Brief Answer:
You should try to manage better your anxiety

Detailed Answer:
Hello dear XXXX!

Let’s start from your EF fraction: all your recently performed cardiac ultrasounds have unequivocally confirmed that your cardiac performance is quite normal. As (ejection fraction) EF is a loading dependent parameter it is quite normal that during different ECHOs may found slight variations.

So you don’t have to worry about your EF value deviations as they are not an indicator of any upcoming recurrent cardiomyopathy process.

As a cardiac patient, having recovered successfully from such a specific PVC induced cardiomyopathy you are advised to periodically check your cardiac performance by repeated cardiac ultrasounds (in a yearly fashion).

Regarding your fluid intake/output I would like to add that taking more fluids you will increase intravascular circulating volume and hence the preload ventricular conditions, hence triggering normal physiological mechanisms (according to the heart’s functioning laws), leading consequently to more vigorous cardiac pumping process, more systemic blood circulating through several organs, including the kidneys, so more urine (fluid output).

So as I explained to you XXXXXXX there is no risk for fluid accumulation within your body.

What your doctor said to you, when you were hospitalized is completely true.

BUT, remember that you were suffering at the time from a low EF cardiomyopathy and the normal cardiac functioning laws are not eligible in such pathological settings.

An excessive fluid intake during that period would overload your weakened heart, decreasing further its performance.

But it is not the case actually. You are completely recovered and there are not any chances for such a cardiomyopathy to recur again.

As you see, the only persistent problem is your anxiety.

I would advise trying to manage your anxiety better in the future and unpleasant thoughts visiting your mind.

According to your last question (privacy protection), you can as direct questions to your preferred doctors, avoiding such way a much larger public viewers.

Just search for this option (direct query) on HCM system, or ask to Customer Care Service for assistance.

Hope to have been helpful!

I am at your complete disposal whenever you have further uncertainties.

Best wishes,
Dr. Iliri

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Brief Answer:
You are considered a normal healthy individual.

Detailed Answer:

Dear XXXX!

I would like to assure you that water is as harmless as it could be to every other normal individual.

And I strongly believe you are going to enjoy your life and see your son grow up.

I recommend that every time your anxiety visits you, and those unpleasant thoughts perturb your mind, to always remember what I have written above.

If you need further assurance, you may ask direct question every time you wants.

I am at your disposal if you need help!

Best wishes,

Dr. Iliri

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Brief Answer:
You are welcome!

Detailed Answer:
Dear XXXX!

I encourage you to follow a normal healthy diet (with a normal sodium content).

There a several of them, one of more convenient and natural is Mediterranean diet.

You should decrease your alertness regarding your body weight control, as well as fluid balance. Let your body to adjust by itself the optimal equilibrium.

There are no comparable regulators such wonderful as normal human bodies.

Your fears regarding water overload and EF fluctuation seems to be not real and evidence based. So they are irrational.

Hope that our discussion will help in improving your viewpoint towards optimistic and realistic thoughts (when it comes to health issues).

If you have further uncertainties you can ask me directly (no embarrassment!)

Best regards,

Dr. Iliri

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