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Dr. Sharka....I Have Noticed The Last Few Days That I
Question: Dr. Sharka....I have noticed the last few days that I get out of breath just walking a short distance....my right leg is 80% blocked my left leg is 100% blocked....my right iliac and left iliac are at 75%.....the pain I get is excruciating in my legs....I do not wish to harm my heart. I also just do not feel like doing anything at all.....I hope that when my legs are unblocked I will not be out of breath....is it because the heart is pumping harder for the muscles in those blocked kegs. I have good collateral circulation in legs though....
Dr. Sharka....I have noticed the last few days that I get out of breath just walking a short distance....my right leg is 80% blocked my left leg is 100% blocked....my right iliac and left iliac are at 75%.....the pain I get is excruciating in my legs....I do not wish to harm my heart. I also just do not feel like doing anything at all.....I hope that when my legs are unblocked I will not be out of breath....is it because the heart is pumping harder for the muscles in those blocked kegs. I have good collateral circulation in legs though....
Brief Answer:
I would explian as follows:
Detailed Answer:
Hello again!
Welcome back on this platform!
Regarding your concern, let me explain that shortness of breath sensation is a complex process.
It is triggered by some special nerve endings originating from the skeletal muscle (mainly limb muscles) in response to pathological stimuli (mainly anaerobic metabolism, that is ischemia conditions).
In your clinical situation, where the peripheral arteries has important blockages, an increased physical activity, thus an increased blood demand, could lead to insufficient blood supply form the diseased arteries and the result is anaerobic metabolism and these nerve endings stimulation.
This is the explanation of your breathing difficulties when walking a distance.
I recommend you to perform as much physical activity as you feel comfortable with you breathing and be patient as everything will improve after revascularisation.
In addition, you should discuss with your cardiologist for this recent symptoms and see the opportunity of performing a new cardiac ultrasound and NT-proBNP test for heart failure investigation.
Hope to have been helpful to you!
Kind regards,
Dr. Iliri
I would explian as follows:
Detailed Answer:
Hello again!
Welcome back on this platform!
Regarding your concern, let me explain that shortness of breath sensation is a complex process.
It is triggered by some special nerve endings originating from the skeletal muscle (mainly limb muscles) in response to pathological stimuli (mainly anaerobic metabolism, that is ischemia conditions).
In your clinical situation, where the peripheral arteries has important blockages, an increased physical activity, thus an increased blood demand, could lead to insufficient blood supply form the diseased arteries and the result is anaerobic metabolism and these nerve endings stimulation.
This is the explanation of your breathing difficulties when walking a distance.
I recommend you to perform as much physical activity as you feel comfortable with you breathing and be patient as everything will improve after revascularisation.
In addition, you should discuss with your cardiologist for this recent symptoms and see the opportunity of performing a new cardiac ultrasound and NT-proBNP test for heart failure investigation.
Hope to have been helpful to you!
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
I would explian as follows:
Detailed Answer:
Hello again!
Welcome back on this platform!
Regarding your concern, let me explain that shortness of breath sensation is a complex process.
It is triggered by some special nerve endings originating from the skeletal muscle (mainly limb muscles) in response to pathological stimuli (mainly anaerobic metabolism, that is ischemia conditions).
In your clinical situation, where the peripheral arteries has important blockages, an increased physical activity, thus an increased blood demand, could lead to insufficient blood supply form the diseased arteries and the result is anaerobic metabolism and these nerve endings stimulation.
This is the explanation of your breathing difficulties when walking a distance.
I recommend you to perform as much physical activity as you feel comfortable with you breathing and be patient as everything will improve after revascularisation.
In addition, you should discuss with your cardiologist for this recent symptoms and see the opportunity of performing a new cardiac ultrasound and NT-proBNP test for heart failure investigation.
Hope to have been helpful to you!
Kind regards,
Dr. Iliri
I would explian as follows:
Detailed Answer:
Hello again!
Welcome back on this platform!
Regarding your concern, let me explain that shortness of breath sensation is a complex process.
It is triggered by some special nerve endings originating from the skeletal muscle (mainly limb muscles) in response to pathological stimuli (mainly anaerobic metabolism, that is ischemia conditions).
