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DR.EHTISHAM
DR.EHTISHAM, Doctor
Category: Cardiology
Satisfied Customers: 2207
Experience:  MBBS, FCPS
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I am concerned about Heart Failure (due to excess alcohol

Customer Question

I am concerned about Heart Failure (due to excess alcohol and cocaine in my past) and the main symptom is a feeling of tight neck veins (made worse by a glass of wine and anxiety). I also think my neck veins maybe more distended (although perhaps I am imagining this!). I have attached 2 photos. I also had some breathlessness after a heavy weekend, but this has generally improved.I have had 2 x ECG (both OK) and I had my NTPro BNP tested and it is 54 ng/L. The normal range is <400 ng/L.However, I am taking propanalol (2 x 10mg a day) and I have read that this can reduce the BNP. By how much could this reduce my BNP? I am wondering whether I need to refrain from the propanalol and have my BNP retested?Also, my C Reactive Protein is 0.3 mg/L (normal 0.0 - 5.0).
My HDL is high at 2.1 mmol/LAny feedback would be appreciated. Do you think I need to do any further follow up investigations (echo, etc)?Thank you very much
Submitted: 4 months ago.
Category: Cardiology
Expert:  DR.EHTISHAM replied 4 months ago.

Hello! My name is***** to JustAnswer. I'm reviewing your question now, and will post back with your reply momentarily.

Expert:  DR.EHTISHAM replied 4 months ago.

Thanks for asking

Considering the symptoms you have specially breathlessness I would not mind doing further investigations like an echo. I could not find any abnormal vein on your attached picture. Treatment of heart failure can lower the BNP level so it can be a possibility but in your case the levels are very low so I will not worry. So you should have an echo for further evaluation

Good luck

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Expert:  DR.EHTISHAM replied 4 months ago.

Do you have anything else to ask ?

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