1884349?1353818598
Jonathan D. Rich, MD  
Male
Chicago, IL

Specialties: Heart Failure, Pulmonary Hypertension, LVADs

Interests: Cardiology, family, sports
Northwestern Memorial Hospital
Cardiology
312-695-6498
Chicago, IL
My Posts
Apr 05, 2014 in the Congestive Heart Failure Expert Forum - 3
Hello and welcome to the forum. I dont have enough info to definitely comment on the need for an ICD or not. But a couple of things: 1. While and ICD implant is a procedure, it is not really surgery. And ICD is typically placed on one day and pt goes home the next. Usually no anesthesia is needed. Risk is very minimal. 2. If your ejection fractio...
Mar 24, 2014 in the Pulmonary Hypertension Expert Forum - 5
Interesting...well sounds like you are getting pretty good care. But a 2nd opinion is never a bad idea when there are a number of uncertainties. And based on the pressures from the cath, I would tend to agree that it sounds like you have pulmonary venous hypertension (which by itself can lead to the RV enlarging). The PE is not going to help but if it was ...
Mar 24, 2014 in the Congestive Heart Failure Expert Forum - 1
Hello and welcome to the forum. Regarding your question, here is how I would answer it: 1. Flying is generally ok for patients with congestive heart failure provided they dont tend to have "low oxygen levels" or require the use of an oxygen tank. 2. If you do have low oxygen levels, you would need to be sure you have a portable oxygen tank to...
Mar 20, 2014 in the Congestive Heart Failure Expert Forum - 2
Hello and welcome to the forum. Colds, sore throats, and respiratory infections are super common and myocarditis is not...so this is the good news (ie the chance that you have myocarditis is low). However, the risk of course is not zero. If you are experiencing new symptoms (which is sounds like you are) and you are worried, I would do the following: ...
Mar 20, 2014 in the Pulmonary Hypertension Expert Forum - 5
Hello and welcome to the forum. 1. Get a new doctor if this is what they are really telling you. I dont understand how anyone can say that a PE is not relevant in anyone, especially a patient with pulmonary hypertension. I hope you misunderstood them. 2. Why are they having so much difficulty categorizing your PH (ie PAH vs secondary to LV failure vs...
Mar 16, 2014 in the Congestive Heart Failure Expert Forum - 1
Hello and welcome to the forum. Without knowing many details, if your husband has been on a good regimen for 6 months and the EF remains low (not uncommon), in most instances I would recommend that defibrillator (simply as a "life insurance" policy---he may never need it but will be happy that he has it if he does). Otherwise, continue to get ...
Mar 16, 2014 in the Congestive Heart Failure Expert Forum - 4
Looks really good to me...
Mar 16, 2014 in the Pulmonary Hypertension Expert Forum - 1
Hello and welcome to the forum. First, as a parent myself, I can only imagine the angst and everything that you are going through with your son. Second, as an adult cardiologist, I am always hesitant to comment in great detail as questions pertain to children so I am going to be brief. In medicine, "coincidence" tends to be uncommon; rathe...
Mar 08, 2014 in the Congestive Heart Failure Expert Forum - 1
Hello Robert and welcome to the forum. First, I am sorry to hear of your diagnosis but I am very happy that you secured this diagnosis now (rather than later) so that you can get on to optimal medical therapy. Second, how close to normal your EF will get is hard to know. I do suspect that it will get much better with meds but difficult to predict. How...
Mar 08, 2014 in the Pulmonary Hypertension Expert Forum - 2
Hello and welcome to the forum. I'm not sure if the symbicort will directly raise your PA pressures. However, anything that causes high blood pressure will have the potential to raise PA pressures a bit (this is because the elevated pressures on the left side can be transmitted back to the lungs). Bottom line, I agree with your doc to treat your hig...