I'm a 47 year old female diagnosed in Aug 98 with dilated cardiomyopathy with a EF of 19%. My LV measured 5.9 and 6.4cm at systolic and diastolic. I've responded well to meds and 8 weeks later an echo showed an EF of 42% and LV measurement of 5.0 and 6.4cm. I've continued to improve but haven't had any more tests. My question is: How much more can I expect my LV decrease in size and would you consider my prognosis good? Meds: Lasix, KCL, digoxin, vasotec, coreg (12.5 twice a day). I also experience a tremendous number of PVCs. Thank you, Linda
Dear Linda, thank you for your question. The key thing to monitor is the response in your symptoms to the treatment that's been instituted. Your LV size may not decrease much more, but your ejection fraction did increase which is encouraging. Likewise, your symptoms have improved which is also encouraging. The key aspect to monitor is your symptoms and not your LV size. I think your prognosis at this point is good, but only your physician can accurately assess your prognosis. However, you will need to stay on these medications indefinitely. If you are having frequent PVC's, then make sure that your physician is aware of this problem. The coreg may help to suppress PVC's.
I hope you find this information useful. Information provided in the heart forum is for general purposes only. Only your physician can provide specific diagnoses and therapies. Please feel free to write back with additional questions. Good luck.
If you would like to make an appointment at the Cleveland Clinic Heart Center, please call 1-800-CCF-CARE or inquire online by using the Heart Center website at www.ccf.org/heartcenter. The Heart Center website contains a directory of the cardiology staff that can be used to select the physician best suited to address your cardiac problem.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.