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Medical Forum / General / Cardiology / March 2005

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Possible to Differentiate between CHF and Airway Obstruction....Andrew?.

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Ann Speakman - 31 Mar 2005 20:01 GMT
I am about to change Cardiologists. I am now going to go to a Cardio.
who treats my husband, and I am very impressed with him. he is so
popular, I cannot get to see him until May!

I do have CHD..have two stents in different arteries and my right artery
is 60% occluded. Additionally, I have an artificial valve  (mitral)

Since late October, I have had breathlessness which seems to occur for
no real reason..without much exercise. I was given an angiogram and was
told about my right artery being 60%narrowed , which the Cardio. decided
to manage medically.

He then sent me to a physician who said I had some airway
obstruction...FEV1/FVC 1.54/1.79 with peak flow of 330 litres per
minute. Does anyone know what this means?

He gave me a Symbicort inhaler...this has not improved the
breathlessness at all.

The cardio. got his colleague who specialises in arrhythmia to see me as
I have some ectopic heart rhythm. He read my notes and decided to give
me Bisoprolol 2.5, one every morning.

I take Warfarin, Losartan 50 mg for BP.

My question is really just this:

Is it possible to be able (with tests) to say if my breathlessness is
definitely heart related, or whether it is the airway obstruction, which
is minor.

I would really like to know and get the appropriate treatment, as the
problem is affecting my life.

Grateful for any advice.
Andrew B. Chung, MD/PhD - 31 Mar 2005 21:39 GMT
> I am about to change Cardiologists. I am now going to go to a Cardio.
> who treats my husband, and I am very impressed with him. he is so
[quoted text clipped - 11 lines]
> obstruction...FEV1/FVC 1.54/1.79 with peak flow of 330 litres per
> minute. Does anyone know what this means?

Your airway disease is mild.

> He gave me a Symbicort inhaler...this has not improved the
> breathlessness at all.

Not a surprise.

> The cardio. got his colleague who specialises in arrhythmia to see me as
> I have some ectopic heart rhythm. He read my notes and decided to give
[quoted text clipped - 7 lines]
> definitely heart related, or whether it is the airway obstruction, which
> is minor.

The results from a stress test should help your cardiologist be more
definitive.

> I would really like to know and get the appropriate treatment, as the
> problem is affecting my life.

Understandably.

> Grateful for any advice.

You are welcome :-)

At His service,

Andrew

--
Andrew B. Chung, MD/PhD
Board-Certified Cardiologist

**
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