Congestive Heart Failure

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Katie,

I'm a mitral patient also, and have had the same experience with echos and caths giving varied results. 2 1/2 years ago I started feeling suddenly much worse, SOB, chest pain, etc. My old cardio did an echo, the report said moderate regurg, valve 1.3 cm. I changed cardios after the old one told me that maybe it was in my head, not my heart.

New cardio did a cath. NO regurg on the cath. He then ordered another echo this time with treadmill before to look for cardiomypathy. This echo showed moderate to severe regurg. He was stunned and showed it to several other docs in the practice and they concured. He followed me afterward with treadmills and echos. I was given increased doses of Cozaar and then also Norvasc to lower BP and help the valve work better. Echos showed moderate regurg during this time, valve opening stable around 1.2 cm.

Last echo in the summer showed the same but I was losing the ability to do the normal things in my life. We talked about surgery in the winter. In Oct. I called to tell him to move surgery up because of insurance reasons. I continued to feel worse and worse. Finally we did another cath in Nov., this one with me doing hand weights. He started finding almost the same results as two years ago. Then they put me on the weights and the pressures went through the roof. I seems that my valve got really sloppy under pressure, but did OK at rest. Valve area measured 1.87 cm.

I think the first cath was influenced by him starting me on Cozaar the week before, which did make me feel much better. I think if we had done the weights at the first cath, he would have seen the regurg then.

Most cardios don't see that many mitral patients. Sometimes it's just a matter of doing the right test to fiqure out what's going on. You have to go by how you feel and insist that they listen, even with the echos and TEE's, they don't always see what's really happening.

Marcia
MVR Dec. 2003
 
Could someone tell me what the symptoms opf Heart Failure are?

And it sure is disconcerting to read that so many echo's show different results. This is very upsetting.

thanks.
bobbie
 
"the don't always see what's happening."


Yeah....


When I went in for my surgery back in March they did and echo and thought they found evidence of an infection on one of the leaflets on my tricuspid valve, the one they intended to either repair or replace...

They started out treating me for that, saying it would be 8 weeks or so before they could do surgery.

A few hours later my kidneys failed and everything hit the fan, I was rushed into surgery at about 9pm that night with little or no expectation for survival.

Turns out what they were actually looking at was the last little remnants of the valve. I had walked into Cleveland Clinic with essentially no tricuspid valve.


I don't think docs can be absolutely sure of what's going on until they actually open up your chest and see for themselves. The testing is great, they can zero in pretty good on what's going on, but it's still an art in many respects and on the difficult cases, they're using experience and educated guesswork based on the information that they have...


I have to take the amiodarone off my list of meds because I just talked to my cardiologist and he said to go ahead and stop it. I ran out over the weekend and have been worried about it's side-effects for a while (they're pretty knarly) and called him this morning to ask about going off it, he wanted to check on withdrawal issues and such so he called back and said it was OK.

I see him Wednesday (regular check-up) and will be asking bunches of questions...
 
Heart Failure symptoms


Or at least most of the highlights.


Shortness of breath, general fatigue, reduced ability to do work, exercise. Coughing or congestion in the lungs, swelling in your extremeties, or belly and face or a combination.... Vomitting, often after meals. Difficulty laying flat on your back or side. Difficulty sleeping. Rapid weight gain, reduced urination (also linked to kidneys shutting down)


All of that is based on personal experience. I didn't know my kidneys were crashing until well after I had my surgery (I was asleep for about a month after surgery, had a rough time in the hospital) and it's because everything in my system was so backed up because the bloodflow was so reduced from the heart failure.

If you go back on the posts here you'll find a bunch of links on heart failure that are pretty good.

Lots of us seem to have it to varying degrees with varying experiences so ask away. =)
 
Hey, Harpoon, don't mean to be nosy, but do you have a job?:p Haven't seen vomiting before, but stomach discomfort and loss of appetite I saw listed somewhere.

Bobbie,

You didn't put much information in your profile. What's up with you? Just being nosy again.

Oops - I found you on another post - no need to repeat.

Marcia
 
Nope, I'm living on the lam....


Actually I'm a photographer for a local newspaper, hence the photo I have on my posts, taken about a month after I started with the paper, three years ago now...
 
Oh yeah, I was going to mention that I was on "medical leave" from work for about 7 months give or take...

I left almost a month before I had my surgery. It was a real rough winter and I was working a night shift which meant I was walking out of the building after midnight to clear snow off my car and sit in it until it warmed up enough to drive home.

I guess I could have gone back to work sooner (mid -summer) but they had hired a "temp" to take my position and he was leaving at the end of August so I got the summer off.

My wife ended up taking a month off while I was in the hospital to be with me in Cleveland (we have a VERY nice boss) and she was working extra shifts before and after that time to make up for it.

She's an editor and, quite literally, if she's not there to do work, the newspaper doesn't go out the door.


Or at least it has a LOT of blank pages...
 
Yeahm, that seems to be how our management at the paper works....


More ads, less news=more money.

Downside is that in the long run, people buy the newspaper, buy subscriptions, for the NEWS not the advertizing.

But then, what company every focused on long term goals rather than short term profit gains????


But I digress, this isn't the proper forum for BSing about the newspaper business.... =)
 
Hi Nancy,
Glad to hear Joe is OK. I haven't been in touch for a long time - Garry had his two heart surgeries over two years ago now and he is doing very well. Lula
 
Hi Lula-

Good to see you on the board. It's great that garry is doing well. Can it really be 2 years ago? Wow.

Joe is holding his own. He had a rough year, but has come a long way and is feeling much better than he's felt in a long time.
 
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