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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Congestive Heart Failure?

my dad recently was stung by a bee on the ear. He did have some swelling from the ear to below this chin (neck area). 24 hours latter he was in the ER and they were treating him for symptoms of CHF. His ejection fraction was 35%. The ER couldn't believe he had never been diagnosed with CHF because of this (and his doctor has always told him all was good). In 2008 we checked a previous test and it was at 65%. In 2011 in the hospital was the next test which showed 35%. During this time his doctor also had him taking avandia and it took us confronting this doctor before he agreed to change meds (his comments were his heart was fine and the avandia wasn't an issue).



With all this info, do you think that the bee sting could have caused symtoms of CHF or the avandia could have change the ejection fraction? He will be seeing a specialist in July so I am trying to get info to review during this visit
Mon, 21 Nov 2016
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Cardiologist 's  Response
hi
as per your query bee sting has nothing to do with congestive haret ailure
there are a numbe of causes of chf, in most of the people it takes many year for the ef to lower from 60% to 35% but there are diseases like cardiomyopathies
avandia (rosiglitatzone) has been banned in the market because it has serious side effects like causing a heart attack and precipitating chf...this rapid detoriation of your father lv functions can be because of rosiglitazone
if there is no findings of any particular cardiac disease in his echo,it can be a chf caused by rosiglitazone

if echo reports of your father showed some regional wall motion abnormality then another possiblity is that your father got a silent heart attack(as a side effect of rosiglitazone) (in diabetic due to neuropathy many times chest pain is not there),so as the heart attack passe un noticed his ejection fraction decreasedby time

till the time you see a specialist
tab lasilactone 50 mg once daily
tab carca(carvedilol) 3.125mg twice daily
tab cardace (ramipril) 2.5 mg once daily
tab flavidon mr 35mg(trimetazidine increases the ejection fraction ) should be given
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What Causes Congestive Heart Failure?

hi as per your query bee sting has nothing to do with congestive haret ailure there are a numbe of causes of chf, in most of the people it takes many year for the ef to lower from 60% to 35% but there are diseases like cardiomyopathies avandia (rosiglitatzone) has been banned in the market because it has serious side effects like causing a heart attack and precipitating chf...this rapid detoriation of your father lv functions can be because of rosiglitazone if there is no findings of any particular cardiac disease in his echo,it can be a chf caused by rosiglitazone if echo reports of your father showed some regional wall motion abnormality then another possiblity is that your father got a silent heart attack(as a side effect of rosiglitazone) (in diabetic due to neuropathy many times chest pain is not there),so as the heart attack passe un noticed his ejection fraction decreasedby time till the time you see a specialist tab lasilactone 50 mg once daily tab carca(carvedilol) 3.125mg twice daily tab cardace (ramipril) 2.5 mg once daily tab flavidon mr 35mg(trimetazidine increases the ejection fraction ) should be given