Originally Posted by brazz32003
had recent muga scan 7/17/06 results from test shows heart no longer weak & ef is 63% yet dr does not want to stop coreg 6.25mg 2x daily. he hasnt given me any reason as to why i need to continue heart med, i just wonder is it doing me any good to stay on them if heart has recovered DCM. i was diagnosed 2/24/06 w/dcm they could not determine where it came from, i just remember having a very stressful year 2005 and before event felt SOB after night of shopping. possible cardiac stress myopathy but they havnt said I read about this from Johns Hopkins report on women & stress "brokenheart syndrome" anyone else can relate?
It is likely your heart continues to be weak, but medication is like a crutch to provide less work for the heart. With less work the heart muscle may return to normal size. It is medically termed reverse remodeling.
Two and a half years ago may heart's left ventricle was oversized and EF was below 29% in the heart failure range. With medication (coreg, etc.). may LV is normal size and ef is 59%, but due to a prior heart attack there appears to be some impairment of contractions although collaterals have bypassed a totally blocked artery vessel. Medication continues to provide relief with a reduction of the heart's workload.
Yes, stress (over a long period of time) can cause the heart to worker harder and enlarge (not unlike a skeletal muscle), and shortness of breath may be an indication of inadequate contractions during systole phase (pumping) to provide a sufficent supply of blood. The reason to continue medication depends on the underlying reason! It is not uncommon the condition is idiopathic (cause unknown) and medication is continued for prudent reasons.
Is stress the only underlying reason? And if there is relief from stress, can one discontinue heart medication? IMHO, I believe once there has been heart condition or event there is high degree of risk and requires continued heart medication.