Carvedilol in heart failure
Common Questions and Answers about Carvedilol in heart failure
coreg
There are a few beta blockers with evidence in heart failure -- they are carvedilol, metoprolol XL, and bisoprolol (not really used in the US). Atenolol does not have any data to support its use in heart failure, so I would recommend a different agent (one of the above). Which one to choose depends on your blood pressure and ability to take twice daily dosing vs once daily.
Chlorthalidone is a perfectly fine diuretic, if you have blood pressure room to tolerate it.
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.
Recently, my PC Dr put a holter monitor on me, and the results was not very good. . .so, they put in a stent, a defibrillator and pace maker (august 13,2010.) They have put me on
some new meds (right now I am taking Lisinopril, Carvedilol(Coreg), Lipitor, Lasix(as needed) and asprin, Oh yes, Plavix.
The angagram (sp) Indicated I have one artery totaly shut off. They also said my Enjection Fraction was 30.
Since I have been back home I have felt terrible, most of the time.
You have been given wonderful advice, in my opinion.
I had my first heart attack at age 60 and received my first stents in the RCA. Like you, I started exercising and could walk a mile in military time and lost enough weight that my BMI is normal, and my cholesterol level was almost identical to yours.
The doc allowed me to cut the 20mg tablet in half until our next apt at which time he prescribed Carvedilol 25 mg twice a day. Anyone have any insight as to why he might have done that? Particularly since the 10mg Bystolic tablets seemed to be the “sweet spot” in terms of tolerability. And the Bystolic worked very well for my BP. I am a 41 year old male.
Hello Scott,
Congestive heart failure causes decreased blood flow to various parts of the body. In your mother's case it is probably accompanied by some amount of anemia, because of the blood loss during surgery or due to her chronic disease. These are the most possible causes of her palpitations (pounding in the chest), low energy and irritability. Hypoglycemia is also a cause, so she can probably be fed small frequent meals.
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.
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.
They took EKG, X-rays, MRI of the brain and did blood work. Doctors in emergency could not find any problem with my heart and gave me one dose of antianxiety medicine and sent me home. Also advised me to see your cardiologist.
Cardiologist prescribed me carvidilol (6.25mg), Lisinopril (5mg) and Pravastatin. My blood pressure was never more than 140/80 before taking the carvidilol once a day and lisonopril once in a day. I am 71 year old and thought 140/80 is normal for my age.
im currently seeing a different heart doc who changed my bumetinine to spironolactone my ef went to 20% in sep 2015 heart failure under control left ventricle has shrunk a little does anyone know anything about losartan if heard it was good at shrinking left ventricle faster than most other meds any info would be very appreciated thank you
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.
5 of HCTZ. However, after a week of feeling exhausted, having a resting heart rate consistently in the low 50s, and not much higher otherwise, I complained during my follow up. My cardio gave me some samples of 10 mg coreg to take once a day and a prescription to fill if the side effects from the metoprolol do not get any better. The side effects from the metoprolol have gotten a little better, though as I type this my heart rate is 52 bpm.
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???
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).
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?
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.
Carvedilol will lower blood pressure... if your Dad continues to respond to the dosage by fainting you should consult your doctor about lowering the dose...a slightly higher blood pressure is far better than falling and fracturing a hip.
Just for your information you can get the facts from the NIH web site on Carvedilol----- a direct quote from their web page is below.
"Carvedilol is in a class of medications called beta-blockers.
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.
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%).
You were true about Carvedilol,since this medication shows inotropic effects (directly acts on smooth muscle) which may decrease its potential to worsen symptoms of heart failure.It is used as main stay drug in management of CHF in selective cases or as an adjunct to conventional treatments (ACE inhibitors and diuretics).It is a both Beta1&2 and Alpha 1 blocker.
44 years old, male. Recently diagnosed with idipoathic cardiomyopathy with an LVEF of 10%. My hospital discharge paperwork indicated severe hypokinesis, non-ischemic and severe heart failure. I feel okay with the fluid gone but can't exert myself. Daily, I'm taking 50mg Carvedilol, 40mg Lasix, 10mg Lisinopril, .25mg Digoxin and 5mg Coumadin. My heart is enlarged. I'm trying to get an idea what my LVEF will be at my 3 month echocardiogram.
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