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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For AFib And Dyspnoea For An Obese, 70-year-old Patient

How can I help my shortness pf breath/ I have Afib & congested heart failure. I am 70 & obese. I cannot walk any distance because of this. My oxygen level is 93 - 96, so I am not eligible for oxygen. I do not want to become an invalid. Is there a fee for this?
Thu, 19 Jan 2017
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General & Family Physician,  's  Response
Hi,

I do understand your pain and discomfort. As per your history please follow my advise below:

Please check whether these investigations has been carried out or not, if already done then no need to repeat once.

1) Do a blood test [Liver function test,renal function test , Thyroid function tests]

2) Do [N-Terminal pro-B-Type natriuretic peptide (NT-proBNP)

3) Chest X-ray

4) ECG and ECHO and Stress test

5) Coronary angiogram. Treatment depends upon causes responsible for heart failure

So let me know in details about it usually we treat cases both medicines as well as surgical methods like:

- (Medications)
- [ACE inhibitors, angiotensin II receptor blocker,beta blocker,diuretics, aldosterone antagonist, inotropes, digoxin (surgical methods)
- [coronary bypass surgury, heart valve repair or replacement, implantable cardioverter
- defibrillators (ICDS), cardiac resynchronization therapy (CRT) or biventrocular pacing, and finally heart pumps.

I hope I was able to address your query. If you have any further questions, please do not hesitate to write to me. Wishing you all the best.

Thanks,
Dr. Uday Nath Sahoo
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Suggest Treatment For AFib And Dyspnoea For An Obese, 70-year-old Patient

Hi, I do understand your pain and discomfort. As per your history please follow my advise below: Please check whether these investigations has been carried out or not, if already done then no need to repeat once. 1) Do a blood test [Liver function test,renal function test , Thyroid function tests] 2) Do [N-Terminal pro-B-Type natriuretic peptide (NT-proBNP) 3) Chest X-ray 4) ECG and ECHO and Stress test 5) Coronary angiogram. Treatment depends upon causes responsible for heart failure So let me know in details about it usually we treat cases both medicines as well as surgical methods like: - (Medications) - [ACE inhibitors, angiotensin II receptor blocker,beta blocker,diuretics, aldosterone antagonist, inotropes, digoxin (surgical methods) - [coronary bypass surgury, heart valve repair or replacement, implantable cardioverter - defibrillators (ICDS), cardiac resynchronization therapy (CRT) or biventrocular pacing, and finally heart pumps. I hope I was able to address your query. If you have any further questions, please do not hesitate to write to me. Wishing you all the best. Thanks, Dr. Uday Nath Sahoo