melissamph
04-07-2005, 09:13 AM
Hi Dr. Fett,
I am nearly 3 yrs post diagnosis. Having no symptoms at all. I currently take 25 mg Coreg BID, 10 mg Altace qd, 40 mg Nexium qd, 500mg Metformin BID and 81 mg Asprin each day. I currently weigh 251 and am having a Gastric Bypass on April 19th. My echo at diagnosis (9/11/02) was 30-35%EF and at 6 mos. was 45-50% and then at 1 yr. it was 55%. My question is should I ask for another echo to be done when I meet with the anesthesiologist? My surgeon said that reviewing my reports it showed PPCM was resolving and that another isn't necessary prior to surgery. EKG was fine. CXR normal. Upper GI fine for the most part. Blood work good but anemic. Slight elevation of CO2 by only 2 pts. so she said that was fine (could be calibration and not a major concern at 2 pts.). I have had 2 surgeries since the delivery of my 3rd child. The first was a hernia repair and it was at 11 wks post partum and I hadn't been diagnoses yet and did well in surgery the second surgery was a year later and was a lap choley and did fine. So, we have no reason to think I won't do fine but just concerned since the last echo was 2 yrs ago this month. I have all of my measurements and flows. My cardio's summary: L ventricle is slightly dialated (6.1), though the LV EF continues to improve to 55% from 45% months ago. So do you think I should ask for another echo prior to surgery? Thanks in advance! Melissamph (old boards Melissa C).
I am nearly 3 yrs post diagnosis. Having no symptoms at all. I currently take 25 mg Coreg BID, 10 mg Altace qd, 40 mg Nexium qd, 500mg Metformin BID and 81 mg Asprin each day. I currently weigh 251 and am having a Gastric Bypass on April 19th. My echo at diagnosis (9/11/02) was 30-35%EF and at 6 mos. was 45-50% and then at 1 yr. it was 55%. My question is should I ask for another echo to be done when I meet with the anesthesiologist? My surgeon said that reviewing my reports it showed PPCM was resolving and that another isn't necessary prior to surgery. EKG was fine. CXR normal. Upper GI fine for the most part. Blood work good but anemic. Slight elevation of CO2 by only 2 pts. so she said that was fine (could be calibration and not a major concern at 2 pts.). I have had 2 surgeries since the delivery of my 3rd child. The first was a hernia repair and it was at 11 wks post partum and I hadn't been diagnoses yet and did well in surgery the second surgery was a year later and was a lap choley and did fine. So, we have no reason to think I won't do fine but just concerned since the last echo was 2 yrs ago this month. I have all of my measurements and flows. My cardio's summary: L ventricle is slightly dialated (6.1), though the LV EF continues to improve to 55% from 45% months ago. So do you think I should ask for another echo prior to surgery? Thanks in advance! Melissamph (old boards Melissa C).