 |
 | Home | Contact Us | FAQ | Search & Site Map | Link to Us |
 | Sign In | Join | Other 45 Sites in Network |
Medical Forum / General / Cardiology / March 2008Question on CHF and Exercise
My Dad has CHF caused by mitral, tricuspid, and pulmonary regurgitation. LVEF is 35%. Is it possible for regular exercise (aerobic as in treadmill) to improve that LVEF? Larry E. > My Dad has CHF caused by mitral, tricuspid, and pulmonary regurgitation. > LVEF is 35%. Is it possible for regular exercise (aerobic as in > treadmill) to improve that LVEF? Regular exercise has not been shown in RCTs to improve LVEF in folks with cardiomyopathy as a consequence of valvular heart disease. It is likely the problems with the pulmonic and tricuspid valves are secondary to the mitral regurgitation so that if the mitral valve were either repaired or replaced that your dad would no longer have the TR and PI. However, LVEF is typically less after such corrective surgery so that many would regard your dad's condition as end-stage. Would suggest you have your dad ask his cardiologist about referring him for EECP if there are no contraindications in order to possibly normalize his LVEF so that he would possibly be a candidate for MV surgery. Be hungry... be healthy... be hungrier... be blessed: http://TheWellnessFoundation.com/BeHealthy Prayerfully in the infinite power and might of the Holy Spirit, Andrew <>< -- Andrew B. Chung, MD/PhD Lawful steward of http://EmoryCardiology.com Swordbearer for the KING of kings and LORD of lords. http://HeartMDPhD.com/Sword >>My Dad has CHF caused by mitral, tricuspid, and pulmonary regurgitation. >>LVEF is 35%. Is it possible for regular exercise (aerobic as in [quoted text clipped - 26 lines] > Swordbearer for the KING of kings and LORD of lords. > http://HeartMDPhD.com/Sword His cardiologist seems to indicate that they don't do valve repair/replacement for tricuspid or mitral valve regurgitation. I don't understand this, unless he feels that he would be a poor risk at 86 y/o with 35% LVEF. I have never heard of EECP but will do some research and see if it makes sense to bring that up. I guess the bottom line question is ... what is his life expectancy being treated with drugs for the CHF vs. the risk of valve replacement surgery and how long that would prolong his life. Thanks again for your help. Larry E. > Andrew, in the Holy Spirit, boldly wrote: > > [quoted text clipped - 18 lines] > His cardiologist seems to indicate that they don't do valve > repair/replacement for tricuspid or mitral valve regurgitation. That would be correct for the tricuspid valve but not correct for the mitral valve. > I don't > understand this, unless he feels that he would be a poor risk at 86 y/o > with 35% LVEF. Both the age and the diminished LVEF increase the risk of poor outcomes. > I have never heard of EECP but will do some research and > see if it makes sense to bring that up. I guess the bottom line question > is ... what is his life expectancy being treated with drugs for the CHF > vs. the risk of valve replacement surgery and how long that would > prolong his life. With a current LVEF of 35%, mitral valve surgery will likely shorten rather than extend life especially for elderly folks (age > 80 years). > Thanks again for your help. Laus Deo http://HeartMDPhD.com/LausDeo Be hungry... be healthy... be hungrier... be blessed: http://TheWellnessFoundation.com/BeHealthy Prayerfully in the infinite power and might of the Holy Spirit, Andrew <>< -- Andrew B. Chung, MD/PhD Lawful steward of http://EmoryCardiology.com Swordbearer for the KING of kings and LORD of lords. http://HeartMDPhD.com/Sword > Larry E. >>Andrew, in the Holy Spirit, boldly wrote: >> [quoted text clipped - 40 lines] > >>Thanks again for your help. His latest echo indicates left ventricle normal in size, left atrium mildly enlarged, right atrium moderately enlarged, right ventricle moderately enlarged with RVSP 36.4mm. This change anything? Larry E. > Andrew, in the Holy Spirit, boldly wrote: > >>Andrew, in the Holy Spirit, boldly wrote: [quoted text clipped - 47 lines] > > This change anything? It allows me to predict that your dad's heart rate tends to be high (>90) and that he tends to be short of breath at night especially when lying flat and also when exerting himself. Be hungry... be healthy... be hungrier... be blessed: http://TheWellnessFoundation.com/BeHealthy Prayerfully in the infinite power and might of the Holy Spirit, Andrew <>< -- Andrew B. Chung, MD/PhD Lawful steward of http://EmoryCardiology.com Swordbearer for the KING of kings and LORD of lords. http://HeartMDPhD.com/Sword >>Andrew, in the Holy Spirit, boldly wrote: >> [quoted text clipped - 65 lines] > Swordbearer for the KING of kings and LORD of lords. > http://HeartMDPhD.com/Sword Hmmmm. Heart rate is right around 65 and steady (although he's got a pacemaker for Atrial Fib and is on Tenormin). I know that because he just had hernia surgery and I watched the monitor pretty closely. Short of breath? Has some of that ... but not serious yet ... certainly not when lying flat. Perhaps cause of the med. Thanks. Larry E. > Andrew, in the Holy Spirit, boldly wrote: > >>Andrew, in the Holy Spirit, boldly wrote: [quoted text clipped - 55 lines] > Hmmmm. Heart rate is right around 65 and steady (although he's got a > pacemaker for Atrial Fib and is on Tenormin). That would likely be the rate set on his pacemaker. > I know that because he > just had hernia surgery and I watched the monitor pretty closely. Short > of breath? Has some of that ... but not serious yet ... certainly not > when lying flat. Perhaps cause of the med. Medical therapy can be efficacious. > Thanks. Laus Deo: http://HeartMDPhD.com/LausDeo Be hungry... be healthy... be hungrier... be blessed: http://TheWellnessFoundation.com/BeHealthy Prayerfully in the infinite power and might of the Holy Spirit, Andrew <>< -- Andrew B. Chung, MD/PhD Lawful steward of http://EmoryCardiology.com Swordbearer for the KING of kings and LORD of lords. http://HeartMDPhD.com/Sword |
Reply to this Message |
 Sign In
 Join
 My Latest Posts My Monitored Threads My Blog My Photo Gallery My Profile My Homepage Start New Thread Enable EMail Alerts Rate this Thread
|
©2008 Advenet LLC Privacy Policy - Terms of Use
This website includes both content owned or controlled by Advenet as well as content owned or controlled by third parties.