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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Defibrillator Advisable For Weakness In Left Ventricle Of Heart?

I was diagnosed with cardiomyopathy 6 months ago. I was put on diuretics, BP meds in an effort to reduce cardiac stress. My LVEF is 20 percent . This is the same that it was 6 mos. ago. No cause has been found for the weakness in the left ventricle. What next? My cardiologist now wants me to go for a defibrillator . Is this the next step? I don t have lung congestion or fluid retention. What should the next steps be?
Fri, 20 Mar 2015
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Diabetologist,  's  Response
Sorry to heard about your condition.

You have cardiomyopathy with LVEF 20%.
There are various causes for cardiomyopathy, most common is after myocardial infarction ie. heart attack it should be ruled out with coronary angioraphy.

In case of cardiomyopathy for optimal functioning of heart certain habits are important
1. Daily fluid intake- daily water intake should be restricted upto approximately 1lit care should be taken to avoid dehydration in summer.
2. Salt intake it should be restricted up to 4 - 5 gram per day.
3. Exertion physical activity should be restricted.

Certain important medications are necessary in cardiomypathy as in your case
1. diuretics it removes extra water from body through urine.
2. ACEI/ ARBs these are cardiac modulators and also used to lower BP.
3. B Blockers these medicines control heart rate and Oxygen demand of heart.
4. Some other types of diuretics called potassium sparing diuretics they are cardiac modulators and also prevents loss of potassium due to use of other diuretics.

Need for Defibrillator is depend on
LVEF
Cause of cardiomyopathy
ECG changes or Holter monitoring/ Electrophysiological study.
Episodes of syncope ie. sudden black outs.
Signs of fluid retention.

In your case Intra Cardiac Defibrillator may be advisable as LVEF 20%



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Is Defibrillator Advisable For Weakness In Left Ventricle Of Heart?

Sorry to heard about your condition. You have cardiomyopathy with LVEF 20%. There are various causes for cardiomyopathy, most common is after myocardial infarction ie. heart attack it should be ruled out with coronary angioraphy. In case of cardiomyopathy for optimal functioning of heart certain habits are important 1. Daily fluid intake- daily water intake should be restricted upto approximately 1lit care should be taken to avoid dehydration in summer. 2. Salt intake it should be restricted up to 4 - 5 gram per day. 3. Exertion physical activity should be restricted. Certain important medications are necessary in cardiomypathy as in your case 1. diuretics it removes extra water from body through urine. 2. ACEI/ ARBs these are cardiac modulators and also used to lower BP. 3. B Blockers these medicines control heart rate and Oxygen demand of heart. 4. Some other types of diuretics called potassium sparing diuretics they are cardiac modulators and also prevents loss of potassium due to use of other diuretics. Need for Defibrillator is depend on LVEF Cause of cardiomyopathy ECG changes or Holter monitoring/ Electrophysiological study. Episodes of syncope ie. sudden black outs. Signs of fluid retention. In your case Intra Cardiac Defibrillator may be advisable as LVEF 20%