
Suggest Treatment For Low BP, Weakness And Atrial Fibrillation

I would explain as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
I understand your concern and would explain that Rheumatic fever is commonly complicated with valvular disease.
Valvular disease is a progressive disease, which needs a periodically scheduled follow up, to slow its progression and treat the possible complications (like the decrease of cardiac function or cardiac arrhythmia).
It is necessary to closely monitor heart changes, with periodically scheduled cardiac ultrasound, to evaluate the cardiac function and the disease evolution.
This disorder is usually managed with medical therapy in the early stages (depending on the symptoms and echography results). The main therapy goals are controlling the progression of the disease, treat hypertension, anticoagulation and treatment of possible cardiac arrhythmia.
In the later stages surgery is another treatment option. It can be used to repair or replace the valves.
It is important to have a good correlation between the clinical symptomatology and the echography results ,in order to exactly quantify the stage of the cardiac failure.
In this situation, the Mayo clinic would be one of the best medical institutions to help you make a real evaluation of your wife's actual situation and discuss the possible options of therapy (continue medical treatment and echo follow up or go into surgery).
Feel free to ask any other questions, whenever you need!
Hope to have been helpful!
Best regards,
Dr. Iliri


UNfortunately, there does not seem to be a happy ending to this scenario.
Thank you again for your response.
XXXXXXX and XXXXXX
You are welcome!
Detailed Answer:
Hello again!
I am glad to have been helpful!
I think that you are going to find the proper solution to your medical situation.
You can ask me directly at anytime if you have any other uncertainties on the link below:
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=69765
Wishing the best,
Dr. Iliri

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