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Old female, underwent chemotherapy and radiation, mitral valve replaced with a mechanical. Got pneumonia, taking medicines. Hypertensed.

I am a 48 year old female, I have underwent chemotherapy and radiation , chemo in 2011 and radiation in 2012, I have also had my mitral valve replaced with a mechanical valve this was in 2012. I was doing well the 2 months after my valve replacement , I got pneumonia and all has went downhill, I have been coughing since Sept. 2012, (dry) an echo was done and my ejection fraction had dropped from 55% in May 2012 to 25%. My cardiologist has me taking 81 mg aspirin daily,LASIK 20 mg 4 times daily,37.5 mg of bidil 3 times a day, 100 mg of metoprolol 2 times a day,20 meq potassium 2 times a day,5 mg Coumadin 1 time daily, my pulmonary doctor has me taking 2 puffs of symbicort 2 times daily,levalbuterol 2 puffs every 4 hrs as needed,cozaar 1 50 mg daily,1 40 mg daily, 18 mcg capsule of spiriva daily. I have had to take leave from work for pure exhaustion, I am going nuts!
Asked On : Mon, 25 Feb 2013
Answers:  1 Views:  77
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Cardiologist 's  Response
Hi friend,
Welcome to Health Care Magic

Check with your cardiologist again...
A fall in ejection fraction could be from malfunctioning of the replaced valve or heart failure.
At times, unrecognised Coronary artery Disease could be responsible.

Angiotensin Receptor blockers (unlike Angiotensin Converting Enzyme Inhibitors) generally do not cause cough - but may occasionally be responsible.

A second opinion - from an unbiased observer - may throw some light

Take care
Wishing speedy recovery
God bless
Good luck
Answered: Sat, 16 Mar 2013
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