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Can Fluid In Lungs Affect Functioning Of Heart?
Age: 56yrs, Height: 5’5’’, Weight: 74 Kgs, No medical history, Low Sugar and BP. 15 Days back my mother suffered acute breathing problem at 4 Am in the morning. We immediately rushed to the nearest hospital where fluid in lungs was diagnosed through chest X-Ray. Various blood tests were performed in which ESR was 86mm/hr and TLC level was also very high. Eco- Cardiac test was also done in which mild concentric LVH & 25-30% LVEF was found. Doctors advised Angiography. Now 2 days back she went for angiography. The report of angiography is normal and there is no blockage. At the time of angiography the ESR was 110mm/hr (earlier it was 86mm/hr). Earlier the doctors were saying that due to improper functioning of heart (as per eco cardiac) there was fluid in lungs. Now they are saying that fluid in lungs affected the heart and they advised to consult a physician. Now I am still there where I started from that why there was fluid accumulated in lungs? Plz advise what shuld I do now…..
Thu, 18 Dec 2014
hello
welcome to hcm
(1) high esr and high tlc counts points towards a UNDERLYING INFECTIVE PATHOLOGY i.e infection by some micro-organisms
(2) the best way to know the cause of fluids in lungs in such a scenario is to ASPIRATE SOME DIAGNOSTIC FLUID FROM LUNGS ( CALLED AS DIAGNOSTIC PLEURAL TAP ) AND GET THE BIOCHEMICAL/MICROSCOPIC ANALYSIS OF THAT ASPIRATED FLUID which i fail to understand why your doctor didnt performed untill now when he could see that both ESR and TLC LEVELS ARE RAISED
(3) mild concentric LVH on echocardiography is a NORMAL FINDING AT THIS AGE given that she is not a hypertensive,had she been a hypertensive then this finding would have some significance but not otherwise
(4) 25-30% LVEF is certainly on the lower side but as her heart size is normal and angiography report is also normal so it should not be of too much concern in the present circumstances
so the first and immediete step at present is to get the test i advised at serial no (2) and send a scanned copy of reports so that we can evaluate and guide you further accordingly
regards
dr rahul rathee
welcome to hcm
(1) high esr and high tlc counts points towards a UNDERLYING INFECTIVE PATHOLOGY i.e infection by some micro-organisms
(2) the best way to know the cause of fluids in lungs in such a scenario is to ASPIRATE SOME DIAGNOSTIC FLUID FROM LUNGS ( CALLED AS DIAGNOSTIC PLEURAL TAP ) AND GET THE BIOCHEMICAL/MICROSCOPIC ANALYSIS OF THAT ASPIRATED FLUID which i fail to understand why your doctor didnt performed untill now when he could see that both ESR and TLC LEVELS ARE RAISED
(3) mild concentric LVH on echocardiography is a NORMAL FINDING AT THIS AGE given that she is not a hypertensive,had she been a hypertensive then this finding would have some significance but not otherwise
(4) 25-30% LVEF is certainly on the lower side but as her heart size is normal and angiography report is also normal so it should not be of too much concern in the present circumstances
so the first and immediete step at present is to get the test i advised at serial no (2) and send a scanned copy of reports so that we can evaluate and guide you further accordingly
regards
dr rahul rathee
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