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Wife's Heart Failure: Why No Transplant?

Dr Karthiyayini

Dr Karthiyayini Mahadevan  |1106 Answers  |Ask -

General Physician - Answered on Sep 03, 2024

Dr Karthiyayini Mahadevan has been practising for 30 years.
She specialises in general medicine, child development and senior citizen care.
A graduate from Madurai Medical College, she has DNB training in paediatrics and a postgraduate degree in developmental neurology.
She has trained in Tai chi, eurythmy, Bothmer gymnastics, spacial dynamics and yoga.
She works with children with development difficulties at Sparrc Institute and is the head of wellness for senior citizens at Columbia Pacific Communities.... more
Asked by Anonymous - Aug 29, 2024Hindi
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Dear madam, My wife passed away 6years back at the age of 42. She was suffering from DCM for about 15 years . This started immediately after the birth our son. She was under the treatment and observations of good cardiologists. She was diabetic too and was on insulin . Her heart functioning was about 30%. I wanted to know ,at least for my consolation , why none of the cardiologists initiated a heart transplant process? Thanking you ,madam in advance.

Ans: Transplant can be done with certain ore requisites
One of the most important is the healing shoukd not be delayed due to diabetes
The prognosis may not be good
DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.
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Dr Karthiyayini

Dr Karthiyayini Mahadevan  |1106 Answers  |Ask -

General Physician - Answered on Jul 29, 2023

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My mother aged 89 years stopped eating, drinking speaking in the last week of January. I had her examined in a private hospital and it was found by ecg, CPK MB and troponin test that she had suffered a heart attack and also had pneumonia. Eco cardiography revealed that she had left ventricle efficiency 30 %. She was admitted to ICU and treated with anticoagulants, antibiotics and IV fluids and also given oxygen. Later her blood pressure dropped and she was given nor adrenaline by IV route. A few hours before her death her heart rate was 130 beats per min and breathing was 30 times per minute. I pointed out this to the doctor on duty but he did not do anything. A few hours later she died of cardio respiratory arrest. I feel she could have survived had she been given anti arrhythmic drugs or by using a pacemaker. I feel even five months after her death that she died due to lack of proper treatment and feel depressed when I remember her final moments. Could she have lived if treated in a better hospital?
Ans: I fully understand your feeling. It is hard to let go of our loved ones. What you did was right at that moment. With Nor Adrenaline the possibilities of heart rate fluctuation happens. With that fluctuation, one does not treat the readings and change the treatment. More than heart rate it is the circulation reflected through BP needs to be taken care.
Above all her ejection fraction was low to cope this fluctuation. Not to blame the system, soul departing cannot be stopped by any one. Given this circumstances I feel the best has been done

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