Doctor insights on:
Systolic Congestive Heart Failure
My 33 yr old son had a heart attack 10-15. He now has dx of chronic combined systolic and diastolic congestive heart failure. Ef of 40. How serious?
Heart failure: Heart failure caused by a prior myocardial infarction (heart attack) is a very serious problem. Fortunately there are well-defined treatments including medications and procedures. Patients with this condition should be under the care of a cardiologist. It may also help to get a second opinion here on HealthTap to review treatment options. ...Read more
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
It can give clues: Heart failure is a complicated diagnosis to make and is usually based on history and physical exam findings. An ekg may give clues that point towards a diagnosis of heart failure but can not fully diagnose it. You may be confusing the term heart failure with heart disease. Ask you doctor about further specifics. ...Read more
It can happen: Unfortunately, sometimes young people also get affected by heart failure. Most often it relates to a viral infection that infects the heart muscle, called "myocarditis". This can lead to substantial heart failure in young patients, and is treated similarly to older patients with hf. However, sometimes the disease can get so bad that heart transplant needs to be considered. ...Read more
I have congestive heart failure and the diuretic i take is no longer working. What other options are the to avoid water rent emotion?
Change diuretic?: You should ask your physician, if you are on hydrochlorthiazide (h) if you should go to a loop diuretic, forsemide (f). Patients with chronic kidney disease do not respond to h but do respond to f. If that does not work, ask to have an echocardiogram to see if you have pulmonary artery hypertension (p) and what your ejection fraction is. If you have p, there is medicine for that to lessen edema. ...Read moreSee 1 more doctor answer
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
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