In your clinical situation, where the peripheral arteries has important blockages, an increased physical activity, thus an increased blood demand, could lead to insufficient blood supply form the diseased arteries and the result is anaerobic metabolism and these nerve endings stimulation.
This is the explanation of your breathing difficulties when walking a distance.
I recommend you to perform as much physical activity as you feel comfortable with you breathing and be patient as everything will improve after revascularisation.
In addition, you should discuss with your cardiologist for this recent symptoms and see the opportunity of performing a new cardiac ultrasound and NT-proBNP test for heart failure investigation.
Hope to have been helpful to you!
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I spoke with a cardiologist today at the hospital. He told me my heart was not damaged, my left ventricle was strong and my EF was 60-65 and that prognosis for me was very good. I will be having a heart echo in early XXXXXXX
I think I am OK and I believe you are right about breathing problems. But I doubt if I have heart failure. The pain in my legs is what is doing this. It is so much effort just walking.I am NOT out of breath at rest which is a good sign.
I think I am OK and I believe you are right about breathing problems. But I doubt if I have heart failure. The pain in my legs is what is doing this. It is so much effort just walking.I am NOT out of breath at rest which is a good sign.
I spoke with a cardiologist today at the hospital. He told me my heart was not damaged, my left ventricle was strong and my EF was 60-65 and that prognosis for me was very good. I will be having a heart echo in early XXXXXXX
I think I am OK and I believe you are right about breathing problems. But I doubt if I have heart failure. The pain in my legs is what is doing this. It is so much effort just walking.I am NOT out of breath at rest which is a good sign.
I think I am OK and I believe you are right about breathing problems. But I doubt if I have heart failure. The pain in my legs is what is doing this. It is so much effort just walking.I am NOT out of breath at rest which is a good sign.
My sodium levels are very good also.
My sodium levels are very good also.
Brief Answer:
Opinion as follows:
Detailed Answer:
Hello!
Regarding heart failure you may ask your doctor for testing NT-proBNP level.
Anyway, your important peripheral arteropathy seems to play an important role. It may lead to oxygen imbalance even during normal physical activities.
Your normal sodium levels goes in favor of such an alternative.
I encourage you to make a few phasical axtivity as small ischemic bouts may lead to angiogenesis (new blood vessels) and collaterals formations, which help in supplying more oxygen to your muscles.
Regards,
Dr. Iliri
Opinion as follows:
Detailed Answer:
Hello!
Regarding heart failure you may ask your doctor for testing NT-proBNP level.
Anyway, your important peripheral arteropathy seems to play an important role. It may lead to oxygen imbalance even during normal physical activities.
Your normal sodium levels goes in favor of such an alternative.
I encourage you to make a few phasical axtivity as small ischemic bouts may lead to angiogenesis (new blood vessels) and collaterals formations, which help in supplying more oxygen to your muscles.
Regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
Opinion as follows:
Detailed Answer:
Hello!
Regarding heart failure you may ask your doctor for testing NT-proBNP level.
Anyway, your important peripheral arteropathy seems to play an important role. It may lead to oxygen imbalance even during normal physical activities.
Your normal sodium levels goes in favor of such an alternative.
I encourage you to make a few phasical axtivity as small ischemic bouts may lead to angiogenesis (new blood vessels) and collaterals formations, which help in supplying more oxygen to your muscles.
Regards,
Dr. Iliri
Opinion as follows:
Detailed Answer:
Hello!
Regarding heart failure you may ask your doctor for testing NT-proBNP level.
Anyway, your important peripheral arteropathy seems to play an important role. It may lead to oxygen imbalance even during normal physical activities.
Your normal sodium levels goes in favor of such an alternative.
I encourage you to make a few phasical axtivity as small ischemic bouts may lead to angiogenesis (new blood vessels) and collaterals formations, which help in supplying more oxygen to your muscles.
Regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Ok will do...but will hold on heart failure test...for now...
I am asymptomatic for heart failure....my GP agrees....
I have enough on my plate right now....
PS. You should come and work in Canada....a very good doctor!
I am asymptomatic for heart failure....my GP agrees....
I have enough on my plate right now....
PS. You should come and work in Canada....a very good doctor!
