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What Do These Following Lab Reports Indicate?
Posted on
Mon, 17 Apr 2017
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Mon, 17 Apr 2017
Answered on
Mon, 15 May 2017
Last reviewed on
Question : The patient had DOE since few months post which @ D echo done and angioplasty cone .Repeat @ D Echo did not show any improvement in LVEF.
need to know what is the best option available .
need to know what is the best option available .
Brief Answer:
Not much options
Detailed Answer:
After going through all the details and attached reports of the patient, long term prognosis does not looks favourable.
Reason behind this is that
1. Severe LV dysfunction
2. Major part of the myocardium is not viable as per cardiac MRI reports.
3. LV has already dilated
To make the patient symptomatically better the dose of the diuretics as well as ace inhibitors can be titrated up slowly keeping an eye on patients blood pressure as well as renal and electrolyte status.
As the patient is young so Cardiac Transplant could be an option if affordability is not a concern. For this decision opinion of a team of cardiac surgeon will be required.
I hope this information will be helpful. If you have any more doubts you can ask me back or else you can close the discussion and kindly rate the answer.
Kind Regards
Dr Bhanu partap
Not much options
Detailed Answer:
After going through all the details and attached reports of the patient, long term prognosis does not looks favourable.
Reason behind this is that
1. Severe LV dysfunction
2. Major part of the myocardium is not viable as per cardiac MRI reports.
3. LV has already dilated
To make the patient symptomatically better the dose of the diuretics as well as ace inhibitors can be titrated up slowly keeping an eye on patients blood pressure as well as renal and electrolyte status.
As the patient is young so Cardiac Transplant could be an option if affordability is not a concern. For this decision opinion of a team of cardiac surgeon will be required.
I hope this information will be helpful. If you have any more doubts you can ask me back or else you can close the discussion and kindly rate the answer.
Kind Regards
Dr Bhanu partap
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Dear Dr,
Pls suggest if the option of ICD is favorable and can help the patient .
Pls suggest if the option of ICD is favorable and can help the patient .
Brief Answer:
Hello Again
Detailed Answer:
AICD can be useful in this patient only as a precautionary measure to prevent or abort any life threatening arrhythmia finally preventing sudden cardiac death.
But we should bear in mind and explain to the patient that it's not gonna improve the cardiac function dramatically.
Hope to be helpful. If you have any more doubts you can ask me back or else you can close the discussion and kindly rate the answer.
Kind regards
Dr Bhanu partap
Hello Again
Detailed Answer:
AICD can be useful in this patient only as a precautionary measure to prevent or abort any life threatening arrhythmia finally preventing sudden cardiac death.
But we should bear in mind and explain to the patient that it's not gonna improve the cardiac function dramatically.
Hope to be helpful. If you have any more doubts you can ask me back or else you can close the discussion and kindly rate the answer.
Kind regards
Dr Bhanu partap
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
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