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Suggest Treatment For Pericardium Cardiomyopathy
Question: Thanks again for giving me good information over the last week or so... so with my Ef being 35% with out positive cause though my cardiologist believes it may be pericardium cardiomyopathy. I'm suppose to have tube put in my ears tues under general anesthesia, which he cleared saying it was low risks. Can you tell me what the risk are? what should I be concerned about? In addition also what can the cardiac MRI with and without contrast show in comparison to the echocardiogram or what else can it show I guess easiest way to ask that question. What is done to test for ischemia cause ENT doc said it was noted in my chart as a future test that will need to be done? sorry several questions. I'm actually looking for another cardiologist for another opinion. my MRI is scheduled for 2-1-16 the echo was done 12/18.15
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello again,
I carefully reviewed your concern and would say that:
- Regarding your ENT procedure (tube insertion inside your ears), I would like to assure you that in general it is a safe procedure.
Rare risks are linked mostly with the anesthesia during the procedure, but this is quite perfectly managed in in-hospital settings.
So don’t worry about this issue.
Also a matter to consider is a possible inflammation/infection, which may sometimes happen in patients with implanted devices or catheters/tubes.
You should take care about the body hygiene and promptly consult your attending doctor if sighs of inflammation appear.
- Regarding cardiac MRI, I could say it is a superior test, which provides with valuable information about cardiac structure and function.
By investigating the patterns of scar (fibrosis) distribution, it sheds light over the potential cause(s) of your cardiomyopathy (is it ischemic, peripartum, etc.).
- Regarding possible tests for studying cardiac ischemia, I would mention the following:
(a) cardiac stress ECHO (dobutamine ECHO),
(b) coronary angio CT,
(c) nuclear perfusion stress test (CARDIOLITE)
Depending on the available tests in your attending (reference) medical center, one or more of them could be done, giving a more accurate conclusion on the cardiac ischemia issue.
Hope to have been helpful to you!
I remain at your disposal in case of further uncertainties.
Best wishes,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello again,
I carefully reviewed your concern and would say that:
- Regarding your ENT procedure (tube insertion inside your ears), I would like to assure you that in general it is a safe procedure.
Rare risks are linked mostly with the anesthesia during the procedure, but this is quite perfectly managed in in-hospital settings.
So don’t worry about this issue.
Also a matter to consider is a possible inflammation/infection, which may sometimes happen in patients with implanted devices or catheters/tubes.
You should take care about the body hygiene and promptly consult your attending doctor if sighs of inflammation appear.
- Regarding cardiac MRI, I could say it is a superior test, which provides with valuable information about cardiac structure and function.
By investigating the patterns of scar (fibrosis) distribution, it sheds light over the potential cause(s) of your cardiomyopathy (is it ischemic, peripartum, etc.).
- Regarding possible tests for studying cardiac ischemia, I would mention the following:
(a) cardiac stress ECHO (dobutamine ECHO),
(b) coronary angio CT,
(c) nuclear perfusion stress test (CARDIOLITE)
Depending on the available tests in your attending (reference) medical center, one or more of them could be done, giving a more accurate conclusion on the cardiac ischemia issue.
Hope to have been helpful to you!
I remain at your disposal in case of further uncertainties.
Best wishes,
Dr. Iliri
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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