Skip to content
My WebMD Sign In, Sign Up
Congestive heart failure former meth user and adderall user
avatar
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
Reply
 
avatar
cardiostarusa1 responded:
Hi:

"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,

CardioStar*

WebMD member (since 8/99)




-

-

Be well-informed

Cleveland Clinic

Understanding Your Ejection Fraction

http://my.clevelandclinic.org/heart/disorders/heartfailure/ejectionfraction.aspx

WebMD/Cleveland Clinic

Heart Failure: Living with Heart Failure

http://www.webmd.com/heart-disease/heart-failure/living-with-heart-failure

American Heart Association - Learn and Live

Forum: Heart Failure

http://myportal.americanheart.org/jiveforum/forum.jspa?forumID=16


Heart failure, congestive heart failure patients information


http://www.chfpatients.com

Heart Failure Society of America (HFSA)

Heart Failure Stages

(Class I-IV)

http://www.abouthf.org/questions_stages.htm

Heart Failure Center

Stages of Heart Failure

http://www.heartfailurecenter.com/hfcheartfailurestages.shtm

Classifications of Heart Failure

http://www.heartfailurecenter.com/hfcheartfailureclassifications.shtm

.

WebMD/WebMD Health Exchanges does not provide medical advice, diagnosis or treatment.



WebMD does not endorse any specific product, service, or treatment.


Featuring Experts

James Beckerman, MD, FACC, is a cardiologist at the Providence St. Vincent Heart Clinic in Portland, OR. He graduated summa cum laude from Harvard Col...More

Helpful Tips

Coffee Can Lower Depression Risk in WomenGuest Expert
http://online.wsj.com/article/SB10001424052970204010604576594853506227020.html More
Was this Helpful?
1 of 1 found this helpful

Expert Blog

The Heart Beat - James Beckerman, MD, FACC

Dr. James Beckerman shares how small, livable lifestyle changes can have a real impact on your risk of heart attack and stroke...Read More

Related Drug Reviews

  • Drug Name User Reviews

Report Problems to the
Food and Drug Administration

FDAYou are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.

For more information, visit the Duke Health General and Consultative Heart Care Center