Ok will do...but will hold on heart failure test...for now...
I am asymptomatic for heart failure....my GP agrees....
I have enough on my plate right now....
PS. You should come and work in Canada....a very good doctor!
I am asymptomatic for heart failure....my GP agrees....
I have enough on my plate right now....
PS. You should come and work in Canada....a very good doctor!
OK, here are my ventricle readings from my December 2018 echo. All normal.
Left Ventricle (LV):Normal LV cavity size. Upper normal LV wall thickness. Normal global LV systolic function with LVEF estimated at 60 - 65 %. No regional wall motion abnormalities. Evidence of delayed LV relaxation, but within normal limits for the age group.
Right Ventricle (RV):Normal RV cavity size, wall thickness & global systolic function.
So, all is good.
I will rate you now unless you have anything to add.
Left Ventricle (LV):Normal LV cavity size. Upper normal LV wall thickness. Normal global LV systolic function with LVEF estimated at 60 - 65 %. No regional wall motion abnormalities. Evidence of delayed LV relaxation, but within normal limits for the age group.
Right Ventricle (RV):Normal RV cavity size, wall thickness & global systolic function.
So, all is good.
I will rate you now unless you have anything to add.
OK, here are my ventricle readings from my December 2018 echo. All normal.
Left Ventricle (LV):Normal LV cavity size. Upper normal LV wall thickness. Normal global LV systolic function with LVEF estimated at 60 - 65 %. No regional wall motion abnormalities. Evidence of delayed LV relaxation, but within normal limits for the age group.
Right Ventricle (RV):Normal RV cavity size, wall thickness & global systolic function.
So, all is good.
I will rate you now unless you have anything to add.
Left Ventricle (LV):Normal LV cavity size. Upper normal LV wall thickness. Normal global LV systolic function with LVEF estimated at 60 - 65 %. No regional wall motion abnormalities. Evidence of delayed LV relaxation, but within normal limits for the age group.
Right Ventricle (RV):Normal RV cavity size, wall thickness & global systolic function.
So, all is good.
I will rate you now unless you have anything to add.
Brief Answer:
You are welcome!
Detailed Answer:
Hello again!
Thank you for the additional information.
Your cardiac ultrasound report is within the normal ranges. So, I would just recommend checking testing NT-proBNP level, as sometimes, it may increase in heart failure patients, despite normal EF.
In the meantime, it is necessary avoiding straining physical activity.
I am glad that you find my answer helpful to you!
If you have any other questions in the future, please feel free to ask me directly at any time!
I would be happy to answer to all of your questions, or review your tests whenever you need!
Wishing all the best,
Dr. Iliri
You are welcome!
Detailed Answer:
Hello again!
Thank you for the additional information.
Your cardiac ultrasound report is within the normal ranges. So, I would just recommend checking testing NT-proBNP level, as sometimes, it may increase in heart failure patients, despite normal EF.
In the meantime, it is necessary avoiding straining physical activity.
I am glad that you find my answer helpful to you!
If you have any other questions in the future, please feel free to ask me directly at any time!
I would be happy to answer to all of your questions, or review your tests whenever you need!
Wishing all the best,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
You are welcome!
Detailed Answer:
Hello again!
Thank you for the additional information.
Your cardiac ultrasound report is within the normal ranges. So, I would just recommend checking testing NT-proBNP level, as sometimes, it may increase in heart failure patients, despite normal EF.
In the meantime, it is necessary avoiding straining physical activity.
I am glad that you find my answer helpful to you!
If you have any other questions in the future, please feel free to ask me directly at any time!
I would be happy to answer to all of your questions, or review your tests whenever you need!
Wishing all the best,
Dr. Iliri
You are welcome!
Detailed Answer:
Hello again!
Thank you for the additional information.
Your cardiac ultrasound report is within the normal ranges. So, I would just recommend checking testing NT-proBNP level, as sometimes, it may increase in heart failure patients, despite normal EF.
In the meantime, it is necessary avoiding straining physical activity.
I am glad that you find my answer helpful to you!
If you have any other questions in the future, please feel free to ask me directly at any time!
I would be happy to answer to all of your questions, or review your tests whenever you need!
Wishing all the best,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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