Carvedilol for heart failure
Common Questions and Answers about Carvedilol for heart failure
coreg
conclusion nonobstructive coronary artery disease markedly elevated left ventricular end-diastolic pressure.recommendation is medical therapy for heart failure only symptoms were shortness of breath at night before going to er. now on aspirin,lisinopril,carvedilol,bumetanide. its been three weeks and i have less energy now than when i went to er. any info would be very appreciated.
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.
conclusion nonobstructive coronary artery disease markedly elevated left ventricular end-diastolic pressure.recommendation is medical therapy for heart failure only symptoms were shortness of breath at night before going to er. now on aspirin,lisinopril,carvedilol,bumetanide. its been three weeks and i have less energy now than when i went to er. any info would be very appreciated.
I'm 76 years old was diagnosed with CHF in February of 2009. I am being treated by a good cardiologist. My ejection rate is 34% and I hope increasing all the time. It was 20% in February at my initial diagnosis. I'm taking carvedilol, lisinopril, digoxin, medication for my cholesterol and diabetes 2 and also aspirin and cod liver oil . I would like to continue with my exercise program and don't know if it's allowed. It's not hard, just walking.
Post MI we have great data for both beta blockers and statins. For carvedilol post MI with an abnormal left ventricular ejection fraction the benefits are both for mortality and to help the heart remodel to a more normal shape and function. The minimum dose shown to be of true benefit is the 6.25 mg, and I would even suggest increasing your dose instead of decreasing it. For statins, they too decrease mortality and need for a repeat stenting in the post MI period.
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.
There is no reason that you should have to suffer the same fate. Are you being cared for my a heart failure cardiologist who specializes in heart transplantation? If not, you need to see one. I'm not saying that you need a transplant today but you likely will. And it is what will allow you to become old, gray, and with achy joints!
Do you have low blood pressure and dizziness? If not, you should try to get the doses of your medications increased.
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.
She also takes a high dosage of Lisinopril and Carvedilol and it seems like she is getting weaker at times. The dosage for Lisinopril is 40mg and 25mg for Carvedilol She has been taking this medication for almost 2 years now, but now she has become weaker and is more nervous now, have anxiety attacks. Is the dosage too high? Or is there anyway to reduce the side effects of the medication??
Thanks...
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?
i was recently diagnosed with caradiomyopathy and congestive heart failure, when i went to the emergency room i had arterial fib. for letting this condition go for so long i have week heart muscles. i am on three heart medications amiodarone, digoxin and carvedilol i am also on cumadin. i know the cardiomyopathy is hereditary and my doctor says a lot of it can be controled by medicine now. what is the average life expectancy for cardiomyopathy and what should i be doing for my health.
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???
Apart from mention about moderate consumption of alcohol as stimulant for the heart,I am yet to find someone who is practising it with success.As for me I am an Anterior wall MI patient since last October.Following the heart attack I am also on medications.My EF was just 26% at the time of discharge from the hospital.It is time someone here enlightening us on the notion of alcohol and its benefit on heart disease.
I have beem taking carvedilol for three years and have never seen a description of it so concise and clear.
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.
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%).
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.
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