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What Does My MRI Scan Test Report Indicate?
Question: My boyfriend, who is 61 yrs old had prostate cancer 6 yrs ago and is now fine. Over two months ago he suffered a massive heart attack. The widows artery was 100% blocked. When he had the attack, he was a level of 25, after being out of the hospital he was up to 35, and then 45..His Cardiologist is not happy, he had an MRI and told him the heart damage is not healed yet. Also his labido was affected while on so many medications. Is there anything he can take to enhance? He is on two blood thinners and several other medications. Thank you.
Brief Answer:
There can be a few causes
Detailed Answer:
Hi,
Welcome to Health Care Magic, Thanks for writing to us,
I am Dr.Muhammad Ahmad, I have read your question, I understand your concern and will try to help you in the best possible way.
I am sorry for to know about what happened, but it's a relieve that he survived 100% blockage and I am quite positive that he will be improving if he takes good care.
After a heart attack, decrease of libido is a natural thing there are several reasons to it.
1) Post trauma stress.
2) Fear of exertion.
3) Anxiety.
4) Fear of a cardiac event and feeling of tachycardia during sexual activity.
5) There are some cardiac meds which can cause problems with libido specially the beta blockers.
Before I give any suggestions I would ask you to tell me hi medication in detail so that I can suggest you a plan of dealing with it. It is not just going to be a med or anything he takes to change everything it will be a whole process to return to normal life after a near death experience.
It would need meds, psychological support and better health .
Please tell me his detailed meds and also clear one thing to me what did you mean by level 25,35, and 45 , is it his ejection fraction you are talking about?
Waiting for your response
Regards,
Dr.Muhammad Ahmad.(Licensed Family Physician)
M.B.B.S.
Resident Cardiologist
There can be a few causes
Detailed Answer:
Hi,
Welcome to Health Care Magic, Thanks for writing to us,
I am Dr.Muhammad Ahmad, I have read your question, I understand your concern and will try to help you in the best possible way.
I am sorry for to know about what happened, but it's a relieve that he survived 100% blockage and I am quite positive that he will be improving if he takes good care.
After a heart attack, decrease of libido is a natural thing there are several reasons to it.
1) Post trauma stress.
2) Fear of exertion.
3) Anxiety.
4) Fear of a cardiac event and feeling of tachycardia during sexual activity.
5) There are some cardiac meds which can cause problems with libido specially the beta blockers.
Before I give any suggestions I would ask you to tell me hi medication in detail so that I can suggest you a plan of dealing with it. It is not just going to be a med or anything he takes to change everything it will be a whole process to return to normal life after a near death experience.
It would need meds, psychological support and better health .
Please tell me his detailed meds and also clear one thing to me what did you mean by level 25,35, and 45 , is it his ejection fraction you are talking about?
Waiting for your response
Regards,
Dr.Muhammad Ahmad.(Licensed Family Physician)
M.B.B.S.
Resident Cardiologist
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
HI thank you for your response. I only know of one med and that is Warafrin. When he had prostate cancer, he told me his Dr said he could not take viagra because it could cause more cancer. He id improve over time and now the same thing. I have to say, sometimes he is able to preform fully. I am more concerned with his recovery of a damaged heart. If it has not fully recovered yet after all this time, is there still a chance it will? He is a Dr of Podiatry and went to work a few days after being released from the hospital. He is still experiencing dizziness. He had the flu a cpl of weeks ago and took cold medicine with his heart meds. He found himself sting at the bottom of the steps leading to his bedroom and his head was sore as his shoulders, He said he had a concussion and connote remember how it happened. should he be experiencing dizziness this long and my main XXXXXXX is a damaged heart mean trouble for him, if it is not healed yet? His Dr is not happy about not being healed. He is very active and won't slow down with his work. He had flown to Florida twice to relax, since al of this has happened. On tip of all of this i would say he is bi polar, as do others think so too. please help me thank foul
sorry for the spelling mistakes. I tip fast and do not check after..
