Coreg in heart failure
Common Questions and Answers about Coreg in heart failure
coreg
"In any case the OP does not have heart failure by definition. "
Yes I agree. This is why I said that: it was good from his doctor as he said: "weak heart."instead of heart faliure.....still what my friend said the nurse it makes sence to me.:)
.....because if we go from down to up we can, could fall back as many did infront of my eyes on other board.
...but true if a heart only started to fall , I mean the % from normal, it is just a weak heart.......
Normal EF is 55 to 75% and is the amount of blood pumped into circulation with each heartbeat. When the EF gets below 30%, that may indicate heart failure as that may not be enough blood/oxygen to meet the system's demand. This condition will cause shortness of breath, fatigue, etc. Many people live a productive life without much limitation in daily living with an EF in the 40's.
I also had cardiomyopathy dx w/heart failure. I think viral cardiomyopathy is a catch all when exact reason is unknown. I was originally prescribed 50 mg. of Coreg and 40 mg. of Lisinopril. Over the years I am down to 12.5 Corge and off Lisinopril although my left top half of my heart remains slightly enlarged. The coreg normally lowers the HR. My HR runs 48-50 BPM.
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.
My ejection fraction has been measured in the last two years from mid 20s to mid 40s, most recently LVEF 30% from heart cath. I have been suffering severe fatigue for four years. A few months ago my family doctor did an Epstein-Barr four part panel which he said showed chronic fatigue. On my own, I have experimented with taking only the night time coreg and other meds. The next morning I had more energy.
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.
Your brother is in heart failure mode indicating the heart fails to pump the amount of blood received from the lungs. This condition causes the blood to backup into body tissues and lungs. I had that problem 6 years ago, and I was in ICU for several days to restore the proper level of oxygen in the system and reduce fluids.
I'm sorry to hear of your brother's condition, but there isn't much one can do to help.
Thanks, I mis-spoke in that I am take 25mg of the Coreg twice a day! 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!
t complete 1 stage (5 METs) my original stress test in May I completed 2 stages (7METs). In both my heart rate went up to 140s but much quicker in the second one. Oh and my EF is now 47%
I have problems with retaining fluid almost daily. My cardio currently has me on coreg 6.25, toresemdie 10 to 40 mg (based on wieght) diovan 80, dyazide 37.5/25, aldactone 25, KCL 10 to 40 (match to toresemide). When I attempt any activity i become sob (or coughing) and have chest pain.
My mother has congestive heart failure, pacemaker/defib, stent, only one working valve. They were not able to place a 2nd stent due to blockage. They did not do open heart surgery due to high risk and because her size (very thin). Recently, she was hospitalized for low b.p. , dehydration, and kidney function, low urine output, UTI. They replaced fluids and removed a lot of the b.p. lowering meds, including isosorbide, due to the concern of the low b.p.
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.
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).
Is the change in the heart rate and blood pressure a sign of worsening heart disease? Does it indicate any time frame we are dealing with? He also has cardiac cachexia and has lost 50lbs in 8 months. He now weighs about 110 lbs, depending on fluid levels. And he has COPD too. Also he has had 6 blood transfusions in the past 5 months due to his red blood cell count which is currently around 9 but drops pretty quickly to 7. Thanks for any information or advice.
Has had heart problems in the past. She ended up in the hospital for lower stomach pains on Jan 16th. 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.
Quite simply you do not seem to have progressed in your heart failure to the point of needing a transplant. You are NYHA class II it seems from your symptoms, and have not ( appropriately received a BIV-ICD yet). The EF number is not as important as your functional capacity or symptoms: I would not use it as a measure of how things are going. Notice how different the echo and nuclear numbers are, for instance.
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