"Hello, I have a 40 yo daughter who had a Medtronic mitral valve implant at the age of 5 yo. Last month she was diagnosed with chf. All her tests, (echo, neck catheterization), came back okay. However, her e.f. is between 20-25 percent, but her symptoms ( dizziness, shortness of breath, fatigue), are mild to moderate at worse. She is on Entresto, spironolactone, generic coreg, and warfarin. Hopefully, these medications will work for her. However, I do worry about the affect these meds will have on her kidneys. What should she look for in terms of symptoms if her kidneys start having problems? Thanks."
The main symptoms that she will notice could be related to the kidneys would be swelling of the extremities but it is recommended that your daughter follow up with your provider to monitor the lab values which could help indicate how the kidneys are functioning. Thank you Dr. Latonya Law