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What Do The Following Test Reports When Diagnosed With Dilated Cardiomyopathy Indicate?

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Posted on Thu, 13 Apr 2017
Question: My wife is a patient of dilated cardiomypathy. Her global EF is 15%. in September 2015 a crtd pacemaker was implanted to her . But there is no improvement.
now she is taking medicine #
1.Aldactone 25 od
2.cardace 1.25 Bd
3.cardiwas 3.125 half Bd
4.Dytor 10 Bd
5.Pan 40 Bd
6.Eltroxin 62.5 od
now doctor prescribe her vymada 50 mg od
instead of cardace 1.25
are these medicine ok for her.
please reply
regards
doctor
Answered by Dr. Rishu Saxena (59 minutes later)
Brief Answer:
LVAD followed by cardiac transplant.

Detailed Answer:
Hi
A per your query yes drugs are ok,
But as EF is not improving increase the doses cardivas from 3.125mg BD to 6.25mg BD this week till we reach an optimal dose of 12.5mg twice daily.
Ejection fraction wil be raise only when patient is given optimal doses.

Secondly ask your doctor to add trimetazidine 35mg twice daily for few months.It will help to increase the EF.
Apart from that all other drugs are ok.
If post CRTD also EF is not picking up then Left ventricular assisting device followed by a cardiac transplant is a good option.EF of around 15% makes patient prone to sudden cardiac death anytime.

Thanks.
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Rishu Saxena

Cardiologist

Practicing since :2012

Answered : 696 Questions

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What Do The Following Test Reports When Diagnosed With Dilated Cardiomyopathy Indicate?

Brief Answer: LVAD followed by cardiac transplant. Detailed Answer: Hi A per your query yes drugs are ok, But as EF is not improving increase the doses cardivas from 3.125mg BD to 6.25mg BD this week till we reach an optimal dose of 12.5mg twice daily. Ejection fraction wil be raise only when patient is given optimal doses. Secondly ask your doctor to add trimetazidine 35mg twice daily for few months.It will help to increase the EF. Apart from that all other drugs are ok. If post CRTD also EF is not picking up then Left ventricular assisting device followed by a cardiac transplant is a good option.EF of around 15% makes patient prone to sudden cardiac death anytime. Thanks.