Teach me about the benefits of oxygen - please

[neil_a]

On June 29, 2012 I had another pretty significant HF episode and finally I have been put on Oxygen 24/7

Estimated EF 10%. - down from 15% same time last June.  Had 15% since '03

ECHO Interpretation Summary - June 13, 2012

The left ventricle is severely dialated.
Left ventricular systolic function is severely reduced.
Estimated EF 10%.
RV systolic function is mildly to moderately reduced.
There is moderate to severe mitral regurgitation.
There is moderate tricuspid regurgitation.
Estimated RSVP 64mmHG assumming a right atrial pressure of 10mmHG.

ASSESSMENT

An unfortunately 60 year old gentleman with progressive heart failure reaching near end stage.

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Basically - will I receive some benefit from this dose [#2] daily?  Any of your experiences most welcome to hear.  Thank You.

[neil_a]

Hi Jesus,

Thank You for your replies.

I have been through Heart Transplant and VAD evaluations and I am not a candidate because of the lack of social structure.

As far back as '06 no Surgeon would touch me with respect to Open Heart or CABG because of my 15% EF

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My list of Meds that I do not tolerate is longer than the list of meds I take presently...including all that you have mentioned [I do not tolerate]

I never have had my Cardiologist involve himself with my Gerd treatment.

Taking the heart transplant and VAD out of the equation - I am left with my Dr's assessment:

"There was some thought that he might be a candidate for a biventricular upgrade, but: He does not meet criteria for one based upon his QRS duration."

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Just as an additional FYI because of my low EF.

I cannot have a Colonoscopy test, or have my Gallbladder or Prostate removed.


Sodium and fluid intake are under control.

Thanks for your help.

Neil

[jrbon]

I have just read your profile and there are a number of things that I do not understand....

Why did not solved your CAD blockages years ago, perhaps with bypass (because your diabetes)?

Why do you have so little medication for the HF (No ACEI or ARB, No Aldosterone antagonist ) ? Which, by the way, may reduce your need to take extra potassium.

Why, if you have high cholesterol, you are not on statins?

Do you really need the PPI (Protonix), is your cardiologist aware of it?

I assume that with your history of pulmonary edema you are on a very reduced sodium and fluids intake.

Jesus

[jrbon]

I would not feel happy going to see a dr. that already consider that my only left chance is to die.

What about a second opinion?

Jesus

[neil_a]

Thank You so very much Jesus for your input.  It was very helpful.

Cardio guy sees me in 3 months.  What can he say?  I see a new PCP in October - what might her input be?

CAD might get me before HF.

In Cardio Assessment - last paragraph - 6/13/12  He says:

"I told him that at some point he might want his ICD turned off if he is getting worse and worse with regards to HF."

Well - he's being a bit pre-mature imho.  I've lived with EF's of 10-15% for many, many years.

What's been missing in the treatment equation imho - is the oxygen.

I feel SO much better - since on oxygen and haven't needed a nitro [used for chf - not angina] in a month.

I'll keep you posted..

Neil

[jrbon]

It can have the effect of reducing your symptoms and also (and more important) increase the amount of oxygen in your blood, what will try to save your organs of suffering  hypoxia despite the little amount of blood that your heart is pumping.


What is the evolution or further treatment that your doctor foresee?

Jesus