have given, her failing heart and high blood glucose along with infection can have an additive effect on her condition. At this time she needs to be observed and managed very closely to prevent any worsening.

All the best. Hope this helps.

Answered: Wed, 24 Jul 2013
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