digoxin in diastolic heart failure

Hi, Digoxin is administered in the treatment of Congestive heart failure . Diastolic blood pressure significantly decreased and systolic blood pressure significantly increased during overnight sleep in the digoxin phase .Heart rate decreased in the overnight sleeping phase . Digoxin significantly decreases diastolic blood pressure during overnight sleep in patients with congestive heart failure.

Digoxin and Toprol act in different ways and do not induce the same effects. I have atrial fib and was prescribed amioderone.

I recently had a 2 d echo and I would greatly appreciate some explanation of the results. The abnormals are mitral valve leaflets thickened, aortic vavlular sclerosis, diastolic transmitral e/a ratio decreased suggesting diastolic relaxation impairment, mild mr and mild tr present I am 39 with a history of tachycardia. I am currently taking digoxin 250mcg twice a day. Even with that my heart rate is still in the high 90's resting.

Normal is an EF of 55 to 75%, and heart failure range is below 29%. When the heart walls are thickened and the chamber dilated with damaged heart cells the contractions will be weak and EF will be low. Diastolic dysfunction addresses the filling phase of the left ventricle. If the walls are thickened, there will be less space for the filling phase and cardiac output will be reduced accordingly.

Diastolic is more important in people under the age of 50 and systolic is most important in people over 50.

If you have symptoms of heart failure such as shortness of breath, inability to lie flat at night, swellings in your legs, then you might have diastolic heart failure. To answer your question, it is possible to have diastolic dysfunction without heart failure. However, the fact that your pulmonary artery pressure is mildly elevated does suggest that you might have diastolic heart failure.

Your question is rather brief and technical, that may be why no help has surfaced, save this comment. I believe an EF (Ejection Fraction) over 50% (over 60% much better) considered good. I do not know what E or A thus E/A, stand for. Thus I do not have any help there. Did you numbers come from an echocardiogram? If so the doctor should interpret the results for you. If my doctor said to me "diastolic heart failure" I'd say WHAT? Please explain what is next.

In my non-medical thinking, I would think that it would be expected to have a small bit of diastolic dysfunction shortly after having heart failure, since my heart failure was not systolic. Does this reasoning make any sense? My doctor expects my diastolic dysfunction to completely go away, and it is probably already back to normal. My BNP during my HF was 425 and a few weeks ago it was down to 7. Would you take this as a sign that my DD is already cleared up?

Our daughter has a moderate VSD, small ASD, is in moderate congestive heart failure. She was admitted to the hospital on Monday with failure to thrive. While there they checked her blood pressure which was 109/72, and the nurse said she thought that was a bit high. We didn't see the cardiologist. Is that reading high for her age (9.5 weeks)? Or would that be considered normal for a baby with her condition?

Hi, By treating the underlying conditions that lead to diastolic dysfunction, the severity of diastolic dysfunction is not worsened and hence does not progress to heart failure. Primarily if you are asymptomatic, main goal of treatment should be managing the underlying conditions. If left untreated diastolic dysfunction does lead to heart failure and this can be diagnosed by echocardiogram, ECG, tread mill test and chest x-ray. Hope this helps. Best.

I'm sorry you're having some difficulty. Diastolic dysfunction is very common, especially as patients get older. It is heart failure, but it is failure of your heart to relax rather than to squeeze (the heart failure you're used to hearing about). This causes very similar symptoms to systolic heart failure and treatments are very similar. Unfortuntely, no treatment has real proven benefit for patients with diastolic dysfunction.

Less blood/oxygen output with each heartbeat (cardiac output) can cause chest pain, shortness of breath, muscle fatigue, etc. and if not properly or effectively treated results in heart failure. When there is heart failure the lungs will become congested with fluids as blood received from the lungs backs up as the heart is weak to pump into circulation the received blood/oxygen.

This can lead to Diastolic Heart Failure, and on to Congestive Heart Failure, without the medicinal treatment and changes in lifestyle. I have read that a high resting heart rate can also cause high diastolic pressure. You smoke, so your resting heart rate will be much higher than a non-smoker. The carbon monoxide that enters your blood stream is sensed by the brain.

I found out today that I have Stage 1/Grade 1 diastolic dysfunction. It does answer a few questions for me, but needless to say it's not something I wanted to hear. I'm 63 years old, and definitely carrying about 30 pounds I could do without, I have chest pains, shortness of breath, I fatigue too easily, and my blood pressure has jumped as high as 197/100. Making matters worse, I'm a Marine Corps combat vet and diagnosed with very severe/complex PTSD.

An EF of 65% should give you a lot of confidence that your heart is pretty healthy. It sounds to me that you are worried about your pulmonary artery function, something that is best diagnosed with an Echocardiogram. An ECG is a great test to determine a heart attack, but not a diagnostic tool. Smoking, being overweight, taking drugs, diabetes and certainly sleep apnea can all cause problems with the pulmonary artery. I'd reduce risk factors. Keep us informed.

my husband has been diagnosed with A-Fib and heart failure, today he has not been feeling well is heart rate is goining up and down from 45 to 118 he is feeling weak and fatigued. His ejection faction is 30 he is also a diabetic and is overweght. I don't know when I should make him go to the doctor or the hospital.

There are degrees of diastolic dysfunction, where some of them are considered diastolic heart failure, yes. But the most important thing to do is to correct the risk factors, and you should ask your physician.

I currently have uncontrolled RA, I take Plaquenil 400mg but will be changing to new meds soon. I have just been DX with Diastolic Heart failure. I don't have High Blood Pressure, Sleep Apnea, or Coronary Artery Disease although I am 60lbs over weight. Could the Diastolic Heart failure be connected to my RA?

There are certain instances where digoxin might be indicated. I believe it makes the heart pump more forcefully, so it might be used if heart failure was suspected. I hope all goes well for him.

my dad was taken off of it because his rate dropped below 60 beats and was causing him to be knocked out for most of the day when he went off of it his symptoms improved now its been 2 weeks and he is showing signs of loss of appitite,sleepiness,slow in speech, stomach acid, nasea Can the digoxin be retintroduced without any big adjustment to his chemistry?

Hi, The doctor has rightly prescribed you lisinopril which plays an important role in cardiomyopathy in improving the functioning of the heart. I’ll also suggest the use digoxin for you which tend to improve the ejection fraction of heart and also improve the symptoms of congestive heart failure and it’s especially used for patients who have low blood pressure. Apart from that, I’ll suggest a low intake of salt and water. I hope that helps. Please do keep me posted. Kind Regards.

Can diastolic dysfunction cause symptoms of heart failure? I have left ventricular hypertrophy with hyperdnamic systolic function. I have shortness of breath and chest pain with exercise or climbing stairs, and sometimes swollen legs. I was told it was diastolic heart failure. EF is normal to above normal. Left ventricle is stiff. Cath results are: pcwp: 23mm, pulmonary artery 45/23 mm, right atrium mean 17mm, right ventricle 45/17 mm, lvedp is 23mm.

Sometimes the walls are too thin (systolic heart failure) usually referred to as Congestive Heart failure or CHF, or too thick (diastolic heart failure) which is called Hypertrophic Cardiomyopathy or HCM. (There are also a Restictive Cardiomyopathy and an Alcoholic Cardiomopathy) Which type you have, depends on the type of treatment given.

Digoxin in diastolic heart failure

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