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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Congestive Heart Failure

My father is 84 he was just diagnosed about 30 days ago with congestive heart failure, the told him he has about 15% function they diagnosed a leaky valve, since that time he is retaining water and havin many bouts of shortness of breath. I am a four hour flight away, they said 6 months to a year but he seems to be going downhill very quickly. He is now complaining of kidney pain as well. He is just starting a water pill, could he possibly die much quicker is that a reasonable time for him. He is not overweight in fact he has lost weight I am guessing he is down below 140..he is about 5 10
Tue, 5 Aug 2014
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Cardiologist 's  Response
Yes, Heart Failure may occur with normal ECG. As you said you are a hypertensive which itself may cause Diastolic Dysfunction and Heart Failure.

More productive test would be a good Echocardiographic Examination particularly supported by a Stress Echo to look for any Regional Wall Motion abnormality, any valvular lesion, asessment of Systolic and Diastolic Function.

A blood test called NT-proBNP should also confirm or rule out Incipent Heart Failure.
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Suggest Treatment For Congestive Heart Failure

Yes, Heart Failure may occur with normal ECG. As you said you are a hypertensive which itself may cause Diastolic Dysfunction and Heart Failure. More productive test would be a good Echocardiographic Examination particularly supported by a Stress Echo to look for any Regional Wall Motion abnormality, any valvular lesion, asessment of Systolic and Diastolic Function. A blood test called NT-proBNP should also confirm or rule out Incipent Heart Failure.