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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Congestive Heart Failure. Am Diabetic. Had Defibrillator- Pacemaker. Second Heart Attack. Vein Little Damaged. Recommendations

I have congestive heart failure. I am a 73 year old diabetic female who has had bilateral mastectomies .
IN june of this year I had a defibrillator- pacemaker implanted but the 3rd link could not be attached.
Earlier this week I had a second heart failure while visiting NYC. They did an echo (injection fraction 30%)and later toojtook some 3-D photos in which the wire was clear. Head of echocardiology at Lenox-Hill said the vein lookeda little damaged but blood was flowing freely. Easy (?) to connect. I see my cardiologist tomorrow. He wants me to go to Mayo. Who are leading people in this specialty besides all reading this in Chicago and Northshore?
Mon, 30 Sep 2013
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Cardiologist 's  Response
Dear patient,

It looks like you need a good EP center since they had problems placing the third lead, most likely for resynchronization therapy. It would be quite reasonable to go ahead with a referral from your physician to Mayo, since I can attest about the quality and complex cases that the EP Department does.


Yours truly,

Dr Brenes-Salazar MD
Mayo Clinic MN
Cardiology
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Have Congestive Heart Failure. Am Diabetic. Had Defibrillator- Pacemaker. Second Heart Attack. Vein Little Damaged. Recommendations

Dear patient, It looks like you need a good EP center since they had problems placing the third lead, most likely for resynchronization therapy. It would be quite reasonable to go ahead with a referral from your physician to Mayo, since I can attest about the quality and complex cases that the EP Department does. Yours truly, Dr Brenes-Salazar MD Mayo Clinic MN Cardiology