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Heart Disease 30% muscles working
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jessdavisva posted:
My dad is 63 and has heart disease. They recently did a MRI on the heart to check the status. They said that he now only has 30% of his heart muscles working; with the rest dead. He was dianosed several years ago and has been on experimental meds which increased his muscle from 18% to 45%. Now its dropped again and I'm scared. I dont think they can help the muscles that are dead now. He also has been smothering lately. He is on fluid pills but I've never heard him smother like this before. I'm scared. I'm 28 and I am very scaried to lose my father too soon. They are placing a defibulator in at the end of April. I am not sure if his heart can withstand the surgery, what do you think??? Has anyone heard of this circumstance or have similar probs with their heart muscles and heart disease. Any suggestions. Thank You
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CardiostarUSA1 responded:
Hi:

When doctors use a percentage as it pertains to the heart function/working, this typically refers to the left ventricular ejection fraction (LVEF), the amount of blood that is forced out of the left ventricle (LV) with each beat, the single-most important clinical indicator of how well the heart is pumping.

Normal resting range LVEF is 50%/55%-75%. Average clinically observed is reported as being in the low to mid 60s. Under 50% enters into the realm of left ventricular dysfunction territory, which goes from mild to moderate to severe heart failure.

LVEF can vary throughout the day, and typically (but not always, as it may/can decrease in individuals who are not heart-healthy and in some senior citizens) increases to a certain degree (about 5% give or take somewhat) during vigorous exercise (which may be contraindicated in some patients).

LVEF can vary from one type of diagnostic imaging test/modality to another, such as non-invasive echocardiogram, MUGA scan/ERNA, gated-SPECT scan with Cardiolite or Myoview, Cardiac PET, Cardiac MR/MRI, and invasive X-ray angiography.

As applicable, in some cases, along with a doctor recommended/authorized exercise regimen (unless contraindicated), LVEF can be increased, sometimes substantially, by customizing/tweaking investigational and/or prescription drug-therapy (e.g., Coreg, which showed, back in its clinical trial days, it could boost LVEF in some individuals) and supplemental (complimentary or integrative medicine) therapy, as deemed applicable.

Just one example of complimentary medicine is the use of the supplement Coenzyme Q10 (CoQ10 or ubiquinone, a vitamin-like substance) for heart failure, which may/can (i.e., along with doctor directed prescription drug-therapy, and with the doctor knowing about any supplements being taken) help to improve LVEF in some, with other supplements sometimes added to the mix such as L-carnitine (an amino acid-like compound that helps the body produce energy).

The very best of luck to your dad.

Take care

CardioStar*

Advocate for Heart Health

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Be well-informed

Your Total Health

Ejection fraction

yourtotalhealth.ivillage.com/ejection-fraction.html

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LEARN ABOUT the Heart

WebMD Health/The Cleveland Clinic

How the Healthy Heart Works

Arteries, Chambers, Valves

my.webmd.com/content/article/51/40654.htm

Your-doctor com

How the Heart Pumps

Animated

your-doctor.com/healthinfocenter/medical-conditions/cardiovascular/heartpump-tutorial.html

Good to Know - for the primary and secondary prevention of heart attack and brain attack

Epidemiologic studies have revealed risk factors for atherosclerosis (typically affects coronary, carotid, peripheral arteries), which includes age, gender, genetics (gene deletion, malfunction, mutation), diabetes, smoking (also secondhand), inactivity, obesity, hypertension, diet high in fat, saturated fat and cholesterol, high LDL, high Lp(a), high ApoB, high Lp-PLA2, high triglycerides, LOW HDL (less than 40 mg/dL, an HDL level of 60/65 mg/dL or more is considered protective against coronary artery disease), high homocysteine, and high C-reactive protein (CRP/hs-CRP).

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Health A To Z

Making the Most of Your Doctor Visits

https://www.healthatoz.com/healthatoz/Atoz/common/standard/transform.jsp?requestURI=/healthatoz/Atoz/hc/men/life/alert05132004.jsp

HealingWell

You and Your Doctor: It Takes Two to Tango

www.healingwell.com/library/health/article.asp?author=salvucci&id=5

Quote

"Be a questioning patient. Talk to your doctor and ask questions. Studies show that patients who ask the most questions, and are most assertive, get the best results. Be vigilant and speak up!"

- Charles Inlander, People's Medical Society

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WebMD/WebMD message boards does not provide medical advice, diagnosis, or treatment.
 
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jessdavisva responded:
Thank you for your time and info. I havent been to my dad's doctor appointments to see what is really going on and your insight has helped me. I spoke to my dad today and he accepts that he is not going to life forever but insists he is going to be fine. He says he is a "tough ol' bird" and I have to appreciate his optimistic outlook. I wish I could jump the fence from being pessimestic! I'm straddling the fence with all the info! I'm still scared to lose my dad too soon. I realize his heart muscle percentage is way low and sounds like he is in severe heart failure; or would you call it moderate? They are going to place a defribulator in the heart. Will theguarantee his heart to start back in the case of a heart attack? Do you think his weak heart can handle such a surgery to place it in his heart? Also I want to mention that my dad stays busy; he can't stand to sit still and likes to work odd jobs. Do you think this is damaging his heart faster????? He says when he gets out of breath that he rests. However is this a sign of damage to the heart when he gets short of breath?

