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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How to treat congested heart failure?

my husband age 68, 5;9 has diabites, copd, high blood pressure; he was passing out; was put in hospital and they took him off all blood pressure meds; he was fine then 3 weeks later couldnt breathe; went to er and he was swollen with fluid around heart, legs etc; was put back on blood pressure/hctz; hospital and dr said heart was fine when he was in hospital for 4 days; then suddenly he is told he has congestive heart failure; enlarged heart; heart is pumping only at 33; he has two small blockages they said too small; they increased his blood pressure, put him on potassium; why were we told his heart was good from heart dr in one hospital then told he has congestive heart failure, enlarged heart and 33 pump from another dr; I am frightened he is going to die; all they are doing is monitering his bp med and potissum



Thu, 29 Dec 2016
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Cardiologist 's  Response
Dont worry i have personally seen patients recovering from 15% to 40%
Firslty find the cause of chf
2d echo should be done to find motion abnormality of heart walls and ejection frction of heart, patient can even be implanted AICD to prevent future risk of arrytmia due to low cardiac functions

Repeat the coronary angiogram and plan for a ptca and cabg
drugs like spironolactone,ace inhibitor , metoprolol trimetazidine will help bringing ejection fraction to normal after ptca or cabg
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