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Doctor insights on: Lupus And Chf

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Ma w lupus in hosp. A wk. Esrd, chf. Now low oxygen, low HRT func. Anemia delays angiogram. Yest surg fix bad fistula. No bld thinners now. How i help her avoid bld clots while waiting angio?

Ma w lupus in hosp. A wk. Esrd, chf. Now low oxygen, low HRT func. Anemia delays angiogram. Yest surg fix bad fistula. No bld thinners now. How i help her avoid bld clots while waiting angio?

Multiple risk factor: Have led to clotting of fistula. Seems like blood thinners can prevent clotting of fistula. Physicians taking care of patients can best make that decision since they know the complete picture, please discuss with them. ...Read more

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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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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 are the signs of lupus and heart failure ?

What are the signs of lupus and heart failure ?

Shortness of breath: You will be short of breath -- worse with lying down and sometimes accompanied by leg swelling. ...Read more

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My mom's lower legs have been swelling. BP 163/80 pulse 49. Hist lupus and overweight. Chances heart failure ?lupus attacking kidneys? Waiting on labs

My mom's lower legs have been swelling. BP 163/80 pulse 49. Hist lupus and overweight. Chances heart failure ?lupus attacking kidneys? Waiting on labs

Need echocardiogram: right heart failure with pulmonary arterial hypertension should be ruled out, start with an echo in addition to other testing by a specialist who treats this disease which is life threatening. ...Read more

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Who all gets lupus?

Who all gets lupus?

Genes, environment: This answer will change as we know more about lupus. We believe that for a person to get lupus, from the limited genetic information we have now, about 10% is from known genetic causes and remaining 90% unknown genetic causes and environmental causes. Environmental causes are largely undefined but important. Think about this: only 30% of identical twins develop lupus together. ...Read more

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Is Lupus reversible?

Is Lupus reversible?

No: Lupus in all its various presentations is treatable but it is not curable nor reversible. In some cases, lupus may go into remission but if it does go into remission, it does so on its own and does not go into remission as a result of treatment. ...Read more

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Is lupus hereditary? 

Somewhat hereditary?: Sle (lupus) is an auto-immune disorder in which a person's immune system is reacting strongly against parts of his own body. The inflammation from the immune system reaction leads to symptoms. It is believed to be partly genetic or familial (some people may be genetically more likely to get sle) and partly environmental (something happens in a person's life that sets off the auto-immune reaction). ...Read more

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What is systemic lupus?

What is systemic lupus?

Autoimmune disease: Lupus erythematosus is a chronic inflammatory disease of unknown cause. The immune system attacks the patient's own body (autoimmunity) and can inflame the skin, joints, kidneys, nervous system, lungs, mucous membranes, and other internal organs. A red rash is often but not always present. Thus, it was named lupus erythematosus meaning "red wolf.". ...Read more

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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