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Suffering from Dilated Cardiomyopathy - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Average Posted in: Heart Failure
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1773 Questions
Doctor :   Hello
Doctor :   How can I help
Doctor :   Proceed with your Query.
User :   my dad under cardiac treatment
User :   by medical management
Doctor :   ok.
User :   i would like to know regard medicines purpose & for what?: ACUPIL 5mg, CARDIVAS 6.25mg, TIDE PLUS 20/25 mg, AMARLY 1mg, CARDIWELL 0.25mg, LANOXIN
User :   anyboby is online .....
Doctor :   1) Lanoxin is to increase the pumping capacity of the heart and is used in heart failure.
2) Amaryl Is for Sugar.
3) Lasix is to reduce excess fluid in the body. It increases the urine output
4) Cardivas is also for High Bp
It dilates the heart blood vessels
Doctor :   Are you with me ?
User :   Acupil, tide plus,
Doctor :   Not at all but it shall take me some time to type out the informations
Doctor :   that needs to be easily understandable by and and also get the necessary information hence there would bethe DElay from my end
User :   if i need to more describ details by mail so which email id to sending u?
User :   regualar basis
Doctor :   Are these Medications being taken by your father on a regular basis
Doctor :   What are the informations that you would be needing regarding these Medications that you have mentioned
User :   we have done reports that information i provide u
Doctor :   ok.
User :   suggest us further any treatments fur better life n more
User :   we done angiography in 2000
Doctor :   Well we would not be able to Suggest any Further Medications apart from the once that he is already on since they have already loaded him with the Drugs and Any further Addition shall need a Thorough Examination Of the patient which is not possible here,
User :   LVEF 20% generalised hypokinesia. conculsion: Dilated Cardimyopathy
Doctor :   Hence It shall be advisable to make any Change in medications only after consultation with your attending Cardiologist only..
Doctor :   What is his age and When were these investigative findings done
User :   first u c the case. we need only suggestion. we not need change it
Doctor :   ok.
Doctor :   Sure we shall go through it please
User :   62 age i mentioned already report done in 2000
Doctor :   ok.
Doctor :   Are there any Further investigations that you might have done recently
Doctor :   this year around about
User :   yes then in 2007 again Nuclear test done
Doctor :   ok.
User :   1. Left venticulat dilatation noticed in rest images. 2. the following areas shows perfusion defect septum & posterier wall. 3. Rest of the myocardium shows normal perfusion pattern.
Doctor :   ok.
User :   Gated Spect Data: 1. The left verticular function appears to be severely impaired LVEF 24% at rest. 2. global hypokinesia noted. 3. the apex shows aneurismal dilatation & dyskinesia.
User :   Comments: 1. Impared LV funtion with LVEF 24% 2. Mild hypo perfusion mainly involving septum & posterior wall. No evidence of infarction noted in the entire myodardium. 3. Finding are in favour of non-ischemic DCM with good viability in the entire LV myocardium. Refer by Dr. Bupesh shah-A'bad.
User :   Just 2D eco done at wockhardt as on dtd. 4th Nov. 2008. LVID d 5.79, LVID s -5.33, LVIDsd- 0.68, LVPW d - 0.91, EDV 165.72, ESV 137.22, LVEF 17.14%, AO 3.01, LA-4.20
Doctor :   There needs to be only palliative and Symptomatic treatment that shall need to be followed for his condition, with minimal exertion to no exertion at all and Even the morning duties should be brought to his bed, and complete Bed rest is the must, Laxatives need to be included in his treatment regimen to facilitate the Easy Defecation, also make his Diet simple and easily digestible and more bulk forming to avoiud any kind of strain on his heart ..
Doctor :   Complete Bed rest would be Necessary for him with minimal Movement as far as possible
User :   that as such already bed rest
Doctor :   Ok.
User :   possible any surgery or further treatment
User :   ?
Doctor :   CARDIAC TRANSPLANT if the patient is able to with stand the Surgery would be the only possible SURGICAL modality of treatment
User :   in india possible that?
Doctor :   It shall need to be Discussed with the Attending Doctor as to the PRO's and the CON's of such a procedure could be performed on him and All the more an IDEAL DONOR also needs to be found with the IDEAL match.
User :   i would like to know about peace this case beneficial ?
Doctor :   the Entire CADRIA has been involved that is the Bladder that is going to PUMP the Blood to the REst of the body and there would not be any Significant change or improvement with the pacemaker on him
Doctor :   DIlated Cardiomyopathy
User :   ok.
Doctor :   is the Involvement of the CARDIA and also there is Impared LV funtion with LVEF 24%
User :   17% latest
Doctor :   Hence CARDIAC transplant is the Surgical option available
Doctor :   ok.
User :   you provide this online service from ?
Doctor :   BANGALORE
Doctor :   Not affiliated to any hospital
Doctor :   Please fill the feedback form say done when done..
Doctor :   Is there any thing else that I could help you with ?
User :   why u hurry....
User :   please. favour me if u have another online caller
Doctor :   Not in any Hurry at all.
Doctor :   ONLINE caller I did not get that ?
User :   like me anybody waiting for so (online caller) your mainly working as if am member with
Doctor :   You mean some one with the Similar condition as yours.
Doctor :   like in your father.
User :   not i mean that. waiting like me for need your help online
Doctor :   ok.
User :   latest 2D eco report is. 1. aLL the chamber are dilated. 2. mid & apical anterior wall, mid & apical septum, apex are akinetic. 3. Rest of the walls severaly hpokinetic. 4. Mild mitral regurgitation. 5. Mild aortic regurgitation. 6. Mild tricuspid regurgitation RVS 42mm of Hg. 7. No LV clot. 8. No pericardial effusion.
Doctor :   ok.
User :   ?
Doctor :   YES
Doctor :   they are needed to keep his heart functioning for the normal day to day activities
User :   OK. any special advice or take care fo
Doctor :   Since we are based in Bangalore we have information pertaining to Bangalore only
Doctor :   So i would not be able to assist you with this one
User :   yes but later some time. now i go to home.
Doctor :   Thanks for consulting Healthcaremagic. Bye for now. Please refer your friends to our service.
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