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Diagnosed with heart failure.

I was diagnosed yesterday with heart failure. I had a heart attack July 2nd. I had an angiogram done the next day but it showed no blockages. Then I had an echo cardiogram done and it showed my EF is 25%. Moderate to severe decreased left ventricular systolic function. The apical anterior wall segment is hypokinetic (score 2), The basal anterior, basal inferoseptal, mid anteroseptal, mid anterior, and mid inferoseptal wall segments are akinetic (score 3). Trace of aortic, mitral and tricuspid regurgitation present. I was taken off Rythmol and potassium and put on Aldactone 25mg 1x day and Amiodarone 100mg 1x day. Please tell me, what are the chances of this working? I had an appt with a neurologist today to get some results and he said he thinks a transplant is most likely going to be what happens. Thoughts? I cant sleep knowing all of this. I am only 39.
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976897 tn?1379167602
EKG is a good indicator for normal hearts at rest. However, if you have a blocking artery which prevents a higher blood flow when the heart needs to work harder, a stress test is required. An echo is more for looking at dimensions of the heart and valve function. It will pick up abnormal wall motion obviously caused by a blocked artery or previous heart attack.
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Avatar universal
which is the most definitive heart test that best gauges how well or not your heart is functioning AN EKG or an Echocardiagram?
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976897 tn?1379167602
Can you show me the link where you saw that information? A heart attack is myocardial infarction and that means the blood supply is affected. Perhaps you had an arterial spasm or something? but for a vessel to constrict so much is very rare. As for your breathing, perhaps something like a beta blocker medication would help. Those keep your heart from working hard and is a standard medication.
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Avatar universal
Yes I get chest pain and am out of breath alot. I am also always sleepy. They said there are different kinds of heart attacks and that there doesn't always have to be a blockage. I found that odd so I googled it. Its true that a heart attack can happen without blockages.
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976897 tn?1379167602
First of all, it's your body and nobody can tell you what you will do with it, you are in control of all options. When you say you have no blockages, I'm assuming you mean apart from the one which caused the heart attack? With the right medications your EF could rise, possibly to 40% but no one knows. I think you would be wise to give it 6 months to a year and see. Are you out of breath? getting chest pains at all?
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