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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Heart Problem, External Diffibrillator, Low Blood Pressure, Feet Retaining Water

will u pl. explain iam a know heart patient and recently on diffibrillator I am 53 years old now as my wound got infected when I got fainted with low B.p they took it off and now they want to put it again. i am suffering from shortness of breatha nd cannot walk like 10-15 steps. presently on external diffibrillator. and my feet reating water too much. my EF was was like around 28-30 they said whats my life going to be?
Tue, 22 May 2012
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Cardiologist 's  Response
Hi RVAJJALA,
I apologize for delay in replying.
Was it plain Internal Cardiac Defibrillator(AICD) or a combo device where biventricular pacing is combined with AICD? Your ejection fraction is low 28-30%. Undoubtedly, if your EKG had LBBB a combo device would have been best but for every patient with this EF, AICD is definitely indicated. It should be put after wound heals and device would have been cleaned & disinfected. I agree with you that quality of life is not going to be very good. With help of your doctor you can draw a schedule of drugs and diet. Also, walk slowly never be in hurry to too many things together. These simple techniques will go long way to help you. Incidentally where was this AICD given? I hope by now they would have re implanted the device. Please tell the details of your story.
Dr Anil Grover
Cardiologist
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Heart Problem, External Diffibrillator, Low Blood Pressure, Feet Retaining Water

Hi RVAJJALA, I apologize for delay in replying. Was it plain Internal Cardiac Defibrillator(AICD) or a combo device where biventricular pacing is combined with AICD? Your ejection fraction is low 28-30%. Undoubtedly, if your EKG had LBBB a combo device would have been best but for every patient with this EF, AICD is definitely indicated. It should be put after wound heals and device would have been cleaned & disinfected. I agree with you that quality of life is not going to be very good. With help of your doctor you can draw a schedule of drugs and diet. Also, walk slowly never be in hurry to too many things together. These simple techniques will go long way to help you. Incidentally where was this AICD given? I hope by now they would have re implanted the device. Please tell the details of your story. Dr Anil Grover Cardiologist