Heart Disease Community
reduced ejection fraction and elderly patient with renal impairment
About This Community:

This patient support community is for discussions relating to angina, angioplasty, arrhythmia, bypass surgery, cardiomyopathy, coronary artery disease, defibrillator, heart attack, heart disease, mitral valve, pacemaker, PAD, stenosis, and stress tests.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

reduced ejection fraction and elderly patient with renal impairment

my father has ischaemic heart disease with reduced ejection fraction of 16%,impaired renal function,mild type 2 diabetes and elderly age,78.he is on clopidogrel,irbesartan,lasix .
Please advise
Related Discussions
3 Comments Post a Comment
Blank
367994_tn?1304957193
Your father has occluded coronary vessels (ischemia) and apparently high blood pressure being treated with irbesartan and lasix is a diuretic. Clopidogrel is an anti-platelet medication to prevent clots.

The reduced ejection fraction of 16% may be causing fluid buildup in the lungs and peripherals (arms and legs). I had an EF below 29% and was diagnosed with congested heart faiure...congestion was due to fluids in the lungs.  This happens when the heart does not pump out the a large percentage of blood received from the lungs so blood backs up in the lungs and fluids leak into the tissues (medically termed edema).  

Kidneys may be a concomitant disorder that adds to the fluid retension,

Your father may have an enlarged left ventricle (dilated) that will reduce the chamber's contractility. Often the heart's left ventricle is enlarged due to the overwork of the heart pumping against high resistance of narrowed vessels and irbesartan can dilate the vessels and the heart's workload is reduced can help reduce the abnormal size of the heart, and EF can increase.

Apparently, your father had an echocardiogram to determine EF, and if you have the echo report what are the heart chamber and wall dimensions?. Any mitral valve regurgitation?,,etc.

I can only provide an insight into the your father's heart health, and with the limited information there isn't much to add.  Thanks for sharing, and if you have any further information or comments you are welcome to respond.  Take care, I wish your father well going forward.


Blank
Post a Comment
To
MedHelp Health Answers
Recent Activity
Avatar_m_tn
Blank
ill13632 severe disease Comment
Apr 14
1317224_tn?1378708734
Blank
MaryLL I'm feeling good 16 months ... Comment
Apr 13
1317224_tn?1378708734
Blank
MaryLL uploaded new photos
Apr 13
Blank
BloodPressure Tracker
Monitor Your Blood Pressure
Start Tracking Now
Heart Disease Community Resources
RSS Expert Activity
242532_tn?1269553979
Blank
Emotional Eaters: How to Silence Yo...
Mar 26 by Roger Gould, M.D.Blank
1344197_tn?1392822771
Blank
Vaginal vs. Laparoscopic Hysterecto...
Feb 19 by J. Kyle Mathews, MD, DVMBlank
1684282_tn?1350782543
Blank
The Death by Heroin
Feb 03 by Julia M Aharonov, DOBlank
Top Heart Disease Answerers
976897_tn?1379171202
Blank
ed34
watford, United Kingdom
63984_tn?1385441539
Blank
Flycaster305
97303, OR
159619_tn?1318997813
Blank
erijon
Salt Lake City, UT
Avatar_f_tn
Blank
skydnsr
212161_tn?1391090750
Blank
heartfluttersflyawayplz
hoschton, GA
612551_tn?1247839157
Blank
Jerry_NJ
NJ