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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Shortness Of Breath And Heaviness In The Legs?

The doctor told me that I have HOCM hypertrophic cardiomyopathy. I keep telling the doctor about the heaviness in my legs and my shortness of breath. But nobody seems to why my legs hurt so bad or given me anything to help ease my pain. I know doctors have told me I have fluid build in my chest and around my heart. What exactly would cause my legs to be so heavy and for me to be so short of breath? Is there anything that I can take or mention to my doctor about possibly trying? Also note that I m on 180 mg of Lasix.
Tue, 27 Jan 2015
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Pulmonologist,  's  Response
Thanks for your question on HCM.
I can understand your situation and problem.
Since you are having HOCM (Hypertrophic Obstructive CardioMyoathy), your symptoms are suggestive of CCF (Congestive Cardiac Failure) mostly.
It is due to poor pumping of heart because of HOCM. Because of these fluid accumulate in dependent part of body like legs, abdomen and lungs.
So these cause you heaviness in legs and shortness of breath (pulmonary edema).
The treatment for this is diuretics and cardiac inotropic drugs. Diuretics will increase the urine output and decrease the fluid load. Since eyou are on optimal dose of lasix , you a can ask your doctor about spironolactone.
You should also ask about cardiac inotropes as they will improve heart pumping and thus fluid circulation.
So consult your cardiologist and discuss about these drugs.
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What Causes Shortness Of Breath And Heaviness In The Legs?

Thanks for your question on HCM. I can understand your situation and problem. Since you are having HOCM (Hypertrophic Obstructive CardioMyoathy), your symptoms are suggestive of CCF (Congestive Cardiac Failure) mostly. It is due to poor pumping of heart because of HOCM. Because of these fluid accumulate in dependent part of body like legs, abdomen and lungs. So these cause you heaviness in legs and shortness of breath (pulmonary edema). The treatment for this is diuretics and cardiac inotropic drugs. Diuretics will increase the urine output and decrease the fluid load. Since eyou are on optimal dose of lasix , you a can ask your doctor about spironolactone. You should also ask about cardiac inotropes as they will improve heart pumping and thus fluid circulation. So consult your cardiologist and discuss about these drugs.