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Bp94157, November 13,  2020  8:02am EST

Heart Failure/Heart Attack Help Question

Please, I could use some advice. My husband was admitted to the hospital Tuesday after he went to his primary physician and she ran an EKG that was concerning. The hospital ran a CT, ran the dye though his legs to check for clots, and an echocardiogram. Hospital Cardiologist told us last night his EF is 30% but didn't tell us much else. Dr. said that  he had a heart attack, without knowing it, when his symptoms first started 2 weeks ago and is now saying he thinks it is heart failure. No chest pain but swelling of feet/abdomen which started last week and he thought he had a chest cold before because of trouble breathing.  Dr. is putting him on meds, keeping him in the hospital and wants to do a cardiac catheter procedure Monday or Tuesday and says he will know more then. My husband feels better with the fluid gone. No other symptoms. He is diabetic and I am concerned that the dye could harm his kidneys. Especially with the previous dye test. The Dr readily admitted it might but didn't seem concerned. 🙄 Of course we will try and contact his endocrinologist by phone today for advice. My questions are, is the cardiac catheter pretty standard/necessary in order to complete diagnosis and determine treatment?  Is there any advice anyone has for him? Thank you. 

4 Replies
  • AHAASAKatie
    AHAASAKatie, November 13,  2020  9:59am EST

    Thank you so much for reaching out. I can share the information we have on Heart Failure and heart catheterization with you.  I think you are doing all of the right steps, you have great questions, and are being an excellent patient advocate. Please let us know how things progress for you both. Best Katie

  • Bp94157
    Bp94157, November 13,  2020  10:14am EST

    Thank you. I will definitely check that information. Will call another cardiologist today and see if they may be willing to look at his info and give a second opinion. 

  • JamesPL
    JamesPL, November 14,  2020  11:41pm EST

    Catheterizations are common in typically trying to determine if there are blockages and where they are. Usually they are followed by an angioplasty procedure to open up the blockages and restore blood flow to the heart. In my case, the blockages were so numerous and severe that angioplasty was not an option and surgery was required. There are many treatments and tools for diagnosis that are often risky but what is the alternative? it's important to have an accurate diagnosis so that the proper course of action can be taken. Again, citing my own experience, I was adament about not having surgery and questioned why angioplasty was not a good treatment option. After I was shown the vidoes of my catheterization and being convinced that surgery would ultimately be healthier for me going forward, I agreed even though there was some risk involved as is the case with any surgery. In the end, I felt I didn't have a choice as I had a life threatening disease and needed treatment. As with any major health decisions, you have to weigh all your options and determine what is the best treatment in conjunction with your doctors. 

    Wishing you both the best of luck!


  • Bp94157
    Bp94157, November 15,  2020  1:25pm EST

    Thank you so much. I feel better after reading your post. He is scheduled for tomorrow. The cardiologist did a better job of explaining everything the following day. Was rather abrupt the first time he explained it. I was worried about his diabetes and the dye used but he helped reassure us some. And you are correct, he does need a diagnosis. 😞  Thank you again. 

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