I JUST HAS 6 BYPASSES 2 MONTHS AGO AND MY DOCTOR IS RECOMMENDING AN IMPLANTED DEFIBULATOR. HOW COMMON IS THIS? I ALSO AM STILL CONSIDERED IN HEART FAILURE WITH 35% FLOW. CAN THIS BE INCREASED? HOW COMMON IS INSOMNIA AFTER BYPASS SURGERY
It is often said that an implantable cardiodefibrillator (ICD) is like having a rescue squad inside your chest. As demonstrated in clinical studies (patients meeting the current criteria), in some cases, those with a low (moderate) or very low (severe) left ventricular ejection fraction (LVEF), an ICD can improve the outcome (especially if the heart's electrical system goes haywire).
Some individuals who have a low (moderate) or a really low (severe) LVEF feel fine and function well, while others do not. It is important to know/keep track of the LVEF, the single-most important clinical indicator of heart function, how well the heart is pumping.
**To get a decent estimate of LVEF, a MUGA scan is reported as being the most accurate of the non-invasive imaging.
Pertinent excerpt from an about.com article by Richard N. Fogoros, M.D.
When is the MUGA scan more useful than other heart tests?
The advantages of the MUGA scan over other techniques (such as the echocardiogram) for measuring the LVEF are twofold. First, the MUGA ejection fraction is highly accurate, probably more accurate than that obtained by any other technique. Second, The MUGA ejection fraction is highly reproducible. That is, if the LVEF measurement is repeated several times, nearly the same answer is always obtained. (With other tests, variations in the measured LVEF are much greater.)
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.
Heart Surgery Recovery - Tips to Help You Sleep
Many people complain of having trouble sleeping for some time after heart surgery. You may experience insomnia (an inability to sleep) because of:
Most important, coronary artery bypass graft (CABG) surgery is only a clever way of temporarily circumventing the problem (atherosclerosis), as it doesn't treat the disease process and what drives the progression.
Best of luck down the road of life.
WebMD member (since 8/99)
Good to know, for the primary/secondary prevention of heart attack/brain attack
Epidemiologic studies have revealed risk factors (encompasses some new, novel or emerging) for atherosclerosis, which includes age, gender, genetics (gene deletion, malfunction or mutation) , diabetes (the highest risk factor), smoking (includes second/thirdhand), inactivity, obesity (a global epidemic, "globesity"), hypertension, low HDL (now questionable, according to recent studies) high LDL, small, dense LDL, RLP (remnant lipoprotein), high Lp(a), high ApoB, high Lp-PLA2, high triglycerides, HDL2b, high homocysteine (now questionable), and high C-reactive protein (CRP/hs-CRP).
"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!"
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