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Precaution for DILATED CARDIOMYOPATHY, LV DYSFUNCTION.

Resolved Question:

My mother,Usha,F,55, weight 50Kgs.
Had swelling in legs.We went for diagnosis and ECHO tests concludes -
Dilated cardiomyopathy,Severe LV dysfunction/PAH.

Doctor prescribed tablets to take daily - Lasilactone (1tab), Ecospirin Gold (1),Cardial 3.125mg (2), Amlodac 2.5mg (1), Assurance 20mg (2)
Doctor also suggested to reduce water intake and Salt, oil.
My mother is taking medicines for last 7 days and there is no swelling now from 4 days.

I want to know, Are these enough ? What more precautions, diet care or medicines to take care.
Pls revert.


Category: Cardiologist

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Category: Cardiologist
Dr. Vivek Mahajan is online now

Expert:  Dr. Vivek Mahajan replied 4 Days.

Hello
Thank you for your query at DoctorSpring.com
The treatment is fairly appropriate for DCM.
She could be additionally started on ACE inhibitor like Ramipril if BP is ok.
Additionally she may undergo coronary angiography to rule out coronary artery disease. What does her ECG show?
Regards,
Dr Vivek Mahajan
DM Cardiology


Patient replied :

Thanks a lot Dr. Vivek.We went again today for update as 15 days medicine course was about to complete.My mother's health imroved significantly. Doctor was satisfied with progress.My mother was not taking salt and had less water intake. Her BP reduced significantly, so doctor this time did not prescribe Amlodac 2.5mg and asked to take 4gms/day of salt and 100ml/month of Ghee/Oil. Rest all medicines to continue and asked to see her after a month.
I am attaching her ECG snaps.
Pls provide your valuable guidance.
Thanks again.
Regards
Nikhil Jain


Expert:  Dr. Vivek Mahajan replied 3 Days.

Hello
Its good to know that your mother is doing well. Salt and water restrictions can solve a lot of problems for her. Shall comment on the ecg soon. Its in zip format. Need a laptop and am travelling with a mobile.

Regards
Dr Vivek Mahajan


Dr. Vivek Mahajan
Category: Cardiologist
Experience: 
Fellowship: DM, Cardiology, PGIMER, 2013
Residency: MD, Internal Medicine, AIIMS, 2007
Internship: King Edward Memorial (KEM) Hospital, 2003 
Medical School: MBBS, Seth G.S. Medical College, 2002
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