Please tell me if you think his heart damage after three months will possibly repair itself? I only know of 2 medications he takes Warfrin, Lisinopril, He takes arppoximately 6-8 medications. Has not exercised yet. If his heart attack was caused from the 100% blockage of his widow artery, could he have another heart attack, even though his blockage is now clear?
sorry for the spelling mistakes. I tip fast and do not check after..
Please tell me if you think his heart damage after three months will possibly repair itself? I only know of 2 medications he takes Warfrin, Lisinopril, He takes arppoximately 6-8 medications. Has not exercised yet. If his heart attack was caused from the 100% blockage of his widow artery, could he have another heart attack, even though his blockage is now clear?
Brief Answer:
There are a few things to consider
Detailed Answer:
Hello,
Thanks for writing back, I apologize for a delayed response , had some connectivity issues at my send. Thanks for bearing with me.
I will now answer a few questions you asked in detail.
1) Will his heart recover?
When widow maker artery or LAD gets blocked it may cause severe damage to the left ventricle of the heart which actually maintains the pump function of the heart, the blockage results in two things
1) Decreased blood supply to the muscles.
2) Death of some muscles.
The muscles who get decreased blood supply can recover but the muscles who die because of no blood supply can not recover. How much a person will recover depends upon how many muscle fibres did die. If they are more the recovery is bad if they are less in number, the recovery is good.
Please share with me , his Echo report if you can have so that I may tell you what is current condition of his heart. You used a word LEVEL 45, i am not really sure what you meant by that but if it meant ejection fraction 45% then I would say it's quite a good ejection fraction ..a normal person has ejection fraction of 60% so 45% is not bad at all for normal functioning of life.
But I would be able to give you more clear opinion if you can share is echo report.
Answering your question directly, i would say that after 3 months it is not expected to see a big recovery but his heart will recover slowly to some more extent if he takes care,,works within limits takes medicine well and regularly and doesn't exceed his limit which may cause more damage to heart.
2) His dizziness:
To comment on this , it will be great if you can share all his meds with me , I don't think it will be difficult for you to get to know what meds does he take. But still there are few things which I would like to mention which might cause dziziness in a person after a heart attack taking heart meds.
Main cause of such incidents is an arrhythmia or a fall in blood pressure specially in so called Widow maker artery blockage.
If I could know complete list of his medicines I would have been able to guide you better but still I would say he should be checking his blod pressure every now and then specially after taking blood pressure meds like Licinopril and others he might be taking,
If his blood pressure falls or he feels dizziness on getting up from lying or sitting position , he should contact his doctor immediately for dose adjustment of his medication.
3)Libido:
There are certain heart meds specially the beta blockers which have a side effect of effecting potency, and beta blockers are given to almost every one after heart attack, so if the has problems with potency his meds , specially the beta blockers can be a cause, He can discuss with his doctor to get alternate meds than beta blockers.
Libido loss is also caused by anxiety related to heart problems so he should discuss everything with his doctor and ask him about his sexual activity and how much active he can be,,
when his doctor will tell him that he is safe for that and he can be involved in activity then automatically his fear and anxiety will get relieved and that will make things easier and better for him.
I hope This response covered all your concerns if you have more to ask I am here to help you.
Stay blessed.
Regards.
Dr.Muhammad Ahmad.
M.B.B.S.
R.M.P
Resident Cardiologist.
There are a few things to consider
Detailed Answer:
Hello,
Thanks for writing back, I apologize for a delayed response , had some connectivity issues at my send. Thanks for bearing with me.
I will now answer a few questions you asked in detail.
1) Will his heart recover?
When widow maker artery or LAD gets blocked it may cause severe damage to the left ventricle of the heart which actually maintains the pump function of the heart, the blockage results in two things
1) Decreased blood supply to the muscles.
2) Death of some muscles.
The muscles who get decreased blood supply can recover but the muscles who die because of no blood supply can not recover. How much a person will recover depends upon how many muscle fibres did die. If they are more the recovery is bad if they are less in number, the recovery is good.
