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Doctor insights on: Lethargy Chf

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Proxsytmal afib/fatigue and sob effecting quality of life on coreg (carvedilol) had CHF prior to coreg (carvedilol) treatment meeting with an ep what will happen?

Proxsytmal afib/fatigue and sob effecting quality of life on coreg (carvedilol) had CHF prior to coreg (carvedilol) treatment     meeting with an ep what will happen?

Treatment: The ep will likely discuss a blood thinner with you and use medication to restore normal rhythm. If it fails, ablation may be discussed. If you haven't had an echo recently , it will be repeated. Blood work and thyroid studies are usual. ...Read more

Dr. Bennett Werner
731 doctors shared insights

Congestive Heart Failure (Definition)

Congestive heart failure, otherwise known simply as heart failure, is a condition in which the heart muscle is weakened. It may be receiving inadequate blood flow, its valves might be malfunctioning or the heart muscle might have thickened or stiffened. As a result, the heart, which is a pump, cannot supply the body with sufficent oxygen and nutrients. When the left side of the heart is damaged, fluid builds up in the lungs, which results in difficulty breathing. When the right side of the heart is affected, fluid builds up in the extremities and abdomen, resulting in swelling of the legs and poor absorption of nutrients due to ...Read more


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What CHF treatments will not cause fatigue and memory loss? My mother's apparent "dementia" arose from lopressor (metoprolol tartrate) when she got CHF after bowel surgery.

What CHF treatments will not cause fatigue and memory loss? My mother's apparent "dementia" arose from lopressor (metoprolol tartrate) when she got CHF after bowel surgery.

Avoid betablockers: CHF can be treated without the use of a beta blocker (lopressor) although using one is preferable. Thus she can be treated with a diuretic, angiotensin inhibitor, aldosterone antagonist and, it might be reasonable to try a different beta blocker such as carvedilol. It's commonly started at an exceptionally low dose (3.125 mg) and gradually increased to 6.25, 12.5 and 25 mg - all twice a day. ...Read more

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Crp-hs cardiac 8, Sed rate esr 88 neutrophils 10.7, homocysteine19, rf<10. Chf developed recently, Fever at night, fatigue, breathing issues. Can this be lupus or rheumatoid heart issue? do i need additional tests to determine inflammation of heart?

Crp-hs cardiac 8, Sed rate esr 88 neutrophils 10.7, homocysteine19, rf<10. Chf developed recently, Fever at night, fatigue, breathing issues. Can this be lupus or rheumatoid heart issue? do i need additional tests to determine inflammation of heart?

Inflamatory Markers: of ? immune system/WBC activity but not cause. Careful: "inflammation" = marketing with little help from meaning. Yes, could be Lupus & hs-CRP of no help in this setting. Primary drivers of CHF are ? blood supply due to coronary atherosclerosis, ?ed glucose & ?ed BP. Best optimize CADs drivers: NMR-lipoproteins (LDL 9 ?mol/L), HbA1c ?5.0% & SBP ...Read more

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What can be done for heart failure with ejection fraction of less then 20percent when patient is experiencing extreme fatigue?

What can be done for heart failure with ejection fraction of less then 20percent  when patient is experiencing extreme fatigue?

Heart failure: Main goal in heart failure treatment is to prevent fluid accumulation in your body. That means taking the right dose of water pill and also other medications that are proven to improve quality. Make sure you check your weight weekly and if you are still gaining weight make sure you talk to your provider. Avoid extra salt in your diet, canned food and frozen food as they all contain a lot of salt. ...Read more

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43yo f diagnosis with diastolic dysfunction have 63% of predicted lung function, sever edema sob fatigue when does dysfunction become heart failure?

43yo f diagnosis with diastolic dysfunction have 63% of predicted lung function, sever edema sob fatigue when does dysfunction become heart failure?

Diastolic heart fail: diastolic dysfunction becomes heart failure once the pressures upstream from the heart (in the left atrium and lungs) becomes elevated. This can be manifested by shortness of breath, low oxygen levels, and edema. ...Read more

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Swelling in my fingers in morning, gurgling in chest, fatigue. Ekg, blood work, doc listened to lungs and heart all was fine.Could this be heart failure?

Swelling in my fingers in morning, gurgling in chest, fatigue. Ekg, blood work, doc listened to lungs and heart all was fine.Could this be heart failure?

Gurgling in chest: Failure of esophageal sphincter or esophageal dysmotility could cause gugling sounds in the chest. Swelling of fingers could be sclerodactyly. Therse featutres we could see in crest syndrome. Your physician could consider this indifferential diagnosis. There are other reasons too. ...Read more

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I have congestive heart failure and currently do humatrope (human growth hormone) injections. I began about 1 1/2 years ago and have felt more fatigue and weakness since. ?

I have congestive heart failure and currently do humatrope (human growth hormone) injections.  I began about 1 1/2 years ago and have felt more fatigue and weakness since.  ?

Check thyroid.: Both weakness and fatigue are symptoms, not diseases. Because these symptoms can be caused by many other health problems, the importance of weakness and fatigue can only be determined when other symptoms are evaluated. HGH can cause transient fluid retention thus should be avoided in patients with decompensated congestive heart failure. Otherwise, there doesn't seem to be a problem with the heart. ...Read more

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When was CHF found?

When was CHF found?

Remote in history: Long long ago patients were noted to develop swelling and shortness of breath. It was called "hydrops" and was treated with mercurial diuretics in the past before they were found to be toxic due to murcury content giving way to the new diuretics like acetazolamide, thiazides, and loop diuretics. ...Read more

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Dr. Todd Zimmerman
400 doctors shared insights

Listlessness (Definition)

Means something like unanimated, having poor energy and feeling apathetic. For example if it is a very hot day and you are tired and don't feel you have the energy to do things, you might say that you are feeling listless. In mental health, having a strong sense of listlessness not related to hot weather, etc., can indicate a sense of hopelessness, ...Read more


Dr. Joseph Shen
3,283 doctors shared insights

Heart Failure (Definition)

Heart failure is a complex set of conditions in which the heart "fails" to pump a normal amount of blood with each beat. This can be due to poor squeezing function (systolic heart failure) and/or a stiff heart incapable of filling normally (diastolic heart failure). Common symptoms include swelling and trouble breathing, particularly when ...Read more