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Suggest Treatment For Mild Congestive Heart Failure And Chronic Systolic High BP
Question: I have mild congestive heart failure with chronic systolic high blood pressure 175/75 HR 50+-. I take valsartan, bystolic and felodipine with very little success. I understand that nitro patches can be used for people with heart failure. Do you think that I am a candidate for nitro patches
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
I carefully passed through your question and would explain that in your clinical situation nitro patches would be recommended.
I would also recommend increasing lasix dose up to 40mg.
You should discuss with your doctor on the above issues!
Feel free to ask me again if you have any other uncertainties!
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
I carefully passed through your question and would explain that in your clinical situation nitro patches would be recommended.
I would also recommend increasing lasix dose up to 40mg.
You should discuss with your doctor on the above issues!
Feel free to ask me again if you have any other uncertainties!
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Do you write prescriptions
Brief Answer:
My answer as follows:
Detailed Answer:
Hello again!
Yes, I could give more detailed prescriptions on the recommended therapy schemes, but they could not be executed in the United States, as I exert my medical practice in Europe and you live in USA.
From the other hand, it is not a policy of this site to give medical prescription, but only recommendation and advices in order to guide you to have a more efficient discussion with your attending physician and conclude to the most appropriate therapy.
I could give you a suitable therapeutic combination if you could provide me with more specific details on your medical condition including:
- your physical activity/capacity
- your dyspnea (breathing problem status) related to several exercise activities, your systemic congestion status (the presence and distribution of possible body edema)
- recent cardiac ultrasound report
- lab tests reports (like liver, kidney and thyroid function tests , blood electrolytes)
- ECG
- any other possible medical comorbidities.
If you can provide me with the above mentioned test reports, I would be able to prescribe you a more detailed therapeutic combinations (daily doses and regimen).
I remain at your disposal if you have any other questions!
Best wishes,
Dr. Iliri
My answer as follows:
Detailed Answer:
Hello again!
Yes, I could give more detailed prescriptions on the recommended therapy schemes, but they could not be executed in the United States, as I exert my medical practice in Europe and you live in USA.
From the other hand, it is not a policy of this site to give medical prescription, but only recommendation and advices in order to guide you to have a more efficient discussion with your attending physician and conclude to the most appropriate therapy.
I could give you a suitable therapeutic combination if you could provide me with more specific details on your medical condition including:
- your physical activity/capacity
- your dyspnea (breathing problem status) related to several exercise activities, your systemic congestion status (the presence and distribution of possible body edema)
- recent cardiac ultrasound report
- lab tests reports (like liver, kidney and thyroid function tests , blood electrolytes)
- ECG
- any other possible medical comorbidities.
If you can provide me with the above mentioned test reports, I would be able to prescribe you a more detailed therapeutic combinations (daily doses and regimen).
I remain at your disposal if you have any other questions!
Best wishes,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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