hammerdown
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hammerdown, September 10,  2019  1:13pm EST

LVAD - or no LVAD

One of my cardio guys - a "Heart Failure Specialist"- whose approval one must obtain before being eligible for an LVAD. He's the "gatekeeper."  He has come to wanting me to set up a procedure for an LVAD installation - which is not minor surgery sometime in the future.  Currently, his thinking is to tackle my low blood pressure (usually in the 84/62 range & pulse regulated by my full-time pacemaker, usually in the mid 80's.) Blood oxygen number usually 95% - 98%. LVEF around 20%.  Pulmonoligist I currently see recently performed bronchoscopy and took a sample of "something" way down at the bottom of both lungs. That procedure went well - no bleeding - altho 4 hours later, I showed an aTypical pneumonia infection and levofloxacin prescribed. No results from the lung samples yet.

Am I wanting to avoid the LVAD implant surgery and its risks? You bet!! My immediate plans are to get over the pneumonia then resume my 2 - 3 mile per day treadmill / walking routine. I'm aiming to raise my EF by way of exercise.  Pulmonologist has stated, I'm too skinny ( 163 lb. 6 footer) - Time for more protein and carbs!  One positive item: mid August I had a left heart cath along with a right heart cath. Conclusion: No blockages, no narrowing, 0% stenosis!!!

2 Replies
  • JamesPL
    JamesPL, September 10,  2019  7:52pm EST

    As much as I am completely on board with the exercise route and always advocate its importance, I also think it's important to get the consent of your physician. You should also follow his/her direction for other treatments. Great news about your heart cath results!

    Jim

  • hammerdown
    hammerdown, September 13,  2019  10:33am EST

    Hi, Jim:  My heart failure specialist that I've just seen seemed perplexed by my being a cardiomyopathy dude along with 0% stenosis in the heart.  He said he most commonly sees those with a cardiomyopathy condition needed stents, etc. - Must be my lucky day.  Currently, my issue that began early this year has been fatigue and low blood pressure.  Daily exercise has raised my BP to a level around 86/64.  My other cardio guy - a "plumber" Doc. has always stated, "Push yourself. Get your heart rate up on that treadmill!  And don't hang on and go too fast!"  If I can keep my BP up maybe I can avoid the need for an LVAD and its associated risks.

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