Thanks again! Jessica sick on sadness
 
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CardiostarUSA1 responded:
You're welcome Jessica.

"Tough ol' bird"

That's what my father (battled coronary artery disease and peripheral artery disease patient for about a decade, his final LVEF was 15%-18%) would say.

"I realize his heart muscle percentage is way low and sounds like he is in severe heart failure; or would you call it moderate?"

30% is considered as moderate.

"They are going to place a defibrillator in the heart. Will this guarantee his heart to start back in the case of a heart attack?"

Unfortunately, there's no 100% iron-clad guarantee on that.

"Do you think his weak heart can handle such a surgery to place it in his heart?"

Hopefully yes.

"My dad stays busy; he can't stand to sit still and likes to work odd jobs. Do you think this is damaging his heart faster?????"

One would think that it shouldn't, though sometimes, as applicable, overdoing it/overextending oneself can prove deleterious (harmful).

"Is this a sign of damage to the heart when he gets short of breath?"

More often than not, yes.

Take good care

C-Star*

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Be well-informed

Cardiology Channel - Your Cardiology Community

CHF

www.cardiologychannel.com/chf/causes.shtml

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It is often said that an implantable cardiodefibrillator (ICD) is like having a rescue squad inside your chest. Also, as demonstrated in clinical studies, and as applicable, an ICD can improve the outcome (especially if the heart's electrical system goes haywire) in individuals with a low left ventricular ejection fraction.

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Your Total Health - NBC/iVillage

Implantable Defibrillator (ICD)

Patient education guide

Summary. About implantable defibrillators. Conditions treated. Function of the device. About ICD implantation. Potential risks. Longevity and replacement. Questions for your doctor.

yourtotalhealth.ivillage.com/implantable-defibrillator-icd.html

Heart Rhythm Society

Public & Patients

Common Questions About ICDs

Can an ICD Prevent a Heart Attack?

No! An ICD cannot prevent a heart attack......

How Can an ICD Help a Patient Who Has Suffered a Heart Attack?

The damage done by a heart attack, or MI, can affect the heart's electrical system and its ability to pump blood effectively. The damaged heart muscle that results from a heart attack may give rise to abnormal electrical signals that sometimes cause deadly heart rhythms, which the ICD detects and corrects.

www.hrspatients.org/patients/treatments/cardiac_defibrillators/common_questions.asp

The Zapper

Website for implantable cardiodefibrillator (ICD) recipients

www.zaplife.org

Implantable com

Website provides a focus for information related to the field of implantable pacing and defibrillation.

www.implantable.com

LifeBeat Online

An e-newsletter created to help people with cardiac devices and heart or blood vessel conditions live full, active lives.

www.lifebeatonline.com
 
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Gord72687 responded:
I had a massive heart attack in 2004. My EF was 10 to 15 when they implanted my ICD. The ICD as stated previously is to stop a heart when it goes out of rythym not to stop a heart attack. The ICD in my case is to prevent sudden death. My EF is now 20 to 25%. I am on a strong dosage of Coreg along with 9 other pills. I,too, am now 63 years of age. I do pretty good in the mornings but slow down in the PM.

Gordo jackroc4@yellvilleweb.com
 
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chrissy1950 responded:
My husband was told over half of his muscle was gone and it was inoperable. In 2000 he collapsed and I took him to the Heart Hospital here in our state via ambulance. A top surgeon operated and did 4 bypasses. He has bad lungs--smoker 40 years and asthma and COPD. Three days later they put a pacemacker-difibulator in. He is getting ready for his third one to be placed. When the battery wears out they have to replace it with a new one. They told him the machine is doing 99% now--his heart is barely functioning--but the machine will keep him alive as far as his heart--now his lungs are a different story. He is on oxygen most of the time and he also has diabetes. So--keep your chin up and let them put the machine in--they didn't think my husband would make it off the table--but God was in control and he made it. The machine was a blessing--it gave him more life to spend with me and his grandchildren. God Bless.
 
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jessdavisva responded:
Thank you CardioStar! Your answers and opinions have helped me a bunch on what is actually going on. It helps so much to talk to someone that knows generally what is going on! I'm trying to be prepared. Although no one ever can when your closer to losing a parent.

I think its ironic how your dad also was too a "Tough ol' Bird"! Knowing that- I felt warmth about a fathers love and showing toughness during a dangerous time.

I am confused after reading more about the Defibulator. I though its purpose was to shock my dads heart back if it stopped. But I read that for one it was to stop a persons heart after a irregular heartbeat. My dad's heartbeat is already irregular due to a hole in his heart. Are the placed in for different situations?

Again, I thank you! Jessica
 
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jessdavisva responded:
I am glad to hear that the ICD has helped you. I need all the positives I can find. Now my dads heart is out of rythem and has been since birth - he has a hole in his heart/murmur. I am not sure which medicines my dad is on. I really need to find out. He just keep it all private and under control. He doesn't want me and my sister to worry. Hah.. and we a true "worry worts". I am believed to be the strong one but I beg to differ.