Please share with me , his Echo report if you can have so that I may tell you what is current condition of his heart. You used a word LEVEL 45, i am not really sure what you meant by that but if it meant ejection fraction 45% then I would say it's quite a good ejection fraction ..a normal person has ejection fraction of 60% so 45% is not bad at all for normal functioning of life.
But I would be able to give you more clear opinion if you can share is echo report.
Answering your question directly, i would say that after 3 months it is not expected to see a big recovery but his heart will recover slowly to some more extent if he takes care,,works within limits takes medicine well and regularly and doesn't exceed his limit which may cause more damage to heart.
2) His dizziness:
To comment on this , it will be great if you can share all his meds with me , I don't think it will be difficult for you to get to know what meds does he take. But still there are few things which I would like to mention which might cause dziziness in a person after a heart attack taking heart meds.
Main cause of such incidents is an arrhythmia or a fall in blood pressure specially in so called Widow maker artery blockage.
If I could know complete list of his medicines I would have been able to guide you better but still I would say he should be checking his blod pressure every now and then specially after taking blood pressure meds like Licinopril and others he might be taking,
If his blood pressure falls or he feels dizziness on getting up from lying or sitting position , he should contact his doctor immediately for dose adjustment of his medication.
3)Libido:
There are certain heart meds specially the beta blockers which have a side effect of effecting potency, and beta blockers are given to almost every one after heart attack, so if the has problems with potency his meds , specially the beta blockers can be a cause, He can discuss with his doctor to get alternate meds than beta blockers.
Libido loss is also caused by anxiety related to heart problems so he should discuss everything with his doctor and ask him about his sexual activity and how much active he can be,,
when his doctor will tell him that he is safe for that and he can be involved in activity then automatically his fear and anxiety will get relieved and that will make things easier and better for him.
I hope This response covered all your concerns if you have more to ask I am here to help you.
Stay blessed.
Regards.
Dr.Muhammad Ahmad.
M.B.B.S.
R.M.P
Resident Cardiologist.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I want to thank you o much for helping to understand some important things involved in his heart attack. I will try to find out what meds he is taking. His Dr was going to change his meds, however because his Dr is not happy about the heart damage recovery, he has to wait another two months for his next Dr's visit. is it normal that he is not on an exercise program yet? My friend said he had an MRI..would that tell about the heart damage? I know they checked his head out before that because like I said, he fell and didn't know it unit he felt his head hurting? Thank you
Brief Answer:
MRI can tell
Detailed Answer:
Hi,
Thanks for writing back.
I hope you had a great weekend.
It's ok if he is not on an exercise program his doctor must know this better, sometimes patients who are physically active any ways like your friend is, they don't need a special exercise program that all depends upon what their doctor decides in their best interest.
Yes MRI so some types can tell about heart damage I can elaborate it to you if you can share it's report with me.
If your friend was having these unconsciousness problems before heart attack then it might be a brain issue but if that started to happen for the first time after his attack then it would be suspected that there was some problem related to his heart or his meds.
I will wait for you to come up with his reports and list of medicines so that i can guide you in a better way.
Regards,
Dr.Muhammad Ahmad.
You can directly discuss with me at.
http://doctor.healthcaremagic.com/doctors/dr-muhammad-ahmad/69304
MRI can tell
Detailed Answer:
Hi,
Thanks for writing back.
I hope you had a great weekend.
It's ok if he is not on an exercise program his doctor must know this better, sometimes patients who are physically active any ways like your friend is, they don't need a special exercise program that all depends upon what their doctor decides in their best interest.
Yes MRI so some types can tell about heart damage I can elaborate it to you if you can share it's report with me.
If your friend was having these unconsciousness problems before heart attack then it might be a brain issue but if that started to happen for the first time after his attack then it would be suspected that there was some problem related to his heart or his meds.
I will wait for you to come up with his reports and list of medicines so that i can guide you in a better way.
Regards,
Dr.Muhammad Ahmad.
You can directly discuss with me at.
http://doctor.healthcaremagic.com/doctors/dr-muhammad-ahmad/69304
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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