Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
184 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What causes heart failure?

Answered by
Dr.
Dr. Benard Shehu

Cardiologist

Practicing since :2004

Answered : 2257 Questions

default
Posted on Fri, 19 Dec 2014 in Heart Failure
Question: Good day po,

What does having a heart failure means? Having an ef of 16 to 22 % and angiplasty 2 years ago. 56 years old. Doctor said it is stable and gave medications. How good is the prognosis for this and what can we do to prolong the life span.
doctor
Answered by Dr. Benard Shehu 1 hour later
Brief Answer:
Severe heart failure & a correct treatment may prolong life...

Detailed Answer:
Hi XXXX

I read your query very carefully and understood your concern.

Heart failure, also known as congestive heart failure (CHF), is a situations when your heart muscle doesn't pump blood as it should normally do. An Ejection Fraction EF 16-22% show that it's severe Heart failure.

Severe heart failure hasn't a good prognosis and should be treated correctly in order to prolong life. A correct treatment include medical therapy, diet and invasive therapy.

If you were my patient i would suggest:
- Flue Vaccination two times per year (September and march).
- ICD and resyncronisation therapy (invasive therapy).
- Add spironalactone and rosuvastatin (crestor) to your medical therapy.
- Avoid salty food (limit salt intake).

Hope this will be of help!
Dr. Benard
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Benard Shehu 12 minutes later
I am under medications right now. I am also having a good diet and regular exercise.

But my doctor said that my condition is stable.

My ECG is fine. I saw a doctor after all this and assured me that my condition is stable. Do I need to be concerned?
doctor
Answered by Dr. Benard Shehu 4 hours later
Brief Answer:
Following parameters to consider to evaluate heart failure...

Detailed Answer:
Hi back,

There are various parameters to consider while evaluating the cardiac failure, but two are very important in determining prognosis and life expectancy:

1. The clinical presentation: which has been evaluated by your doctor determining the "stable" situation.

2. Cardiac Echo: The one you showed to me reported very low ejection fraction, indicative for severe heart failure.

Taking this parameter into account, my advice is to:
- be very careful
- consider implanted cardiac defibrilator to prevent cardiac arrest and/or sudden death in the future
- consider listing in the attending queue for heart transplant.
- re-synchronization therapy to be considered before transplantation. This is an invasive solution, which will increase EF and improve HF.

All the best!
Dr.Benard
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions
Drug/Medication
Lab Tests

Recent questions on  Rosuvastatin

doctor1 MD

I am currently taking Exforge 5/160, Crestor and Cartia for high blood pressure. I have been taking this medication for approximately 2 years and...

doctor1 MD

HI, I had angioplasty done in June 2008.i was taking Plavix and Crestor regularly for one year.Then Dr said Plavix it doesn t need to continue....

doctor1 MD

I m 44 and my resting heart rate is 123. Earlier today I experienced heart pounding and my resting rate was at 192. There are comorbidity factors....

doctor1 MD

Been on Crestor for 8 months 5mg. Just lately terrible intergestion , heart burn, constipation, headaches, pains in my neck, also pain in my right...

doctor1 MD

I did ultrasound , doctor found few cholesterol polyps in gallbladder and fatty acids in liver . So as per him it is not dangerous. Only thing I...

doctor1 MD

Hello, Doctor, For the past couple of months, I have had loose bowel movements, sometimes twice a day. Sometimes it's come on quickly, and I'm glad...

doctor1 MD

I took azithacyn and cefixime a week ago for a possible infection, I am taking zeta and rosuvastatin every evening. The last few days my face and...