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After Open Heart Bypass Surgery
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aMeche posted:
My dad, 59 years, went into the hospital this week with two types of heart failure and lungs filled with fluid. They put a ballon in and put him on a breathing machine 4 days later and told us how much the veins were blocked and that his heart was only working at 20%. They did the bypass surgery replacing 5 veins but last night while still heavily medicated in the heart ICU he ripped out his breathing tube, they removed his ballon but he is still wheezing, very labored breathing, and his heart isn't any stronger. The fluid in his lungs is still there because the medicine he needs to take to help him pee it out drops his potassium levels way to much, so they have to take him on and off that drug. Is this to be expected? I am really worried since he got worse since we brought him in and after this dangerous surgery he still doesn't seem to be getting better/stronger. Any advice, tips, questions I should ask would really be appreciated.

Thanks in advanced, Alisa
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compoundia responded:
After reading this my eyes got wet. I think there is something missing in your dad's treatment. I would like to suggest you that you should consult with other famous doctor also. I think this will help your dad to recover soon.Take care of your dad.

Compoundia Pharmacy

http://www.compundiapharmacy.com/
 
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cardiostarusa1 responded:
Hi Alisa:

"The fluid in his lungs is still there because the medicine he needs to take to help him pee it out drops his potassium levels way to much, so they have to take him on and off that drug."

As applicable to the patient, there is potassium-sparing diuretics, which includes Amiloride, Eplerenone (Inspra), Spironolactone (Aldactone), Triamterene (Dyrenium).

Far better yet, some hospitals and medical centers have equipment that is specifically designed to remove (at a controlled and predictable rate, safer than using powerful and dangerous drugs) excess fluid from those who have fluid overload due to congestive heart failure (CHF).

As applicable, aquapheresis, a device-based therapy, is intended to remove extra salt and water from the blood and body, using a simple filtration technique.

Aquapheresis Therapy: A Better Way to Treat Fluid Overload

http://aquadex.gambro.com/en/aquadex/


......"his heart was only working at 20%."

The percentage factor

Understanding Your Ejection Fraction

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


**To get a decent estimate of LVEF, a MUGA scan is reported as being the most accurate of the non-invasive methods.

Pertinent excerpt from an article on About.com 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.)

. .

Post-surgery, during healing and recovery at home, as applicable to the patient, 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.

J
ust 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.

.

WebMD

Cardiac Rehab

http://www.webmd.com/heart-disease/tc/cardiac-rehabilitation-topic-overview

.

Best of luck to your dad down the road of life.

Take care,

CardioStar*

WebMD member (since 8/99)



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Be well-informed

Living with Coronary artery disease (CAD)

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


-

WebMD/Cleveland Clinic

Living with Heart Failure

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


Heart Failure Society of America

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


LEARN ABOUT the Heart



WebMD

The Heart: (Human Anatomy) Pictures, Definition, Location in the Body and Heart Problems

http://www.webmd.com/heart/picture-of-the-heart



How the Heart Pumps

Animated Tutorial

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


.

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