Lisinopril for heart failure
Common Questions and Answers about Lisinopril for heart failure
monopril
Hello,
The treatment started by your cardiologist by introducing 40 mg lisinopril is absolutely correct and in the best of your cardiac condition.The effective dose range for treating heart failure is 5-40 mg daily.
Lisinopril decreases the after load on the heart and decreases BP by reducing vasoconstriction which in turn benefits the heart.Since your EF is 25-30 %,so a high dose of lisinopril is desired.
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’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.
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 medical decision was treat the enlarged left ventricle and occluded vessels with lisinopril and coreg. Currently, my heart is a normal size and EF is 59%, but I still have moderate to severe MVR...the doctors thought if and when the heart returned to normal size the MVR would improve, it didn't. I don't have any symptoms, and if I have shortage of breath, fatigue, chest pain, etc. there would be intervention on the MVR.
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.
Ask her doctor if she has heart failure. It may not be congestive heart failure, but it certainly sounds like heart failure. Congestive is when it affects the lungs and cough a lot. Sometimes there is clear or white mucus coughed up and sometimes there is only a dry cough. Water retention in the abdomen is left side heart failure symptoms and water retention in the ankles, legs is right side heart failure symptoms. Doctors usually treat with beta blockers or ace inhibitors.
I went to my PCP and he said it was not likely lisinopril so he gave me flexeril for the muscle aches. He also raised my lisinopril to 10mg even though the 5mg had been doing the job as my BP had gone down from 139/89~ to 131/84. Now that I am taking 10mg lisinopril It feels like I have the Flu (aches,pains,chills) ,and my throat gets really sore.
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.
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.
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). I have been taking the same medication as your husband to reduce the heart's workload and today my heart is normal size and pumping adequately.
We usually use EECP for uncontrolled angina which is not controlled with medications well. It will do nothing for your heart failure but definitely can help angina. It is safe and does not come with any risks, so if you are on good anti-anginal medications such as beta-blockers (I know you are on Coreg) and nitrates and/or ranexa and you are still having angina then I would recommend EECP if we could not fix anything with another stent.
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.
I am sorry to hear about your recent troubles. The way people feel when they have heart failure differs between people. Some don't even know that they have the problem while others can feel completely exhausted - like you. I would suspect that you have many reasons to feel very tired: heart failure and the medicines certainly are one component. Having new twins is also likely contributing. Good luck with the new babies!
The danger of excessive bleeding with anti-platelet mediction is a very serious consideration. If the internal bleeding is not treated, you are correct there will be consequences that override the heart issue..
According to insurance policies and AAC an EF<30% is heart failure range. There are statistics that have estimated about 26% of heart disorder population have an EF in heart failure range and continue their daily activities, and do not know they have a heart problem.
25 mg of Lisinopril is indeed a high dose. I have Congestive Heart Failure, and take both Lisinopril and Coreg, but smaller doses because it tires me out so badly. Like Occupant, I was developing very low blood pressure which makes one very tired, my bp would drop to about 80/45. You might want to talk to the doctor about easing off the dose. That said, I'm not a health professional, so take my idea with a grain of salt.
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.
There is some clinical evidence that supplementation with Coenzyme Q10 is beneficial treatment of patients with congestive heart failure. However, The American College of Cardiology recently published an expert consensus document concluding that the value of coenzyme Q10 in cardiovascular disease has not been clearly established. The Mayo clinic says that there is not enough scientific evidence to recommend for or against the use of CoQ10 in patients with coronary heart disease.
I was diagnosed w/ dilated Cardiomyopathy 12 years ago w/ an ejection fraction of 25%. They thought the cause of it was from alcoholism. I have been sober since and began taking prescribed Lisinopril and Coenzyme Q10. My ejection fraction went up to 40% and stayed that way for years. 2 months ago I began to have severe breathing problems and the Echo showed my ejection fraction was reduced to 35%.
Recommended
