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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Anemic With Congestive Heart Failure And 15% Heart Functioning

My husband is 69 and in the last year has had pancreatitus, congestive heart failure, was hospitalized and lost 50 pounds in a little over a month and can't eat much now even after a year and can't gain any weight. The doctors are suspecting something going on in the lungs because he is a smoker but the cardiologist yesterday said he his heart is compensating but is functioning at 15 percent. He is anemic and has had blood infusions twice monthly. He is on oxygen full time now but has no energy. It's a huge effort for him even get to a doctors appointment. At what point do you stop running to the doctor and just get hospitalized to get help? He is getting weaker and weaker as last January his heart was functioning at 40 percent. Just need to know what is the best thing to do at this point. Thank you..
Tue, 2 May 2017
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Cardiologist,  's  Response
Hello,
Firstly, I don't have details of the patients to give a Overall opinion. Still, anemia should be corrected S early as possible with finding the cause like serum iron studies, vit B12 and folic acid levels, stool for occult blood. Anemia will exaggerate heart failure and it can cause heart failure even in normal heart individuals.
Secondly, he should receive treatment like antiplatelets like Aspirin clopidogrel, statins like Atorvastatin beta blockers like metoprolol ,ace inhibitor like ramipril and spironolactone and diuretics like torsemide etc
He should be assessed if he is a candidate for CRTD device.
Fluid and salt restriction, chest physiotherapy and yoga.
Hope this helps you and get back if you have any doubts.
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Suggest Treatment For Anemic With Congestive Heart Failure And 15% Heart Functioning

Hello, Firstly, I don t have details of the patients to give a Overall opinion. Still, anemia should be corrected S early as possible with finding the cause like serum iron studies, vit B12 and folic acid levels, stool for occult blood. Anemia will exaggerate heart failure and it can cause heart failure even in normal heart individuals. Secondly, he should receive treatment like antiplatelets like Aspirin clopidogrel, statins like Atorvastatin beta blockers like metoprolol ,ace inhibitor like ramipril and spironolactone and diuretics like torsemide etc He should be assessed if he is a candidate for CRTD device. Fluid and salt restriction, chest physiotherapy and yoga. Hope this helps you and get back if you have any doubts.