Mother is 67, she had her mitral and aortic valve replaced at 37, she has had multiple strokes, she has been diagnosed with atrial fib and chf years ago. She goes up and down in weight all the time, she does not feel pain the way normal people do because of her strokes. She has been having Coughing spells during the day and at night she is also anemic that is new. She does have some fluid on her lungs. Her abdomen is a little more distended, she had an illiostomy in November. She does get short of breath when walking. Just trying to figure out what stage of heart failure she is in. Doctors won't tell me anything.
To diagnose heart failure ejection fraction is used. This is usually assessed by an ECHO. If the ejection fraction (LVEF) is below 35%, it is diagnosed as cardiac failure. The ejection fraction is a useful measure of left ventricular performance. The normal range is 63-77% for males and 55-75% for females. It reflects the pumping capacity of the heart. Due to this the heart is not able to pump adequate blood to different organs in the body. In this process the kidneys too receive inadequate blood and to compensate for this start retaining sodium. When the sodium content in the blood increases it causes fluid to seep out and cause edema.
This can also cause breathlessness on exertion. Anemia can further worsen the breathlessness.
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