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My mom have Cardiomegaly, now she can't walk or can't do any work, breathlessness nd take nepolizer, when she is lying down she start problem, in night symptoms increase, 20 percent ejection fraction only what can i do

N
Nafeesa Banu
Posted Under Cardiology / Heart, on 15 November 2024

N
Nafeesa Banu
Posted Under Cardiology / Heart, on 15 November 2024
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D
Dr. Rudrani DholeExpert

Hello Nafeesa Ji,

Your mother’s condition, with cardiomegaly (an enlarged heart), severe breathlessness, and a very low ejection fraction of 20%, indicates advanced heart failure. These symptoms require immediate and comprehensive medical attention.

What You Can Do:

  1. Consult a Cardiologist Immediately:

    • A cardiologist can evaluate her condition and adjust medications to improve heart function and manage symptoms.
    • Advanced therapies like cardiac resynchronization therapy (CRT) or implantable devices (ICDs) might be recommended.
  2. Optimize Positioning for Breathing:

    • Propping her up with pillows while lying down can reduce nighttime breathlessness (orthopnea).
  3. Focus on Oxygen and Ventilation:

    • If the nebulizer helps, continue using it as prescribed.
    • Discuss supplemental oxygen therapy with her doctor if she experiences severe breathlessness.
  4. Dietary and Fluid Management:

    • A low-sodium diet can reduce fluid retention.
    • Monitor fluid intake if advised by her doctor.
  5. Emergency Preparedness:

    • If her symptoms worsen, like severe breathlessness, confusion, or chest pain, seek emergency care immediately.
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