Thank you for your reply on the subject! Jessica
 
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jessdavisva responded:
Chin up! Thats what I always tell people; I need to start taking my own advice and yours!

My dad's lungs are bad as well due to working several years in the underground mining industry. He is probably a candidate for Black Lung but hasn't tried to fight and get it. I dont know how much fluid he has in his lungs. I know he is on a fluid pill once every other day. That scares me too. I seen my uncle pass from fluid build up- so sad.

I am again pleased to hear more positives about the surgery and the difibulator. I can't help but worry that his heart will not be able to withstand the surgery. Do they have to stop the heart to place it in???? I may need a nerve pill on that answer. My dad mentioned this was a day surgery; was your husbands?

I believe in our amazing God and I know he will do whats in his plans. I pray with my whole heart that he allows my dad to live more years to come. So much I want to share with my dad. Maybe grandkids even someday!! Please pray for us Chrissy.

Thank you, Jessica
 
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marilyn42103 responded:
Hang in there, be strong for your Dad. In Oct. 2007 my Husband had a Heart Function of between 5 and 10 %, I nearly freaked out. He had previously had a heart attack , open heart surgery, and a pace maker implanted. When we were told this news they offered no guarantees but promised to do everything they could. He went to surgery and had his old pacemaker removed and a new one with a defiberlator implanted, he came thru the surgery great . They also placed him on a different medicene to help his heart regain some of it's function. He has since continued to improve. We go to the Nashville, Tn. VA Hospital and he had excellent care but we had to wait 4 weeks for him to get in and that was the hardest part. My Husband is 77 and is now remodeling our home with new hardwood floors. I lost my Dad in 2000, so I understand your fear and your love of a Father. I will be praying for both of you. Marilyn
 
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jessdavisva responded:
Thank you Marilyn. I am hearing from more and more postive outcomes. I pray that the Lord allows my dad to pull though and be well for us a while. My dad goes to a specialist im Kingsport TN. Its about 3 hours from our town however. Its sad that we are so far away from good medical care. I just can't explain how much your prayers mean to me. I truely believe though prayer God will bless. He has blessed in so manys already and I dont want to be greedy or selfish. I just love my father with all my might and want him around. I guess I feel there is so much more I need to talk to mydad about and so much more in life I want him to experience. Gosh, I could go on and on. Today he has a headcold and I'm afraid its turned into a sinus infection and he's not wanting to go see his regular doctor for that. He thinks he's going to get better!! Shew he's so stubborn. I'm doing mybest to explain that he really needs some antibiotics to clear up infection. Its funny for me, as I get older I feel as though I worry about my parents as if they are my children! O how the tables and time have turned!

Thanks again I appreciate everyones support during this stressful time Jessica
 
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thinggal57 responded:
Hai jessdavisva,

Im 51yrs, diagnosed as multiple vessel diesease,with 27% ejection fraction,which is similar to what your father is having.After the heart surgery EF went 35 and now it is 49-50. Im a medical Personal but retired. I do exercise,take regular medication, vegetarion diet, plus good vitamins suppliments such as LiveXtra wich has L-argenine an amino acid wich is converted in to Nitric oxide in the body , which improves heart and arterial function.Pls add also CoQ 10 which improves ailling muscles.You are wellcome to write to me at tsgkumar57@yahoo.com.Thank You.
 
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jessdavisva responded:
Thank you for your reply. It is encouraging! I want to get my dad on supplemnts. Im not sure which to start him on or if I can get him talked into such. I have heard of L-argenine and CoQ10. My mother actually takes CoQ10. I need to print out some facts on these supplements and encourage him to get them and of course talk to his doctor about them.,

Thanks! Jessica
 
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CardiostarUSA1 responded:
You're welcome Jessica.

I like to think that my father was a tough 'ol bird right up to the very end.

"Confused after reading more......"

The implantable cardiodefibrillator (ICD) is most important in correcting a life-threatening arrhythmia, before dreaded cardiac arrest (this happened to my father at home, literally right before my eyes) occurs.

C*
 
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CardiostarUSA1 responded:
Important Note:

Everyone should be careful in general when it comes to dietary supplements, such as L-arginine, which shouldn't be confused with L-carnitine (an amino acid-like compound that helps the body produce energy).

For those out there, as applicable -

WebMD article archives

Don't Take L-Arginine for Heart Attack - Study Stopped Early After Several Heart Attack Patients Died - 1/3/06

The dietary supplement L-arginine doesn't help, and may harm, heart attack patients.

The warning comes after six patients died in an NIH-sponsored study testing whether L-arginine can improve heart function after a heart attack. The study was terminated earlier than planned because of these disproportionate deaths.......

"These findings have broad public health implications given the increasing availability and use of L-arginine in patients WITH and WITHOUT established [heart> diseases."

www.webmd.com/heart-disease/news/20060103/dont-take-l-arginine-for-heart-attack

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Kudos to Jessica for saying "I need to print out some facts on these supplements/and of course talk to his doctor about them".

Take good care all.

C*


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