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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chest Pain And Breathing Difficulty?

I was recently diagnosed with CHF and was given metoprolol 100 mg as a treatment for this. I have high bph and take meds for that which contain a diuretic. Should other meds have been prescribed? My cardiologist doesn't seem to be concerned. I was told I had a "bad" EKG and had possibly suffered a heart attack on the left lower area of the heart when I went in for shoulder surgery. I am overweight and have trouble staying out of breathe if I do anything, and had been having some chest pain but was told to walk briskly for 30 minutes a day and lose weight and everything would be fine. I am concerned that because I'm overweight and some of the tests done came back normal that I'm not being taken seriously.
Tue, 9 Jun 2015
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Cardiologist 's  Response
Sir the treatment of CHF has evolved drastically and optimisation I'd patients condition can be achieved in majority of the cases. Comprehensive answer will be beyond the scope of a single reply.
However yes you should be given medication beyond beta metoprolol.
Fluid and salt restriction depending on your heart condition and body weight
Daily weight and keep it steady
Beta blockers
Ace inhibitors /Arb
Aldosterone antagonist eg. Spironolactone
Diuretic, preferably loop eg. Furosemide
Statin /blood thinner s
Other depending on all the reports and baseline heart function.
These drugs may prevent further deterioration of the heart function and take care of your symptoms
Regards
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What Causes Chest Pain And Breathing Difficulty?

Sir the treatment of CHF has evolved drastically and optimisation I d patients condition can be achieved in majority of the cases. Comprehensive answer will be beyond the scope of a single reply. However yes you should be given medication beyond beta metoprolol. Fluid and salt restriction depending on your heart condition and body weight Daily weight and keep it steady Beta blockers Ace inhibitors /Arb Aldosterone antagonist eg. Spironolactone Diuretic, preferably loop eg. Furosemide Statin /blood thinner s Other depending on all the reports and baseline heart function. These drugs may prevent further deterioration of the heart function and take care of your symptoms Regards