Coreg in chf
Common Questions and Answers about Coreg in chf
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).
Hello my wife is 37 and recently diagnosed with Dialated CM and CHF with an EF of 25%. The Dr. thinks it was probably caused by pregnancy. She has no symptoms of CHF and was having some palpitations with dizziness (maybe once a week) which prompted EKG and later echo. She started Coreg (working her dose up) and Dig.
First question is she is having a cath done next week is this standard?
Next she is supposed to follow up with electrophysiologist and CHF clinic.
She is a DNR, at home on Home Health and great family support. She has been in acute CHF this week and we increased her lasix slightly for 2 days, trying to get the fluid off, but still protect the kidney function. She did improve very much and is feeling better. However, her b/p is like 80/50 at times. She is on coreg 6.25 bid and lasix 20 mg 1 po one day and 40 mg po the next. We were thinking of decreasing the coreg to daily. Would this be the right thing to do?
Unfortunately your question was accidentally posted on the bird forum. I didn't notice your question posted on the heart disease forum which may be the best place to ask.
Both medications are angiotensin II receptor antagonists which will relax the blood vessels and lower BP. As to which will work best for you, that's up to your cardiologist. It's not unusual to try one medication to manage CHF only to find it's not doing as well as expected, then try another med.
Hi Scott,
Click on my picture and read my profile and you will see the medications that I take.
I have a 15% Ejection Fraction - since '03
Once in '07 it increased to 22% - but it is back to 15%
Scott - you need to learn more about CHF and we need to know - what you have been told - as to why you have CHF.
First - I copied this for you:
"There is no cure for heart failure, but it can be controlled by treating the underlying conditions that cause it.
I don't know whether this will help, or not, but I'm 56 years old and have had CHF for about 3 years. The most important part of care is to make absolute postive sure that your mother is prescribed the medication she needs and that it is taken EVERYDAY.
The reason for the CHF has to be determined by her doctors, then the proper medications dispensed. In my case, they started me out on 40 mg. of lasix, 25 mg. Coreg 2x day, 90 mg. Diltiazem 2 x per day. I am now taking 140 mg.
my daughter is 23 and has been in CHF for almost 4 years her lowest ef had been 32 and now it is 45 a very good indicator of CHF is a blood test called BNP, brain natriuretic peptide. This test is a very good indicator for CHF... check with your cardiologist what those levels were at the beginning and what they are now...
My brother who has perfect cardiac function struggled with the altitude during his safari in the same location. As someone who has bounced in and out of the CHF catagory, and lives in a state where I experience great changes in altitude when traveling, I'd think this is a very risky expedition. If it is a bucket list sort of adventure, that's one thing. If it isn't, I'd certainly get advice from the Cardiologist and follow it. Do keep us informed.
The first medication is Coreg, taken 25mg, twice a day. Coreg supposedly helps the the heart to beat more efficiently, and over time increases the EF of the heart for most people. It hasn't worked that way for me, but it does help my heart to keep beating at 15% EF.
The next medication is Lasix, 120mg per day, spread out at 80 mg in the morning, 40 mg before bedtime. Lasix is a high power diurectic, and works well to help reduce the swelling from CHF.
Hi. My dad is 55 he went in hospital for heart virus that left him with chf his ejection fraction is 10. He was told they want to try medicine of that doesn't work then a difibulator or heart transplant. We're freaking out its not that easy to get a heart there is a very long list. But anyways I'm so worried I hear such good things about coreg. He takes 6.25 2 times a day.
I have to agree with the CC doctor. You are not on the target doses of the Coreg or the ACEI, your Lisinopril. The Coreg target is 25-50 mg. twice a day. I think the Lisinopril would be 20 mg. per day. Now that may be because you absolutely cannot tolerate a higher dose, like me. Nevertheless, a CHF specialist would be a good start. I didn't qualify for a bi-v either. What is your BP? They want you as low as possible without passing out.
t really a question, but some words of encouragement to those of you suffering from CHF. I was diagnosed with CHF the week of Thanksgiving 2007. The diagnosis was Restrictive Cardiomyopathy. My EF was 5 to 10%. My Angiogram showed no blockages and my blood pressure has always been about 115/70. My Cardiologist still doesn't have an exact cause but feels it may have been a Virus that attacked the heart muscle. I was prescribed Coreg, Lisinopril, Bumex and Aspirin among others.
I'm in the CHF area where you are, also take 50mg of Coreg as of last week, it was increased as a recent test showed my EF was lowering. My Ranexa prescription was increased to 2000mg and that really helped. Ranexa maximizes the amount of blood/oxygen that reaches the stunned or ill areas of the heart as I understand it, and works with beta blockers. Others on this site who are swifter arrows in the quiver can probably describe how it works, but it helps me.
Thank You fo your response. My nephrologist and cardiologist have both examined me. I will take a stress test, there were changes in my ekg but she doesn't think I have CHF. My kidneys are functioning at 66% and blood works looks okay. I have an abdominal ultrasound scheduled.
Among them were coreg, any beta blocker, lipitor and others. In each case my cardiologist insisted that it was aboslutly necessary that I contine the use of these drugs, however when I made it clear that I could not/would not put up with the side effects such as extreme fatigue, shortness of breath, dizziness ect., he found a different course of treatment. Sometimes it took some experimenting to find a drug that was acceptable to both him and me, but eventually we did.
I was and still am suffering from fatigue, palpitations and short of breath. Currently I am on Coreg, 6.
I was diagnosed with broken heart syndrome and CHF. My EF is only 10-15%. I wear a life vest, am on coreg,asa,lipitor, brilinta. My bp is too low for ace inhibitors or beta blockers. I'm 58 and otherwise healthy. I have smoked for 45 yrs, a pack a day, now down to 5-6cigarettes a day. This happened 3 weeks ago.what are my odds and life expectancy?
I am 49 years old and was admitted to the hospital in August 2008 with CHF, Cardiomyopathy and an EF of 20%. I went to my GP complaining of occasional missed heart beats... was given an EKG and he noticed a LBBB - onto the cardiologist who performed a nuclear stress test which I failed miserably and was admitted immediately into the hospital. I had NO OTHER SYMPTOMS. First diagnosis was a virus had attacked my heart. Upon further evaluation...
The nausea could be the medication, or caused by the CHF. CHF does a lot of things to the body, and causes fluid build up in the oddest of places.
When I first had CHF, I had lots of nausea, and my abdomen hurt constantly. After I was started on Coreg, diltiaziem, lasix, and a host of other medications, the nausea took a couple of years to clear up. It seemed that the swelling was in my internal organs, as well as the rest of my tissues and the presure caused the the nausea and pain.
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