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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Myocardial Infarcation

uncle has gone through myocardial infarction recently after angioplasty in 1999 and bypass in 2009. Ejection fraction currently is 20. blood pressure 80/52. saturtion 96-100 heart rate 90-100 resp rate 18-30. He is on drugs currently and has to use cpap and bipap sometimes. please suggest some treatment or advice
Fri, 5 Jun 2015
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Cardiologist 's  Response
Because of myocardial infarction your uncles heart has become weak as compared to normal humans, the main problem is its inability to maintain normal fluid balance, medical management is what I would help you.
Fluid restriction less than 1 lt a day max
Low salt
Drugs like beta blockers, eg. Carvedilol, metoprol, ace inhibitors like ramipril, diuretic furosemide with aldactone, statin, aspirin may be titrated as per his bp(which is low) heart rate and other vitals
Digoxin may be considered

Lastly look for dyssynchrony, if present CRT, dual pacemaker like think may help improve pumping

Sir the question you asked required detailed discussion after reviewing all available reports and treatment he is already.
For further information email Priyankmody86@gmail.com
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Suggest Treatment For Myocardial Infarcation

Because of myocardial infarction your uncles heart has become weak as compared to normal humans, the main problem is its inability to maintain normal fluid balance, medical management is what I would help you. Fluid restriction less than 1 lt a day max Low salt Drugs like beta blockers, eg. Carvedilol, metoprol, ace inhibitors like ramipril, diuretic furosemide with aldactone, statin, aspirin may be titrated as per his bp(which is low) heart rate and other vitals Digoxin may be considered Lastly look for dyssynchrony, if present CRT, dual pacemaker like think may help improve pumping Sir the question you asked required detailed discussion after reviewing all available reports and treatment he is already. For further information email Priyankmody86@gmail.com