 |
NetWellness provides the highest quality health information and education services created and evaluated by faculty of our partner universities.
Thursday, February 9, 2012
|
|
|
NetWellness provides the highest quality health information and education services created and evaluated by faculty of our partner universities.
Thursday, February 9, 2012
|
| Home | HealthTopics | Health Centers | Reference Library | Research |
 Join us on Facebook
|
Share on Facebook | Tweet |
|
Heart Failure |
Understanding Treatment01/07/2009 |
I am 38 year old male that has had high blood pressure for last 10 plus years with family history of hypertension I was taking Losartan Potassium and Amlodepine along with Carvedilol both twice a day but I still experineced some symptoms. The symptoms were unexplained breathlessness with no cardiological findings. I was observed and instead of Carvedilol, Indapamide sR has been introduced. An echocardiogram was done with LVEF AT 65%,no RWMA seen,good systolic function and mildly conc.LVH SEPTAL OBSERVED.CHOLESTORAL 218,triglycerides 141,hdl 41,ldl 140and vldl 37 are the findings.My weight is 78 kgs. I am happily married with kids. I am a non smoker of tobacco. I am only social drinker.
The presence of a normal ejection fraction (LVEF of 65%) and left ventricular hypertrophy suggests that you may have diastolic dysfunction, a mild form of heart failure caused by the thickening of the heart muscle. In most cases such thickening is caused by long standing high blood pressure. Diastolic heart failure can cause episodes of shortness of breath.
The best treatment for diastolic dysfunction is a combination of an angiotensin receptor blocker (like losartan), a beta blocker and other medications (diuretic and/or amlodipine) as needed to control blood pressure. The blood pressure should not exceed 130/80, and the heart rate should be around 60.
It appears that you are on a well chosen medication regimen. If you can keep your blood pressure well controlled, the left ventricular hypertrophy can improve with time.
|
Max C Reif, MD Professor of Medicine Director of Hypertension Section Division of Nephrology & Hypertension Department of Internal Medicine College of Medicine University of Cincinnati |
|
|
|
Please note: only your personal physician or other health professional you consult can best advise you on matters of your health based on your medical history, your family medical history, your medication history, and how information from any of these databases may apply to you. Neither University of Cincinnati (NetWellness) nor any party involved in creating, producing or delivering this web site shall be liable for any damages arising out of access to or use of this web site, or any errors or omissions in the content thereof. (More) 
|