What Causes Breathlessness In An Elderly Person While On Ramipril?

Posted on Thu, 27 Apr 2017

Question: What causes breathlessness in an elderly person while on Ramipril? Hes 74 i mean . He has had it for 5 years was not advanced then so gave medications and also had bypass surgery for blocked arteries.

Was on ramapril asprin and bisoprol. But as had sudden breathlesness- did a hear scan and said heart failure stage 4.

His ejection fraction is 15. And fluid retention

Will the meds work.? They have given more z

Also how can he b stage 4 with minimal symptoms ?

Answered by Dr. Abubakar Siddiqh (12 hours later)

Brief Answer:
stage 4- advanced, need medications.

Detailed Answer:

Hello again,

Thanks for considering my answer and for your follow up.

Answers for your queries.

1. Yes. These medications will relive breathless.

2. Heart failure is most often a chronic condition, Medications and surgeries can help relieve your symptoms, but such treatments may not help if you have a (CLASS 4)severe case of heart failure.

3. Stage 4: Corresponds, advanced heart disease with continued heart failure symptoms requiring aggressive medical therapy, where untreated minimal symptoms also can lead to emergency.

Hope, I have answered your query.

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Abubakar Siddiqh (2 hours later)

What is survival like for this stage?

Also they saying stage 4 but he has no sumptoms at rest. He had fluid retention which is now gone and has breathlesness sometimes upon activity.

Would this b stage4?

Answered by Dr. Abubakar Siddiqh (3 hours later)

Brief Answer:
stage 3

Detailed Answer:

Hello again,

Answers:

1. In recent years, a combination of drugs, mechanical devices and surgical procedures which may improve symptoms and survival.

2. Stage 4 denotes, You feel shortness of breath and other symptoms even at rest. As per your history, he falls under sarge-3 (Marked limitation of physical activity. Comfortable at rest. Less than ordinary activity causes fatigue, palpitation, or dyspnea).

All the best.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Abubakar Siddiqh (4 hours later)

What is progosis like for stage 3

Answered by Dr. Abubakar Siddiqh (3 hours later)

Brief Answer:
good care- good prognosis

Detailed Answer:

Hello again,

Medically, prognosis is not guaranteed, on the contrary improving the life style can upgrade the quality of life, like, avoiding exertion, lifting weights, stress, salt and water restriction and regular followups will have good prognosis.

Take care.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Abubakar Siddiqh (27 minutes later)

Ok. Today he collapsed and bloods show poor liver and kidney function . Is this bad sign ?

Answered by Dr. Abubakar Siddiqh (10 hours later)

Brief Answer:
requires hospitalisation

Detailed Answer:

Hello again,

Yes. Heart's function directly related to the kidney parameters. Closed monitored care under hospital set up will bring back his normal status. All the best.

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Remy Koshy