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Suffering from breathing problem. 2D echocardiography showed no blockage but EF. Taking cardace. Any suggestion?

my mom aged 62 suffering with breathing problem. we have made 2D echo-cardiography as per instructed our family physician in result it has found that there is no blockage but EF(ejection factor ) = 28% only. she has sugar of 200 around since age of 40. now she is not able to simple walk/ work so far and get exhausted. now she is taking medicine as per doctor prescribed ie; Modlip asg 75 mg tab AND Cardace 5mg
Asked On : Thu, 28 Feb 2013
Answers:  2 Views:  31
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Critical Care Specialist 's  Response
Dear patient , your mother has got long standing Diabetes mellitus and left ventricular failure due to poor left ventricular function as her EF is only 28% in echocardiography . The cause of poor left ventricular function could be Coronary heart disease with ischaemic cardiomyopathy, old silent myocardial infarction (heart attack) though your echo report does not mention any regional wall motion abnormality , dilated cardiomyopathy, or diabetic cardiomyopathy .Coranary artery blockeds are not seen on echocardiography but are seen by coranary angiography .At present your mother requires treatment for left ventricular failure which will include the drugs which your mother is already receiving ,plus the following drugs
Tab lasilactone (frusimide 20+ spironolactne 50) one daily after break fast
Tab digoxin .25 mg one tab daily for 5 days a week 5/7
Tab clopitab 75 mg once daily bed time
Tab imdur sr 30 mg once daily after break fast
Before starting the these drugs the following investigations shold be done ,ECG, Chest X-ray, blood urea, serum creatinine, serum sodium and potassium
More over you should get an cardiologist consultation done

Answered: Thu, 28 Feb 2013
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  Anonymous's Response
Hi welcome to Health care magic forum. The condition depends upon so many factors like obacity, hypo thyroid etc. In abscence of cardiac factors like stenosis , regurgitation, and blocks, extracardiac factors for E.F must be considered.
Anaemia, hypovitaminosis thiamine , obacity and hypothyroid conditions should be considered, so i advise you to consult a physician for evaluation.
Besides i advise you to follow some diet recommendations as take more of green leafy vegetables, pulses, sprouts milk, egg, meat, fruits and juices to provide her with iron multivitamins, and anti oxidants necessory for natural recovery.
Wishing for a quick and comfertable recovery. and thanks for calling.
Answered: Thu, 28 Feb 2013
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