preparing for cardio appt.

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bethanne

Several weeks ago I was experiencing CHF symptoms with SOB, water retetion including feet swelling after what I believed at the time was a bout with bronchitis/cold with cough (yet not the usually phlegmy cough) . My pcp gave me an antibiotic, diuretic and chest x-ray. The chest x-ray came back within normal range (although it did not say anything about change from previous x-ray in '91) I had also requested my cardio step-up my echo (feb.19) since I was not feeling well. I have not head from him so I am assuming he is waiting until appt on March 3rd to give my report.

I have to say that I am feeling better. In fact, Yesterday, I had forgotten to take my diuretic. By the late afternoon I was beginning to feel it and wasn't sure about taking it so late in the day. (Maybe I was a little curious as to how much my feeling better was a result from the diuretic) The swelling was significant this morning which confirms my suspicions about this being more than the cold/bronchitis I had a few weeks ago.

I say all of this because I want to be more assertive with the dr at my appt on wednesday and am looking for specific question that I should be asking him. Can y'all give me some suggestions?

I looked up my echo results from august 2003 and from what I have researched I understand why my cardio was not too concerned:
2-d measurements: left ventricle end-diastolic dim 5.2cm and end-systolic 3.6 cm. left atrium dimension 3.6 cm
SUMMARY:
Normal LV size and function
Bicuspid aortic valve with moderate aortic regurgitation as assessed by color flow, pressure half time; Severe per regurgitant fraction (but doubt it is severe)
Other paramater: similar to before



During my echo last week it looked like (from what I could tell) the progression was increased but slightyly (end-diastolic and end-sytolic). But with my symptoms I am wondering if something esle is going on and maybe they (cardio and echo tech) have been tunnel visioned on the bi-cuspid aortic valve and missed somthing else that is adding to the picture. Actually I don't want to put too much energy in speculating on what my recent echo until I get the results on Wednesday. My thought is that by better understanding the above terminology/results better I will be more prepared to interpret the results in his office and be able to ask the right questions I need to get the answers that I want.

Can anyone offer insight to the comments in the SUMMARY section above?
 
It would be a good idea to also check the size of your left Atrium.
...and be sure to tell him about your CHF experiences. You may want to 'chart' your weight every morning, preferably with little or no clothing to eliminate that variable.

'AL'
 
update

update

thanks Al,
I still do not have my test results, but when I talked to my cardio about my symptoms he said he was concerned and felt it was time to go forward with valve replacement. I am scheduled for a stress echo on march 19th...

thanks for your feedback...

cardio gave me nifedipin (calcium channel blocker - i think?) It definately has helped with blood pressure but I have been so daffy these past few days. I am having dificult remembering things, and keep making mistakes at work....

Since I work with my husband, maybe he will fire me soon :)
 
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