Congestive Heart Failure in young people

"Severely reduced left ventricular systolic functions. Moderate to severe mitral valve regurgitation. Severe Triscupid regurgitation with pulmonary hypertension SPAP =45mmHg." That was the conclusion of my test. Doctor said I should avoid salt. He prescribed Coversyl plus, Xarelto, rivaroxaban,Dilatrend and Lasix 40. What do you think?

@gr82balive Thanks a lot

@michelep1964 "Severely reduced left ventricular systolic functions. Moderate to severe mitral valve regurgitation. Severe Triscupid regurgitation with pulmonary hypertension SPAP =45mmHg." That was the conclusion of my test. Doctor said I should avoid salt. He prescribed Coversyl plus, Xarelto, rivaroxaban,Dilatrend and Lasix 40. What do you think?

Again, I'm not a doctor, but with the regurgitation around your valves they want to do what they can to prevent the formation of blood clots and the Xarelto I recall seeing advertised to combat that. The Lasix is used to reduce excess fluid in your body sometimes a result of poor circulation. The others I think are different types of blood pressure medicine and they work differently. I don't know which is which, but one type works to lower blood pressure and the other type is used to relax vessel walls making it easier for blood to flow. Avoiding salt is necessary as when ingested can contribute to fluid retention, and this leads to higher blood pressure. Avoiding salt altogether is nearly impossible, especially if you buy prepared meals or canned foods. They will generally be very high in sodium. So what you can do right away, is to not add any salt to anything you cook. Look for items that say low salt to use for cooking. The best is to use fresh/frozen fruits and vegetables and fresh cuts of meat (not deli meat as these are usually loaded with sodium, your fresh cuts are usually unseasoned). Don't expect to become a salt czar overnight. But set yourself some goals to try to keep your salt level intake per day max. Did you doctor give you a number? You probably will want to try and get your total salt intake down to 1500mg to ideally 1000mg or less per day. It won't happen overnight, but set goals and work to get there, just don't beat yourself up trying to get there. Also, every person's response to medications are different, so don't be surprised if some changes are made to which meds and dosages as your body adjusts and responds to them. Stay tuned into your body and talk to your doctor if something doesn't seem right. Lastly, I'm guessing since I don't recognize any of these as a cholesterol reducing medicine that your heart failure wasn't due to blockages from cholesterol, but rather blood clot or high blood pressure. Did your doctor say anything about your cholesterol numbers? I didn't have high cholesterol; however, I did have a blocked artery that was opened with a stent and others were ballooned. My doctor said even though my numbers weren't bad, I likely have hereditary predisposition that allowed what cholesterol I had to block. It's not an exact science. Since my heart attack, I have a very low ejection fraction, so am on anticoagulant to prevent further clots and additional strokes. I also am on several meds too, but once we got the dosages tuned in, I think I'm doing alright. 😉 You will too! It's been 5 1/2 years since I had my heart attack.

@gr82balive, I don't have high cholesterol. The doctor says I should lose weight as I'm very much overweight. So that's what I'm working on. Today I just ate egg whites and vegetables, and a piece of unsalted chicken breast. Thanks for your encouragement. At least I know I'm not alone. I hope we can talk quite often.

Thanks for sharing more details, @bangel. We have some incredible conversations about mitral valve/tricuspid valve regurgitation taking place on Connect:

– Mitral Valve & Tricuspid valve regurgitation: when to see a cardiologist? https://connect.mayoclinic.org/discussion/i-was-just-diagnosised-with-mitral-valve-and-tricuspid-insufficiency-i-have/
– Mitral valve prolapse/regurgitation https://connect.mayoclinic.org/discussion/mitroh-valve-prolapse-regergitation/

I’d also like to introduce you to a few members in these discussions; please meet @grandmajan @mikkeleo @jannyw @ml54 @rd4610 @yoanne @petersen73 @lyndylou @shakuni11 and Mentors @vdouglas and @hopeful33250. I’m confident they will join in and share their experiences to help you figure things out.

With all that is going on with your heart, at least having low cholesterol is one less thing to have to try and manage, so that is good news! You are off to eating right. It's going to take time and will seem slow to make any progress, but even small progress is movement in the right direction. I often eat egg whites by pouring some in a non-stick pan, throwing in some chopped peppers, onions. Season with some Old Bay seasoning, maybe a little cayenne pepper. Make sure you do what you can to make what you eat taste good so it feels like a reward vs. punishing yourself by having to eat it. You can find fantastic ideas on ways to make food tasty and interesting via the web. Although you're on a diuretic, I think it's still important that you make sure to drink plenty of water. I'd ask you doctor about this to be sure as you want to work with your Lasix, not against it. Fresh fruit is also good to snack on. Variety is important to fight against taste fatigue. You can sauté or broil your vegetables too with a little bit of olive oil and seasonings. If you've had a lot of fluid build up, you'll see the scale move quickly with the Lasix, but that is water weight. Try not to get discouraged when it seems that you're not making progress. Your body is adjusting, and forming new healthy habits is a bigger step than seeing the scale drop. Consistency will get you there. Stay motivated and I'm sure you'll get there!

Hello @bangel

It sounds like you are making some necessary changes in order to be healthier. Lifestyle changes like this are most important. I am a Volunteer Mentor with Connect. I am not a medical professional, but I've had heart valve problems since I was a child. So I know the importance of good health practices like nutrition and exercise. Keep educating yourself about your health problems and advocate for the best care you can have. I encourage you to read the links that @kanaazpereira has provided, we have many Members of Connect who have posted about some aspect of the problems you have experienced. We all learn from each other!

I hope you continue to post, I look forward to hearing about your progress.

Teresa

Hello, @hopeful33250 I got admitted in to a hospital. The cardiologist says my heart is beating too fast and needs to be slowed down. I look forward to learning everything you can teach me. Thanks a lot. I will appreciate any information you can give me. I am so confused. I didn't expect this at my age.

@kanaazpereira Thanks a lot. I read it all.