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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Complications Of Congestive Heart Failure

My mother was 90 years old . We were not aware she had CHF . We thought the subtle issues we were seeing were due to age . One morning she awoke and had difficulty breathing . Her breathing ebbed and flowed for a few days ..Finally she agreed to see a Dr. He did make a house call and said he had belived she had CHF would be back in the morning to do blood work..that she was fine Over night she became worse ...and we called the parametics ..to take her to the hospital . She struggled with the parametic and hospital personel . She was not comfortable and fearful . They would not let me intervene to calm her down . She suffered a massive heart attack and cardio-genic shock . She died . I am having a hard time resolvingh this issue personally . Can you give me some direction . I don't know much about this disorder and wonder if this were handled differently would it have made a difference
Thu, 15 Sep 2016
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Cardiologist 's  Response
Hey,
Heart attack with cardinogenic shock is a life threatening condition, especially at age 90 it is detrimental.
Considering management of the condition include managing heart failure first with diuretics and ventilation if required with drugs which increase BP( inotropes). Their is a device IABP(Intra Aortic Balloon Pump) which increase the coronary flow and cardiac output. After this patient is taken for coronary angiography followed by revascularization.
But despite all this a lot of patients die during and after treatment. So the doctors must have tried their best before the result.
Wishing you good health
Thanks
Dr Sameer, Cardiologist
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Suggest Complications Of Congestive Heart Failure

Hey, Heart attack with cardinogenic shock is a life threatening condition, especially at age 90 it is detrimental. Considering management of the condition include managing heart failure first with diuretics and ventilation if required with drugs which increase BP( inotropes). Their is a device IABP(Intra Aortic Balloon Pump) which increase the coronary flow and cardiac output. After this patient is taken for coronary angiography followed by revascularization. But despite all this a lot of patients die during and after treatment. So the doctors must have tried their best before the result. Wishing you good health Thanks Dr Sameer, Cardiologist