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DrRussMD
DrRussMD, Board Certified MD
Category: Medical
Satisfied Customers: 64330
Experience:  Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
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I have severe impairment of the left ventricular systolic function

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I have severe impairment of the left ventricular systolic function with an ejection fraction of less than 30%, moderately dilated left atrium, right ventricular size normal with only mildly impaired function, normal right atrial size but an increase in pulmonary artery systolic pressure. I take one 5mg Bisoprolol Fumerate twice a day, One Dabigatran etexilate twice aday,and was taking one Furosemide once a day. I have been told too take two Furosemide now. what do diuretics do for a heart condition ? Paul.
Submitted: 2 years ago.
Category: Medical
Expert:  DrRussMD replied 2 years ago.

Hello Paul, how are you?

I am Doctor Thomas, a double board certified doctor in internal medicine and integrative medicine, with advanced training in several other fields. I am a clinician of over 20 years experience. I will give you an initial answer or ask you a question, but be sure to use reply to expert to communicate with me as needed.

Essentially, diuretics relieve edema and excess fluid. They do not remodel the ventricle.

For this, you need beta blockers and ACE inhibitors as tolerated. This can actually improve the heart muscle.

Currently, your regimen is missing the ACE inhibitor medication.

Unless your cardiologist has found some contraindication.

OK, so that is an initial answer…. Please use reply to expert if you have further questions. When you are ready, please click a positive rating [hopefully excellent]. If you forgot something, come back. I am here daily.

Customer: replied 2 years ago.

Sorry forgot to put one 125 microgram Digoxin daily. What are ACE inhibitors ?

Paul.

Expert:  DrRussMD replied 2 years ago.
Digoxin does not remodel the ventrical, but can help in other ways.
Ace inhibitors are blood pressure medicines.
Lisinapril for example
Captopril was one of the first.
Please use reply to expert if you have further questions. When you are ready, please click a positive rating [hopefully excellent]. If you forgot something, come back. I am here daily.
DrRussMD and 2 other Medical Specialists are ready to help you
Expert:  DrRussMD replied 2 years ago.
thanks

I am board certified in integrative medicine, internal medicine, trained in functional medicine and homeopathy, etc. I am here daily: use my request link as needed and “for Dr. Thomas” in the question title. Give that link to friends, family, associates, etc. Find me as needed for correct, safe and accurate answers.

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