Carvedilol heart failure
Common Questions and Answers about Carvedilol heart failure
coreg
t have heart failure secondary to ischemic heart disease (ie blockages in the heart -- the normal stress test argues against this). The same is true for statins -- if your cholesterol is okay and you don't have evidence of coronary disease or other risk factors (diabetes, stroke, etc) then you don't need a statin.
Vasodilators are sometimes used on top of ACEI/ARB and beta blocker but aren't always indicated.
hi im 53 with acute cronic congestive heart failure. my echocardiogram showed dilated cardiomyopathy with ejection fraction of 10% and biatrial enlargement and elevated creatine after cardiac catherization the aortic pressure was 110/77 with a mean of 93 left ventricular pressure was 110/26 descending irregularity these were not flow limiting the left circumflex coronary artery had minimal irregularities and relatively disease free and a nondominant vessel.
I quit taking carvedilol and my statin as I thought I had my heart problems knocked, and soon afterwards, even though my cholesterol, diabetes and weight was normal, I had to have six more stents, a pacemaker, and eventually bypass surgery. Today at age 72 I'm back taking the drugs, but I also have Congestive Heart Failure, and believe me, taking carvedilol and Plavix was much easier. I have to sleep in a chair because my lungs fill with water.
That said, carvedilol lowers blood pressure, sometimes to an extreme. Were you taking carvedilol when your heart rate went to 150? After being off carvedilol, what is your blood pressure, and did your heart rate change after being off the drug?
I'd ask your doctor if you should have a nuclear stress test to look for a blockage in your heart arteries, and/or a heart echo to look at valves, etc.
A related discussion, <a href='/posts/show/738624'>Improving EF</a> was started.
s) depending on the case as well as a strict heart failure diet (very low sodium and limited fluids) can keep you without symptoms for a long time. However, some cases do need more aggressive treatments if these measures fail, including ventricular devices or heart transplants. The best medical advice I can give you is to continue very close followup with your physician and monitor you diet and weight at home. These measures will be the most helpful in terms of helping your prognosis.
hi im 53 with acute cronic congestive heart failure. my echocardiogram showed dilated cardiomyopathy with ejection fraction of 10% and biatrial enlargement and elevated creatine after cardiac catherization the aortic pressure was 110/77 with a mean of 93 left ventricular pressure was 110/26 descending irregularity these were not flow limiting the left circumflex coronary artery had minimal irregularities and relatively disease free and a nondominant vessel.
25 mg of Lisinopril is indeed a high dose. I have Congestive Heart Failure, and take both Lisinopril and Coreg, but smaller doses because it tires me out so badly. Like Occupant, I was developing very low blood pressure which makes one very tired, my bp would drop to about 80/45. You might want to talk to the doctor about easing off the dose. That said, I'm not a health professional, so take my idea with a grain of salt.
Hi, carvedilol is a beta blocker and is indicated for the treatment of mild-to-severe chronic heart failure. Lisinopril is angiotensin converting enzyme (ACE) inhibitor, used to treat hypertension and heart failure, So, check with your doctor why the medications have been prescribed, it may not be for hypertension alone.
The side effects from the metoprolol have gotten a little better, though as I type this my heart rate is 52 bpm. Does any one have any comments on the pros and cons of carvedilol versus metoprolol? I'm not sure I want to switch if the side effects will be the same. Does anyone have experience with metoprolol? How long do the side effects last?
After spending 8 days in the hospital getting my heart back into sinus rhythm (3 cardioversions + Tikosyn) I am back to Afib (off the Tikosyn) and have a 'normal' heart rate of 100 now. I presently take Lisinopril, Digoxin, Warfarin, and Carvedilol. Is 'my present condition' truly something that should not cause concern to me. Isn't being in constant AFib causing my chances of a stroke to rise considerably???
I understand carvedilol helps prevent stiffening of the heart muscle and can help restore LV function to some degree. How specially, so it do this? What is the biochemical mechanism?
I believe you are referring to carvedilol (coreg). That is a beta blocker that helps control an irregular heart rate and helps reduce any resistance the heart has to pump against by relaxing the blood vessels. About 6 years ago, I had a low EF and and enlarged heart (left ventricle). The enlargement was due to high blood pressure and the enlargement reduced the EF to below 29% (heart failure range < 30%).
d (1998) with CHF and left ventricle hypertrophy (enlargement) your EF should have been less than 30%, not 60%, to be consistant with signs and symptoms of congested heart failure. This would be true as heart failure congestion is caused by the inability of the heart to pump with some equilbrium for the blood received from the lungs and this would cause blood to backup into the lungs and fluids would/will leak into the tissues causing congestion (pulmonary edema).
An enlarged heart is almost always secondary to heart failure, but it can be primary and cause heart failure and a low EF. Also, an enlarged heart, left ventricle, can cause arrhythmia, and the EKG indicates an incomplete BBB. An ICD is recommended and advisable.
You may want to ask the underlying cause for the heart enlargement. Sometimes the enlargement can be reversed and the EF can rise to normal if there is no heart muscle damage.
My dad was recently diagnosed with CHF and was given Carvedilol. He is taking 12.5 mg twice a day. His blood pressure is well controlled now that he is on the pill, but there have been 3 times when his blood pressure drops way too low and he feels like fainting. Is that normal?How long does it usually take to get used to the drug?
At the end of the day, if you are truly not having any symptoms and if you have not been on the key heart failure medications at optimal doses for at least 3 months (maybe even 6), then it would not be unreasonable to wait a little bit longer and re-assess your EF again. However, if you have symptoms and/or you have been on the meds for a while, you probably should get the ICD sooner rather than later.
You might ask your Cardiologist to put you on 3.175mg carvedilol twice a day instead of 6.25 twice a day if this is your first experience with it. It is a powerful drug. I started with the 3.175 dose X 2, and it gave me a lot of symptoms such as exhaustion and I do recall a lazy peristalsis (swallowing) issue, but my body got used to it, and he doubled it, then doubled it again.
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