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Medical Forum / Diseases and Disorders / Asthma / March 2006

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Need info:Congestive Heart Failure

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brad.lr@verizon.net - 25 Mar 2006 17:05 GMT
My 78 year old aunt has been recently diagnsed with Congestive heat
failure. She has emphysema and has been on fullltime oxygen for about 5
years. What is the general prognosis for someone her age and condition?
And what are some of the treatments that are available?
So if you have any information regarding this condition, please feel
free to post.

Thanks
Jason - 25 Mar 2006 22:17 GMT
> My 78 year old aunt has been recently diagnsed with Congestive heat
> failure. She has emphysema and has been on fullltime oxygen for about 5
[quoted text clipped - 4 lines]
>
> Thanks

The general prognosis for such a person is death. Your aunt is getting the
best care that she can get. The only treatment option that could help your
aunt would be a heart transplant. However, based upon what I have
read--it's difficult to get a heart transplant since there are not very
many of them available. In addition, the age of your aunt would probably
keep her from ever getting a new heart. I wish that I had better news for
you. I am not a doctor. You might want to do a google search for
congestive heart failure. You may also want to visit a large bookstore and
ask the person at the counter if they have any books for sale related to
heart disease.
Jason

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brad.lr@verizon.net - 27 Mar 2006 17:30 GMT
The general prognosis for such a person is death
-----------------------------------------------------------------------
Unfortunately, you are right. I have been doing some research on the
net. And she is exhibiting class C symptoms, such as fatigue and edema.
They also perscribing diuretics and ace inhibitors. She is also ging in
for treatment twice a week.  She should quit smoking and stop her
nightly drinking. But from what I read, the prognosis is very poor. The
postive side, she always acts like she is ok and in good spirits.

How she got to this point is obvious. She smoked all of her life, and
to this point she still hasn`t quit. After she was put on oxygen,we
always advised them to move from Denver to a lower altitude, but she
and her husband wouldn`t.  So her condition got progressively worse
until she was maxed out the oxygen levels. The main thing now is to
keep her happy.

But from what I have learned out of all this--just don`t smoke!
Jason - 27 Mar 2006 18:20 GMT
> The general prognosis for such a person is death
> -----------------------------------------------------------------------
[quoted text clipped - 13 lines]
>
> But from what I have learned out of all this--just don`t smoke!

Yes--I knew that I was right but I did not show compassion.
I have done research on various types of heart disease since
I have high blood pressure and edema. Congestive Heart failure
is one of the most serious types of heart disease and usually
leads to death--esp. in elderly people. I agree that smoking
caused the disease. Sarah's father refuses to quit smoking and
he is having breathing problems. He refuses to quit. We no longer
hassle him about it. He knows that the smoking is contributing
to the breathing problem. I know what you are going through.
My prayers are with you and your aunt.
Jason

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00doc - 29 Mar 2006 02:29 GMT
> Yes--I knew that I was right but I did not show compassion.
> I have done research on various types of heart disease since
> I have high blood pressure and edema. Congestive Heart failure
> is one of the most serious types of heart disease and usually
> leads to death--esp. in elderly people.

It can be very mild and many people live for many years after receiving a
diagnosis of CHF, sometimes decades. If a person has mild CHF and severe
lung disease then I would say there is a good chance that the lung disease
will be the more pressing issue and the CHF just a side-bar.

As it turns out it sounds like the CHF is significant and that is not a good
combination with the lung disease so you probably were right, especially if
she is still smoking.

> I agree that smoking
> caused the disease. Sarah's father refuses to quit smoking and
> he is having breathing problems. He refuses to quit. We no longer
> hassle him about it. He knows that the smoking is contributing
> to the breathing problem. I know what you are going through.
> My prayers are with you and your aunt.

I agree. I would chose severe pain over severe shortness of breath.

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00doc

Jason - 30 Mar 2006 00:09 GMT
> > Yes--I knew that I was right but I did not show compassion.
> > I have done research on various types of heart disease since
[quoted text clipped - 19 lines]
>
> I agree. I would chose severe pain over severe shortness of breath.

doc,
Thanks for your excellent post. My only error was that I did not show
any compassion and you did show compassion. It must be difficult telling
patients that they will die as a result of their disease. Have you ever
had to do that?
Thanks for the kind words.
Jason

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00doc - 26 Mar 2006 03:34 GMT
> My 78 year old aunt has been recently diagnsed with Congestive heat
> failure. She has emphysema and has been on fullltime oxygen for about 5
> years. What is the general prognosis for someone her age and condition?
> And what are some of the treatments that are available?
> So if you have any information regarding this condition, please feel
> free to post.

Jason is being a bit dire.

CHF can range in severity from minimal symptoms to being completely
disabling. It also has several causes. The prognosis depends on the type,
severity, causes, and her other problems. There are good medical treatments
(mostly oral medications) but for her I suspect that the best treatment for
her heart will be to optimize her lung function.

You might find a better discussion of this on sci.med.cardiology but you
really should be prepared to give more details to get more informative
answers.

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00doc

Jason - 26 Mar 2006 21:02 GMT
> > My 78 year old aunt has been recently diagnsed with Congestive heat
> > failure. She has emphysema and has been on fullltime oxygen for about 5
[quoted text clipped - 14 lines]
> really should be prepared to give more details to get more informative
> answers.

doc,
excellent post---far superior to my post.
You showed compassion---I failed to do so.
Keep up the great work.
Jason

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00doc - 27 Mar 2006 14:13 GMT
> doc,
> excellent post---far superior to my post.

No problem.
 
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