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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Elderly To Have Breathing Difficulty At Night?

my dad is saying he is having difficulty in breathing at night, he is 69 years old and had openheart bypass surgery 3 years back. it is happeneing only at night, tomorrow i took appointment with cardiologist, since he is in US as a visitor, should i think of preponing from end of september trip back to india to as soon as possible ?
Fri, 14 Nov 2014
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Pulmonologist,  's  Response
Thanks for your question on HCM.
In my opinion your father has heartissue only.
As post bypass patient tend to develop heart failure after 2-3 years of surgery.
And characteristic feature of early heart failure is orthopneoa (breathing difficulties in supine position). This is due to back pressure and high afterload. So consult cardiologist and rule out early heart failure. Your father may need ECG and 2D Echo for the diagnosis.
Treatment consist of oral diuretics and oral inotropes. And about your ticket issue i advice you to decide after cardiologist consultation.
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What Causes Elderly To Have Breathing Difficulty At Night?

Thanks for your question on HCM. In my opinion your father has heartissue only. As post bypass patient tend to develop heart failure after 2-3 years of surgery. And characteristic feature of early heart failure is orthopneoa (breathing difficulties in supine position). This is due to back pressure and high afterload. So consult cardiologist and rule out early heart failure. Your father may need ECG and 2D Echo for the diagnosis. Treatment consist of oral diuretics and oral inotropes. And about your ticket issue i advice you to decide after cardiologist consultation.