Hello!
Welcome and thank you for asking on HCM!
Regarding your concern, I would explain that his clinical situation seems to be complex and several underlying causes could be possible:
heart failure, an infection, adrenal gland dysfunction, an inflammatory disorder, etc..
Coming to this point, I would recommend consulting with his attending physician for a careful physical exam and some tests:
- a chest X ray study
- a cardiac
ultrasound and a resting ECG
- NT-pro BNP levels for heart failure
-
complete blood count, PCR, ESR for inflammation
-
cortisol plasma levels for adrenal gland dysfunction
-
thyroid hormone levels
- an abdominal ultrasound
- kidney and liver function tests, etc..
You should discuss with his doctor on the above tests. Further tests may be needed.
Hope you will find this answer helpful!
Wishing all the best,
Dr. Iliri