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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medication For Hypertensive Heart Disease

hi, my father is 82 year old 10 years post CABG recent colour dopler showed HYPERTENSIVE HEART DISEASE -MILD CONCENTRIC VENTRICULAR HYPERTROPHY AND DILATED AORTIC ROOT.OTHER SEGMENTS CONTRACT WELL.SMALL TO MODERATE SIZED INFERO POSTERIOR SCAR WITH DYSKINESIA.FAIR LV SYSTOLIC FUNCTION.LVEF-35-40%.LV DIASTOLIC DYSFUNCTION.TRIVIAL LOW VELOCITY TRICUSPID REGURGITATION.NO PULMONARY HYPERTENSION.ESPAP-25MMHG.NO EXTRA CAVITORY THROMBUS OR PERICARDIAL EFFUSSION.IN LIVER TEST Sr.BILIRUUBIN IS 1.5Mg/dl.can my father survive for 2 to 3 years more
Mon, 16 Nov 2015
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Cardiologist,  's  Response
It seems that your dad suffered an heart attack in the past, which left some damage in the left ventricle. At the moment there are several drugs that have changed the natural history of patients like your dad. Depending on your dad's symptoms (such as shortness of breath), heart rate, blood pressure, and renal function, doctors would have been prescribed some drugs such as beta-blockers and Ace-inhibitors that prolong survival in patients like him. He might also get some benefits from other drugs, for instance spironolactone. In some particular cases, special pace-makers might be indicated as well.

A simple blood test might help in predicting the long term outcome, and it is called NTproBNP. When results are low, the chances of being admitted to hospital or to deteriorate are little.

I hope this helps.

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Suggest Medication For Hypertensive Heart Disease

It seems that your dad suffered an heart attack in the past, which left some damage in the left ventricle. At the moment there are several drugs that have changed the natural history of patients like your dad. Depending on your dad s symptoms (such as shortness of breath), heart rate, blood pressure, and renal function, doctors would have been prescribed some drugs such as beta-blockers and Ace-inhibitors that prolong survival in patients like him. He might also get some benefits from other drugs, for instance spironolactone. In some particular cases, special pace-makers might be indicated as well. A simple blood test might help in predicting the long term outcome, and it is called NTproBNP. When results are low, the chances of being admitted to hospital or to deteriorate are little. I hope this helps.