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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Pleural Effusion And Shortness Of Breath

My father just had a heart attack. He has water in his lungs and it is also very hard for him to breathe. He also has diabetes. The drs just did stress test for 2 days and told him his heart is to weak for bypass. What is the next steps and are there any other options?
Tue, 21 Apr 2015
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Pulmonologist 's  Response
Thanks for your question on HCM.
By your history and description, in my opinion your father is having congestive heart failure.
In this condition heart fails to pump out fluids properly.
So back pressure causes fluid accumulation in the dependent parts of body like legs, abdomen, lungs etc.
So his breathlessness and fluid around lungs are suggestive of Pulmonary edema and heart failure.
This is confirmed by stress test. So better to consult cardiologist and start diuretics and cardiac isotropic drugs.
Diuretics will increase urine output and decrease fluid overload.
Isotropic drugs will improve force of contraction and pumping of heart.
Both these will be beneficial for him in symptomatic relief.
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Suggest Treatment For Pleural Effusion And Shortness Of Breath

Thanks for your question on HCM. By your history and description, in my opinion your father is having congestive heart failure. In this condition heart fails to pump out fluids properly. So back pressure causes fluid accumulation in the dependent parts of body like legs, abdomen, lungs etc. So his breathlessness and fluid around lungs are suggestive of Pulmonary edema and heart failure. This is confirmed by stress test. So better to consult cardiologist and start diuretics and cardiac isotropic drugs. Diuretics will increase urine output and decrease fluid overload. Isotropic drugs will improve force of contraction and pumping of heart. Both these will be beneficial for him in symptomatic relief.