Member Comments are provided by individuals and reflect their personal opinions only. Under NO circumstances should you act on any advice or opinion posted in this forum.  ALWAYS check with your personal physician before taking any action regarding your health! MedHelp International and our partners, sponsors and affiliates have no obligation to monitor any comments posted on this site, or the content and/or accuracy of such exchanges. MedHelp International does not endorse the views of any user.
 | 
Thank you
Answered by
Lee Kirksey, MD - Peripheral Arterial Disease, PAD, Cardiovascular Disease, stroke, treatment, angioplasty, spider veins, laser ablation, wound treatment, surgery, leg pain, Prevention, Varicose veins
Penn Presbyterian Medical Center of the Univ. of Pennsylvania Healthcare Clinical Assistant Professor at The University of Pennsylvania School of Medicine Philadelphia - PA
Questions in the Cardiovascular Disease Prevention forum are answered by Dr. Lee Kirksey, associate professor at The University of Pennsylvania School of Medicine.

Thank you

by dessie111, Mar 24, 2009 08:36AM
Thank you so much for your response, I have never been to a cardiologist, never thought I would fit in that category based on my activity level, my age, my weight an my cholesterol, have never had HTN??  

I went yesterday and had EKG done, it said:  enlarged left atrium, and bradycardia??  Which goes a little bit along with the sonogram results, But, my Internist did not seem alarmed, he thinks that it is an over read on the EKG machine's half, based on my weight and being a small frame believes the EKG machine is overreading my heart size and my size??  What do you think?

I have never had an echo or stress test but maybe I should based on my family history, like I said my father has CHF and first heart attack at 42

With my liver enzymes being elevated and being that I have hypothyroidism?  One of my questions is which way does it go??  Liver causes CHF, or CHF cause liver abnormalties??  I have been reading online different things, but my gosh there is tooo much info out there can really get ya confused, hahha

My internest thinks all my symptoms are related to being hypo--the edema, the poor response to carbs, the liver enzymes, etc??

Oh was going to do one of those BNP tests, but I took a lasix yesterday for the first time in my life, wow, lost 3 pounds in one day!!  question is I read online that when doing a BNP sometimes a diuretic could alter the results, since I have only taken one--should  I wait until I get edema again to take test or does it matter??

Oh yeah, had a MRI yesterday as well, did not correspond with US results--Radiologist said my liver and gallbladder looked fine??  Says the US was wrong, hmmm interesting right, but did not touch on the IVC being dilated, but EKG confirmed the enlarged heart??  

thanks so much for all your knowledge and time!!

by Lee Kirksey, MD, Mar 28, 2009 01:58PM
To: dessie111
I did miss your question. Sorry
Ill try to answer as many of your questions
people read ekgs-not machines. An interpretation of an ekg is also based on clinical factors that only a human can factor in. I cant specifically comment on your ekg without seeing it but I agree with your doc

CHF and liver disease can develop in both directions. CHF can cause liver congestion and a poorly functioning liver can cause fluid build up in the body.

BNP can be affected by the use of diuretics but one dose shouldnt adversely affect your results with a condition thats been present for some time

It is possible that the hypothyroidism is causing the complex of symptoms. make sure that your follow up tests include free T3 and T4 as well as TSH

Be sure to check out our book. Your Guide to Optimal Health: Building Your Personal Wellness Wheel. It provides a lot of information about conditions like hypothyroidism including diagnosis and prevention.

Good luck
Continue discussion
RSS Expert Activity
What You Don't Know About Breathing...
Nov 24 by Steven Y Park, MD
Thanksgiving
Nov 23 by Thomas Dock, Vet. Technician
Snoring As Your Internal Smoke Alar...
Nov 22 by Steven Y Park, MD