Discussions that mention altace

Heart Disorders board


Goldyfm,
I have two bad valves, one from birth and the other damaged since, and my heart started failing with a enlarged left ventricle. I take Altace to lower my bp and atenolol to ease the strain on my heart. Have gotten back to about 45% EF and stopped there. The doctor is trying to figure out if the lack of progress is due to muscle damage or valve damage. So I would say the main thing is to get a good sense of your heart's condition and what can be done about the valves.
[QUOTE=Gojoe;3184260]Goldyfm,
I have two bad valves, one from birth and the other damaged since, and my heart started failing with a enlarged left ventricle. I take Altace to lower my bp and atenolol to ease the strain on my heart. Have gotten back to about 45% EF and stopped there. The doctor is trying to figure out if the lack of progress is due to muscle damage or valve damage. So I would say the main thing is to get a good sense of your heart's condition and what can be done about the valves.

Gojoe, I would think an EF at 45% would be due to left ventricle muscle impairment (scarred from previous MI, inflammation, etc.) and easily observed with an echo. I saw mine on the echo monitor as well as valve regurgitation.

If you have an EF of 45% and valve problems, the quantity of blood pumped into circulation with each heartbeat is going to be less due to some blood back flow into the left atrium. I have an EF at 60% and mitral valve regurgitation that reduces cardiac output a few points.:

As you probably know the heart enlarges (LV) regularily to increase contractions and this compensation helps maintain a balance of blood flow between the right and left side. However, a pathological enlargement (over compensation) the size reaches a point that breaks down the muscle fibers and contractions are weak enough to compromise cardiac output causing heart failure. Do you still have an enlarged heart? That may be the cause for an EF of 45%.