Cardiology Questions Answered by Verified Cardiologists.
This is not a universal trait of all Cardiologists.
What happened in your situation?
I assume that you reported symptoms indicating heart failure on the report to the tech and the discussion with the nurse, and if similar symptoms were relayed to the Cardiologist, then there should have been a similar determination.
You do not say why you were prescribed Bumex, but this is one of the medicines that are frequently used for heart failure. If so, then the doctor also should have explained the diagnosis at the time that the Bumex was prescribed.
As I said above, poor communication a lack of explanation is not a universal trait among Cardiologists. Since this is important to you, it would be appropriate to consider seeing a different Cardiologist.
Shortness of breath with exertion is a common symptom of heart failure. There are other possible causes, such as chronic lung disease, but since there is other evidence of heart failure, it is vastly most likely that the heart failure is causing your shortness of breath with exertion.
In someone with shortness of breath with exertion from heart failure, it is not wise to push it when shortness of breath develops. You are correct to stop the exertion until the shortness of breath eases. It also would be correct to discuss with your doctor about intensifying treatment for the heart failure so that the shortness of breath does not occur, or at least will only occur at greater amounts of exertion.
The specific treatment will be oriented towards the findings on the echocardiogram, but will frequently include ACE inhibitors or angiotensin receptor blockers, beta blockers, or long acting nitrates, in addition to the diuretics.
It varies. Sometimes it is a part of the heart muscle that is weak, such as from poor blood supply to the heart muscle or a heart attack, which is the most common cause of heart failure, and the remaining muscles work harder to compensate. Sometimes all of the muscle is diffusely weak. Sometimes there are anatomic conditions that affect the ability of the heart to pump blood, such as valve disease. Family history is a risk factor for certain of these conditions, and certainly for the problem with poor blood supply to the heart.
The issue with general anesthesia is more when the heart failure is not well controlled, because the anesthesia places extra stress on the heart and lungs.
Yes, a heart attack is a common cause of an LAFB, as well as an incomplete right bundle branch block. Yes, reducing stress can be helpful.
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