Iam suresh,age 50yrs,suffering from rheumatic heart disease.undergone
open heart surgery for mitral valve replacement and tricuspid valvotomy
in the year 1992 and i was all right with 5.5cm Left atrium up to
December2007and the LV EF was60%.After 2 months i become very
weekandlossed more than 10 kg wt2D echo showed LA size as 5.9 and LV EF
as35%,prosthetic valve funcctiong well.After taking treatment I was all
right with 60% LV Efand improved wt to 62kg.surprisingly since 15days
iam getting week.On doing 2D Echo,the LA size is6.9cm n LV EF is 60%
and the NT-proBnp is 79.1.
Iam taking tab cordorone-100mg once daily,
tab Eptus(epleronone)-25mg oncedaily,dytor-10mg,acetrome-3mg,
Lanoxine-.25mg(1/2tab),metoprolol succinate-50mg(morning),25mg(bed
time).
Question is why the LA becoming such a large size,is there any
chances of heart failure with this enlargement.Is there any surgery or
any procedure to reduce the size of Lv size.Is it a reason for getting
week n weight loss.