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Suggest Alternative Treatment For Cardio-myopathy,Hypothyroidism And Renal Calcification

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Posted on Thu, 30 Jan 2014
Question: Patients is having cardio-myopathy,CAD,LVD, CHF,DM Hypothyroidism and probably Renal calcification has took place. Doctor has denied to go for angio-graphy in this situation. Request you to kindly suggest me the alternative treatment if available Presently pateints is on ventilator. Renal failure . Kindly suggest . Echo reports attached
doctor
Answered by Dr. Sukhvinder Singh (15 hours later)
Brief Answer: Please see details. Detailed Answer: Dear Madam 1. As per the ECHO report the patient has severe decrease in cardiac pumping. Since the patient has renal failure also the condition becomes more XXXXXXX Any patient who has renal failure has almost 7 times more chances of complications and death during a cardiac surgery or angioplasty as compared to normal renal functions. Moreover diabetes , female gender, old age and poor heart pumping all are associated with more chances of complication during cardiac procedures. 2. One of the options would be to get her renal functions improved by dialysis in consultation with a a nephrologist. If she can get out of ventilator and her kidney functions improve substantially, one may take a chance or calculated risk of performing angiogram. 3. Had she not been suffering from renal failure a left ventricular assist device would have been an option for her heart failure. But with current status it is not an option. Sincerely Sukhvinder
Above answer was peer-reviewed by : Dr. Shanthi.E
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Follow up: Dr. Sukhvinder Singh (4 hours later)
Thank you dr
doctor
Answered by Dr. Sukhvinder Singh (22 hours later)
Brief Answer: you are welcome Detailed Answer: You are welcome Madam. sincerely Sukhvinder
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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Dr. Sukhvinder Singh

Cardiologist

Practicing since :1998

Answered : 1306 Questions

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Suggest Alternative Treatment For Cardio-myopathy,Hypothyroidism And Renal Calcification

Brief Answer: Please see details. Detailed Answer: Dear Madam 1. As per the ECHO report the patient has severe decrease in cardiac pumping. Since the patient has renal failure also the condition becomes more XXXXXXX Any patient who has renal failure has almost 7 times more chances of complications and death during a cardiac surgery or angioplasty as compared to normal renal functions. Moreover diabetes , female gender, old age and poor heart pumping all are associated with more chances of complication during cardiac procedures. 2. One of the options would be to get her renal functions improved by dialysis in consultation with a a nephrologist. If she can get out of ventilator and her kidney functions improve substantially, one may take a chance or calculated risk of performing angiogram. 3. Had she not been suffering from renal failure a left ventricular assist device would have been an option for her heart failure. But with current status it is not an option. Sincerely Sukhvinder