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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Dizziness And Fatigue In An Elderly Person With Hypotension

94 y/o male ef 35% with hypotention. history of cad, 1st degree heat block and chf and a heart attack . My question is with the placement of ICD if the ef% increased would the hypotention improve?I have decreased energy, dizziness, tired all the time and bouts with depression. I still live at home by myself and still drive but in the last six moths I have noticed a decline in how I feel unable to do the normal things I like to do. My heart doctors has suggested the placement of a pacemaker to increase my quality of live. Would this improve the dizziness and weak tired feelings.
Thu, 25 Oct 2018
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Internal Medicine Specialist 's  Response
Hello,

Cardiac resynchronization therapy (CRT) significantly improves functional status, exercise duration, left ventricular (LV) ejection fraction, death from progressive congestive heart failure (CHF), and hospitalization for CHF in patients with moderate-to-severe CHF, an abnormal LV ejection fraction, and a QRS duration on the electrocardiogram of 120 msec or more.

studies have shown that ICD therapy significantly reduced all-cause mortality by 33% in patients with class II or III CHF, an abnormal LV ejection fraction, and a QRS duration on the electrocardiogram of 120 msec or more.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Penchila Prasad Kandikattu , Internal Medicine Specialist
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Suggest Treatment For Severe Dizziness And Fatigue In An Elderly Person With Hypotension

Hello, Cardiac resynchronization therapy (CRT) significantly improves functional status, exercise duration, left ventricular (LV) ejection fraction, death from progressive congestive heart failure (CHF), and hospitalization for CHF in patients with moderate-to-severe CHF, an abnormal LV ejection fraction, and a QRS duration on the electrocardiogram of 120 msec or more. studies have shown that ICD therapy significantly reduced all-cause mortality by 33% in patients with class II or III CHF, an abnormal LV ejection fraction, and a QRS duration on the electrocardiogram of 120 msec or more. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Penchila Prasad Kandikattu , Internal Medicine Specialist