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Hello Doctor, Good Morning, I Am Rajesh G And I

Posted on Sun, 13 Oct 2019

Question: Hello Doctor,
Good Morning,

I am Rajesh G and i am raising this query for my Elder Brother.
Name : XXXXXXX G
Age: 42

My brother was diagnosed chronic Kindey disorder / kidney failure and undergoing dialysis for the last 1 year. One of the test has revealed that he is having some Left Ventricle issue.

Requesting you to please refer the attached report and kindly let me know the treatment which we need to take.

Current Condition:
Severe Cough,
Abdomen Pain,

Thanks and Regards
Rajesh G

Answered by Dr. Bhanu Partap (8 hours later)

Brief Answer:
Please refer to the detailed information below

Detailed Answer:
Hello XXXXXXX

After going to the medical details provided by you of your brother I can understand your concern for his health and here I would like to tell you that I have seen the echocardiography report of your brother and I can see e the pumping capacity of his heart is somewhere around 35 to 40%.

Also what I am able to see is that there is no regional wall motion abnormality of the left ventricle instead there is global LV hypokinesia which means primarily it is not due to some cardiac issue but secondary to or a complication of chronic kidney disease.

Only thing that can be done is optimal medical therapy just to support and prevent further deterioration of cardiac function over a period of time.

A cardiologist needs to be consulted in person for a proper evaluation and to get prescription of optimal medical therapy.

I hope this information will guide you properly.

Kind Regards
Dr Bhanu Partap

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Bhanu Partap (1 hour later)

Hello Doctor,
Good Morning,
Thanks a lot for your prompt response.

Requesting your help on the following queries:
1) If my brother will continue the medication, will it be possible for my brother to undergo kidney transplantation.
2) Pace maker is for some other condition.
3) I have asked my brother to Consult a cardiologist in XXXXXXX

Thanks and Regards
Rajesh G

Answered by Dr. Bhanu Partap (9 minutes later)

Brief Answer:
Hello Again

Detailed Answer:
1. Yes will be possible but will be a high risk surgery due to moderate LV dysfunction.

2. With LVEF <35% ICD will be an option to prevent sudden cardiac death due to any arrythmias.

Kind Regards

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Nagamani Ng