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Dr Karthiyayini

Dr Karthiyayini Mahadevan683 Answers  |Ask -

General Physician - Answered on Jul 29, 2023

Asked on - Jul 25, 2023Hindi

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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