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What Causes Swelling In Feet, Severe Fatigue And Shortness Of Breath?
Question: My father ,74 years old, have quad bypass on September 2014. In August 2015 bypass collapsed no he had stents put in. In November 2015 one of stents failed and had to be "redone. He now has swelling of feet, extreme fatigue-can't walk across room. Shortness of breath. I'm waiting for a call from his cardiologist but I'm trying to get him to go to ER. Just want verification that this is correct
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome back on HCM!
I carefully passed through your medical history and would explain that your father seems to be suffering from decompensated heart failure, which is a severe clinical condition, secondary to impaired cardiac pumping function.
This is the result of serious and repeated cardiac ischemic events that he has experienced during the last years.
Decompensated heart failure is a very serious and life threatening conditions, that needs prompt and adequate medical treatment.
That's why your attempt to send your father to the nearest ER service is the best decision to be followed.
So, I strongly encourage you to consult your father in hospital settings and investigate possible underlying causes of his clinical deterioration.
Besides a careful physical exam, some additional tests should be done:
- resting ECG
- cardiac ultrasound
- chest X ray study
- cardiac enzymes (CK-MB, Troponin I)
- BNP and NT-proBNP
- complete blood count
- PCR, etc..
I recommend discussing with the consulting doctor on the above issues.
Wishing a fast improvement of your father's health!
Best wishes,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello!
Welcome back on HCM!
I carefully passed through your medical history and would explain that your father seems to be suffering from decompensated heart failure, which is a severe clinical condition, secondary to impaired cardiac pumping function.
This is the result of serious and repeated cardiac ischemic events that he has experienced during the last years.
Decompensated heart failure is a very serious and life threatening conditions, that needs prompt and adequate medical treatment.
That's why your attempt to send your father to the nearest ER service is the best decision to be followed.
So, I strongly encourage you to consult your father in hospital settings and investigate possible underlying causes of his clinical deterioration.
Besides a careful physical exam, some additional tests should be done:
- resting ECG
- cardiac ultrasound
- chest X ray study
- cardiac enzymes (CK-MB, Troponin I)
- BNP and NT-proBNP
- complete blood count
- PCR, etc..
I recommend discussing with the consulting doctor on the above issues.
Wishing a fast improvement of your father's health!
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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