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Suggest Treatment For Cardiac Ischemia
Question: Dear doctor,
I have been researching about the course of disease left sided heart failure.
For example the course of disease for ischaemic strike-left side is
With referfusion- blood restore to area, many symptoms gradually resolve
Without treatment - ischaemia extends to penumbra- symptoms worsen. Recovery may continue 6 months to a year but left with disability. requires rehabilitation to optimise function.
Thank you very much for your time. If possible can you please elaborate the course of disease for left sided heart failure. A recent link or some sort would help also.
Have a good day
I have been researching about the course of disease left sided heart failure.
For example the course of disease for ischaemic strike-left side is
With referfusion- blood restore to area, many symptoms gradually resolve
Without treatment - ischaemia extends to penumbra- symptoms worsen. Recovery may continue 6 months to a year but left with disability. requires rehabilitation to optimise function.
Thank you very much for your time. If possible can you please elaborate the course of disease for left sided heart failure. A recent link or some sort would help also.
Have a good day
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome back on HCM!
You are right about the beneficial effects of coronary reperfusion on the clinical course of the ongoing cardiac ischemia.
In this regard I would explain that several indexes may influence the clinical course and prognosis of patients with ischemic cardiomyopathy heart failure.
If you provide me with the concrete medical information (recent symptomatology and cardiac tests, like cardiac ultrasound, other lab tests, etc.) I could give a specific professional opinion.
I remain at your disposal for any further discussions.
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello!
Welcome back on HCM!
You are right about the beneficial effects of coronary reperfusion on the clinical course of the ongoing cardiac ischemia.
In this regard I would explain that several indexes may influence the clinical course and prognosis of patients with ischemic cardiomyopathy heart failure.
If you provide me with the concrete medical information (recent symptomatology and cardiac tests, like cardiac ultrasound, other lab tests, etc.) I could give a specific professional opinion.
I remain at your disposal for any further discussions.
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dear Dr lliri,
Thank you for the reply. As I said earlier I'm doing a research regarding left sided heart failure.
About a 78yrs female, her symptoms were severe dyspnoea tachycardia, Spo2 85%, hypertension, tachypnea, bilateral basal crackles and her ECG showed atrial fibrillation. Thank you very much for your time.
Cheers
Cel
Thank you for the reply. As I said earlier I'm doing a research regarding left sided heart failure.
About a 78yrs female, her symptoms were severe dyspnoea tachycardia, Spo2 85%, hypertension, tachypnea, bilateral basal crackles and her ECG showed atrial fibrillation. Thank you very much for your time.
Cheers
Cel
Brief Answer:
My opinion as follows:
Detailed Answer:
Hi again, dear Cel!
It seems that we have to do with a decompensated chronic heart failure presenting with signs of congestion.
Coming to this point, it is necessary to properly and timely control the potential triggering factors (uncontrolled hypertension, afib with rapid uncontrolled ventricular response, an acute infection most commonly pulmonary infection, acute anemia, new episode of cardiac ischemia, etc.)
Sometimes, even a bad compliance with therapy may be the reason of clinical status deterioration.
That's why it is necessary a comprehensive clinical investigation considering the following tests:
- complete blood count,
- thyroid function tests,
- fasting blood glucose,
- resting ECG,
- cardiac enzymes (CK-MB, Troponin),
- BNP, NT-proBNP,
- liver and kidney function tests,
- blood electrolytes level,
- cardiac ultrasound,
- chest X ray study,
- PCR & ESR,
- total plasma protein
There are many articles and reports reviewing the main issues concerning the heart failure patients, the most comprehensive being the international clinical guidelines (European and American).
But, when caring for a special patient it is necessary to carefully consider clinical and laboratory correlates in order to arrive to a precise conclusion.
It is necessary a careful clinical exam with a heart failure specialist (cardiologist).
I remain at your disposal for any further question.
Regards,
Dr. Iliri
My opinion as follows:
Detailed Answer:
Hi again, dear Cel!
It seems that we have to do with a decompensated chronic heart failure presenting with signs of congestion.
Coming to this point, it is necessary to properly and timely control the potential triggering factors (uncontrolled hypertension, afib with rapid uncontrolled ventricular response, an acute infection most commonly pulmonary infection, acute anemia, new episode of cardiac ischemia, etc.)
Sometimes, even a bad compliance with therapy may be the reason of clinical status deterioration.
That's why it is necessary a comprehensive clinical investigation considering the following tests:
- complete blood count,
- thyroid function tests,
- fasting blood glucose,
- resting ECG,
- cardiac enzymes (CK-MB, Troponin),
- BNP, NT-proBNP,
- liver and kidney function tests,
- blood electrolytes level,
- cardiac ultrasound,
- chest X ray study,
- PCR & ESR,
- total plasma protein
There are many articles and reports reviewing the main issues concerning the heart failure patients, the most comprehensive being the international clinical guidelines (European and American).
But, when caring for a special patient it is necessary to carefully consider clinical and laboratory correlates in order to arrive to a precise conclusion.
It is necessary a careful clinical exam with a heart failure specialist (cardiologist).
I remain at your disposal for any further question.
Regards,
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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