Coreg and heart failure
Common Questions and Answers about Coreg and heart failure
coreg
Dilated cardiomyopathy often is the result of an overworked heart. The medication (coreg and lisonpril) reduces the heart workload resulting in reverse remodeling of the heart and increased EF (ejection fraction of blood pumped with each heartbeat). Six years ago I had enlarged (remodeled) left ventricle and an EF 19-29% and hospitalized for heart failure...no symptoms until CHF...thought I was very healthy, and shocked to hear I had had a silent heart attack).
Even with a very good appetite and high calorie intake, some people with heart failure lose muscle mass. That can be explained as heart failure may cause blood to back up into the liver and intestines, and they may swell. Swelling of the intestines may not allow for adequate absorption of nutrients from the food you eat.
Its difficult to comment on your father's condition as there are so many abnormal affects associated with your father's health...
Just so you know, on the maximal amount of Coreg and Lisinopril that your heart rate and blood pressure can handle, the heart muscle can get stronger and we can see the EF improve!!! I think you may have 15 years left to your heart but you need to be very careful and take all of your medications (never stop plavix again with all of the stents you have) as prescribed and continue exercising at least 30 min 3-4x per week.
I was on coreg when I was in the hospital and was discharged. I was on coreg for 2 months and then my Cardiologist took me off it. He tried Lisinopril while I was in the hospital however the combo of HCTZ and Coreg and the Ace inhib was causing me to feel dizzy and ill. Now it has been 8 months after my hospitalization and they are trying Lisinopril again. I am up to 5mg and my BP is 90/60 , I feel a little off balance.
50 mg is very often prescribed for Cardiomyopathy and Conjestive Heart Failure. Often the dose is bumped up over a period of time. I was inititally prescribed 3.175 mg twice a day, and it made me very tired, but as my body got used to it, I started taking larger and then again larger dosages until I reached 50 mg. It's a very effective medication for many people, but some people just can't tolerated it.
It could be dangerous to stop the Coreg as the heart gets used to it. Stopping beta blockers could cause heart failure. You can talk it over with your doctor to make sure, but I am sure that he or she will wean you off slowing if that is what is decided. Coreg, in my opinion, is one of the best beta blockers.
She has done pretty well except for the fact it caused conjestive heart failure. last februray her heart defibulator started firing alot because of racing heart. At the same time her platelets dropped dramatically to 1700,white cells are up and her stool turned cream colored. She has had a bone marrow biopsy which was negative for cancer. We still dont have any answers.
m diabetic, and am tested frequently. I have stage 4 heart failure(CHF), stage 5 kidney failure, and am now on dialysis. Your brother might benefit from dialysis to help clear the fluid from his body. The bottom line is, he needs to follow his diet and take the medication he needs religously.
Your brother needs to be on a strict diet, including no sodium. He also needs to be anal about sticking to his diabetic diet as per his physician.
He has me dropping to 12.5 of the Coreg and 50mg of the Tenormin twice a day for 4 days and then 6.25 Coreg and 50 Tenormin twice a day for 4 days, and then only the Tenormin 50 to 75 twice a day depending on BP numbers.
Any one have any knowledge or thoughts about this?
BTW I trust my Cardiologist but am nervous anytime I have to change meds!
For a normal EF (55-75%) and lack thereof depends on the degree and location of heart muscle damage occurred from the '06 MI. Your sustained activities to me is an EF greater than the ESTIMATED 32% or your system has some super compensating factors. However, it is estimated 25% of the heart population has an EF below 29% (heart failure range) and don't realize they have a heart problem.
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.
I was at a 25% ejection fraction put on 3.125 Coreg 2x a day ( lowest dosage ) and my heart went back to 60% within 6 months. I was also on Lasix 40 mg. Some other things I have done a ton of research and I have found that there are a few vitamins that have shown great success. CO Q10, Vitamin D3 and Vitamin C there are a few others in the heart failure research that are suppose to work well for it too.
I went to see 2 surgeons , one is in favor of heart transplant and the other one says that she can agressively treat me with drugs. My EF is under 20, and the lung pressure what that means is 12 and it should be 15. the suregeon who wants to treat me with drugs only did visual physican examination and MVO2 test. The other surgeon did heart cath. On echo my ef is between 20% to 25 percent, on nuclear stress test my ef is 13%, I able to do all the day to day chores without any problem.
On Jan 19th she had a heart attack and went into congestive heart failure. They life flighted her to a bigger hospital. They did a angiogram finding no blockage. Which made them to believe she might of had a blood clot. She was on a respirator for a few days. They tried to take her off but she went into heart failure again. Which caused her lungs to fill up again. a couple days later she was able to be put on a bpap machine and then from there just oxygen. but again her lungs filled up again.
The swelling, and problems with breathing, are most likely congestive heart failure, and the treatment your father received is correct. However, ongoing lasix would be helpful for at home.
Congestive heart failure can be controlled well with Coreg, lasix, a low sodium diet, and other meds that his doctor thinks would be beneficial in his situation. No alcohol, or smoking, and when the swelling is great, it would help for him to keep his feet up as much as possible.
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