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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What To Do For The Low Heart Functioning Rate?

My father has chf and copd. He has apace maker and difibulator, he has been in the hospital twice in the past month. As of yesterday he was told he had heart function of 20%.....he also suffers from emphyzma (sorry for the spelling). What is his prognosis? He has fallen several times over the past 6 weeks. Seems to be getting waeker by the day
Fri, 27 Mar 2015
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Psychiatrist,  's  Response
Hi welcome to hcm
I understand your query and concern.
The condition of your father with a pace maker,defibrillator with EF 20% should always be attended immediately to avoid further complications.He should get an ECG,2D Echo ,chest x ray,complete blood picture,serum electrolytes and creatinine,ABG analysis for every 2 weeks to evaluate functioning of kidney,heart and lungs.Drugs like Digoxin and digitalis, clavix,ecosprin,betaloc ,pantop should be taken regularly to prevent further worsening of the condition.Do not stop giving medication until doctors advise.24 HOUR Holter ECG monitoring is required to know the pace maker working condition.Also periodic checkup and change of battery is needed.Report to emergency if symptoms like chest pain,shortness of breath,dizziness,weakness etc occur.Consult your cardiologist for expert management.
Post your further queries if any,
Thank you.
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What To Do For The Low Heart Functioning Rate?

Hi welcome to hcm I understand your query and concern. The condition of your father with a pace maker,defibrillator with EF 20% should always be attended immediately to avoid further complications.He should get an ECG,2D Echo ,chest x ray,complete blood picture,serum electrolytes and creatinine,ABG analysis for every 2 weeks to evaluate functioning of kidney,heart and lungs.Drugs like Digoxin and digitalis, clavix,ecosprin,betaloc ,pantop should be taken regularly to prevent further worsening of the condition.Do not stop giving medication until doctors advise.24 HOUR Holter ECG monitoring is required to know the pace maker working condition.Also periodic checkup and change of battery is needed.Report to emergency if symptoms like chest pain,shortness of breath,dizziness,weakness etc occur.Consult your cardiologist for expert management. Post your further queries if any, Thank you.