Brief Answer:
Strongly disregard the conversation that enhances unjustified fears.

Detailed Answer:
Hello dear XXXX!

I am sorry to hear about that unpleasant conversation. I have been trying several times to give you evidence based explanations that your cardiac performance is actually perfectly normal and that fortunately your previous heart disorder has completely vanished.

Since those days of cardiomyopathy diagnosis, you have passed through a wonderful cardiac improvements, and I am glad to repeatedly assure you (and will keep being so) that you are actually a healthy normal individual.

It is a logical medical reasoning after reviewing all your medical data (medical history, cardiac tests [several cardiac ultrasounds, cardiac imagine perfusion test, rhythm study, repeated lab tests, etc.], your satisfactory clinical course, etc) to come to these conclusions.

As you are considered completely healed (as your cardiac ablation resulted successfully) from the previous arrhythmia or any signs of inflammation, with a subsequent regression of cardiomyopathy and reversion to normal cardiac function; there is no medically justified evidence to support an increased inclination to arrhythmia or cardiomyopathy recurrences, compared to other normal individuals.

So, I would not approve any excessive restrictions of fluid intake or increased attention to urine output or body weight fluctuations (except for the general purpose of avoiding overweight and its consequences).

Such fears are not medically justified.

So, for the above reasons, I strongly recommend you disregarding those suggested opinions on frequent disease relapses.

Of course, you need to be alert of your health issues, as all we do, but no evidence oriented medical judgment would justify those excessive fears on the above mentioned issues.

You need to get over your fears, as this is the right way to face with your only health problem (anxiety).

I will be happy to give my support and advice on better management of this issue.

Once again, I am concluding that you are on a perfectly good health conditions and nothing serious could affect your well-being. You just need to follow medical checkups as all the other healthy individuals do (yearly physical exam, lab tests and a cardiac ultrasound as well).

I wish you are going to be fine after my dedicated opinions.

Please write me back, for any other clues of concern regarding this issue!

Hope to have been helpful!

Best regards,

Dr.Iliri

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