Hi:
"I noticed today that she was not feeling well at all and her blood pressure and pulse were elevated from their normal levels - are these symptoms indicative of the heart disease worsening of are they indicative of a possible virus?"
Can't tell for sure via the Internet, which has serious limitations/restrictions. Only by having the appropriate diagnostic tests performed (and interpreted accordingly) can it be determined what is going on.
About heart failureLeft 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).
Best of luck to your mother-in-law down the road of life.
Take care,
CardioStar*
WebMD member (since 8/99)
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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 .
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