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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Prognosis For Health Conditions With Congested Heart Failure

My 38 year old son and trach and vent with duchenne muscular dystrophy just got out of hospital with conjested heart failure, doctor claming normal heart funcations at 55% My son s is at 30 to 25%.we are on lots of med s does this mean his life is in danger soon or not? mom
Wed, 1 Apr 2015
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Psychiatrist,  's  Response
Hi welcome to HCM.
I understand your query and concern.
Congestive heart failure has poor prognosis in all cases if the ejection fraction is under 30%.The overall prognosis in your son's case is marginal since Duchenne muscular dystrophy leads to respiratory complications affecting the cardiac output.Its always advisable to keep the blood pressure under 130/80 mm of hg. Avoid overt treatment to prevent lightheadedness,for this I advise you to have a baseline 2 dimensional echocardiography,ECG,Hs CRP and lipid profile to assess the basic cardiac reserve of your heart.Restrict the intake of salt to less than 6gm/day.Drugs like Frusemide and Digioxin will help to improve the congestive symptoms.Reduce the intake of fatty and fried food.Oatmeal for breakfast 30-50 gm taken in milk daily will clear the accumulated fat.Avoid smoking and alcohol.Semiannual follow ups are advisable on maintenance. Once the above measures are carried out,good survival can be expected.
Consult a Cardiologist for further expert management.
Post your further queries if any.
Thank you.
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Suggest Prognosis For Health Conditions With Congested Heart Failure

Hi welcome to HCM. I understand your query and concern. Congestive heart failure has poor prognosis in all cases if the ejection fraction is under 30%.The overall prognosis in your son s case is marginal since Duchenne muscular dystrophy leads to respiratory complications affecting the cardiac output.Its always advisable to keep the blood pressure under 130/80 mm of hg. Avoid overt treatment to prevent lightheadedness,for this I advise you to have a baseline 2 dimensional echocardiography,ECG,Hs CRP and lipid profile to assess the basic cardiac reserve of your heart.Restrict the intake of salt to less than 6gm/day.Drugs like Frusemide and Digioxin will help to improve the congestive symptoms.Reduce the intake of fatty and fried food.Oatmeal for breakfast 30-50 gm taken in milk daily will clear the accumulated fat.Avoid smoking and alcohol.Semiannual follow ups are advisable on maintenance. Once the above measures are carried out,good survival can be expected. Consult a Cardiologist for further expert management. Post your further queries if any. Thank you.