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Congestive heart failure former meth user and adderall user
An_193043 posted:
My dad is 57 years old a former 15 year meth user and began taking adderall reguarly in 2007. In 2005 he was diagnosed with congestive heart failure, a stint was put in and heart was pumping at 65%. November 2010 he went to the emergency room as he said he couldn't breathe, he was told he had pneumonia and heart was pumping at 25%. He was admitted to the hospital on 1/12 as he said he had 40lbs of excess water. He has not told the doctors he takes adderall (im sure he abuses with increasing the does) I can't get any information out of him, I'm not sure how serious it is and if hes in denial? IS THIS SERIOUS? HOW SERIOUS? I just want some ANSWERS
CardiostarUSA1 responded:

"I'm not sure how serious it is/ IS THIS SERIOUS? HOW SERIOUS?"

Congestive heart failure is always a serious matter.

Left ventricular ejection fraction (LVEF) is the single-most important clinical indicator of how well the heart is pumping out blood from the left ventricle (LV) with each beat. Normal resting range LVEF is 50%/55%-70%/75%. Under 50% enters into the realm of dysfunctional territory that goes from
mild to moderate to severe.

LVEF can vary from one type of diagnostic imaging modality to another, such as non-invasive echocardiogram, MUGA/ERNA, gated-SPECT with Cardiolite or Myoview, Cardiac PET, Cardiac MRI, and invasive angiogram (heart catheterization).

As applicable, some individuals who have a low (moderate) or a really low (severe) left ventricular ejection fraction (LVEF) feel fine and function well, while others do not.

As applicable, in some cases, along with a doctor recommended/authorized exercise regimen (unless contraindicated), LVEF can be increased, sometimes substantially, by customizing/tweaking prescription drug-therapy (e.g., Coreg, which showed, back in its clinical trial days, that 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 (though currently not scientifically proven, some doctors may advise the patient to give it a try) 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).

As reported, if/when the heart's LVEF improves substantially or even recovers, and appears to function near-normal or normally, other problems (unseen, e.g., at a cellular or molecular level) often exist, or possible problems may/can occur anytime down the road, putting one at increased risk

"He has not told the doctors he takes adderall (I'm sure he abuses with increasing the doses)"

Pertinent info excerpt from the Physicians Desktop Reference (PDR) -

What is the most important information I should know about Adderall?

The following have been reported with the use of Adderall and other stimulant medications: heart-related problems such as sudden death in patients who have heart problems or heart defects; stroke and heart attack in adults; and increased blood pressure and heart rate.

The very best of luck to your dad down the road of life.

Take care,


WebMD member (since 8/99)



Be well-informed

Cleveland Clinic

Understanding Your Ejection Fraction

WebMD/Cleveland Clinic

Heart Failure: Living with Heart Failure

American Heart Association - Learn and Live

Forum: Heart Failure

Heart failure, congestive heart failure patients information

Heart Failure Society of America (HFSA)

Heart Failure Stages

(Class I-IV)

Heart Failure Center

Stages of Heart Failure

Classifications of Heart Failure


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