Question about congestive heart failure

Jack H. said:

Why is it that the body retains water as the congestive
heart failure advances?

Various hormones (ie aldosterone) is increased in level.
Such hormones promote sodium retention.

Quoted message said:

What is going to happen in the next stage?

Pulmonary congestion occurs leading to "shortness of breath"
even at rest and with lying down. Eventually, the congestive
heart failure can get so bad that sleeping has to be done
while sitting straight upright.

Quoted message said:

I am trying to prepare myself for the inevitable. My 91
year old father is going through this right now. His
doctor just wants to keep him out of the hospital.

Thanks in advance.

You are welcome, Jack.

You and your father will be in my prayers to God, in
Christ's name.

Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
heartmdphd.comheartmdphd.comOpen ↗

**
Who is the humblest person in the universe?
makeashorterlink.commakeashorterlink.comOpen ↗

What is all this about?
makeashorterlink.commakeashorterlink.comOpen ↗

Is this spam?
makeashorterlink.commakeashorterlink.comOpen ↗

Quoted message said:

Subject: Re: Question about congestive heart failure
From: "Dr. Andrew B. Chung, MD/PhD" [email hidden]
Date: 5/24/2004 1:50 PM Mountain Daylight Time
Message-id: <[email hidden]>

Jack H. said:

Why is it that the body retains water as the congestive
heart failure advances?

Various hormones (ie aldosterone) is increased in level.
Such hormones promote sodium retention.

Quoted message said:

What is going to happen in the next stage?

Pulmonary congestion occurs leading to "shortness of
breath" even at rest and with lying down. Eventually, the
congestive heart failure can get so bad that sleeping has
to be done while sitting straight upright.

Quoted message said:

I am trying to prepare myself for the inevitable. My 91
year old father is going through this right now. His
doctor just

wants

Quoted message said:

to keep him out of the hospital.

Thanks in advance.

You are welcome, Jack.

You and your father will be in my prayers to God, in
Christ's name.

Quoted message said:

Quoted message said:

My 91 year old father is going through this right now.
His doctor just

wants

Quoted message said:

to keep him out of the hospital

Wouldn't hemodilution .. or simply bloodletting in a case
like this .. BE .. one of the doctors solutions to allowing
the patient to remain at home ..?

Since one could assume the hypervolemia EXISTS in this
patient who is obviously .. IN .. 'advanced' .. congestive
heart failure .. ?

tinyurl.comyrsteOpen ↗

tinyurl.com32tv2Open ↗

Who loves ya. Tom

Quoted message said:

Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD Board-Certified Cardiologist
heartmdphd.comheartmdphd.comOpen ↗

** Who is the humblest person in the universe?
makeashorterlink.commakeashorterlink.comOpen ↗

What is all this about?
makeashorterlink.commakeashorterlink.comOpen ↗

Is this spam? makeashorterlink.commakeashorterlink.comOpen ↗

Jesus Was A Vegetarian! jesuswasavegetarian.7h.comjesuswasavegetarian.7h.comOpen ↗
Man Is A Herbivore!
pages.ivillage.commanisaherbivoreOpen ↗ DEAD
PEOPLE WALKING
pages.ivillage.comdeadpeoplewalkingOpen ↗

doe said:

Quoted message said:

Subject: Re: Question about congestive heart failure
From: "Dr. Andrew B. Chung, MD/PhD" [email hidden]
Date: 5/24/2004 1:50 PM Mountain Daylight Time Message-
id: <[email hidden]>

Jack H. said:

Why is it that the body retains water as the congestive
heart failure advances?

Various hormones (ie aldosterone) is increased in level.
Such hormones promote sodium retention.

Quoted message said:

What is going to happen in the next stage?

Pulmonary congestion occurs leading to "shortness of
breath" even at rest and with lying down. Eventually, the
congestive heart failure can get so bad that sleeping has
to be done while sitting straight upright.

Quoted message said:

I am trying to prepare myself for the inevitable. My 91
year old father is going through this right now. His
doctor just

wants

Quoted message said:

to keep him out of the hospital.

Thanks in advance.

You are welcome, Jack.

You and your father will be in my prayers to God, in
Christ's name.

Quoted message said:

Quoted message said:

My 91 year old father is going through this right now.
His doctor just

wants

Quoted message said:

to keep him out of the hospital

Wouldn't hemodilution .. or simply bloodletting in a case
like this .. BE .. one of the doctors solutions to
allowing the patient to remain at home ..?

Typically not.

Quoted message said:

Since one could assume the hypervolemia EXISTS in this
patient who is obviously .. IN .. 'advanced' .. congestive
heart failure .. ?

Hypervolemia is not the same as polycythemia vera.

Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
heartmdphd.comheartmdphd.comOpen ↗

**
Who is the humblest person in the universe?
makeashorterlink.commakeashorterlink.comOpen ↗

What is all this about?
makeashorterlink.commakeashorterlink.comOpen ↗

Is this spam?
makeashorterlink.commakeashorterlink.comOpen ↗

Quoted message said:

Subject: Re: Question about congestive heart failure
From: [email hidden] (doe)
Date: 5/24/2004 3:43 PM Mountain Daylight Time
Message-id: <[email hidden]>

Quoted message said:

Subject: Re: Question about congestive heart failure From:
"Dr. Andrew B. Chung, MD/PhD" [email hidden] Date:
5/24/2004 1:50 PM Mountain Daylight Time Message-id:
<[email hidden]>

Jack H. said:

Why is it that the body retains water as the congestive
heart failure advances?

Various hormones (ie aldosterone) is increased in level.
Such hormones promote sodium retention.

Quoted message said:

What is going to happen in the next stage?

Pulmonary congestion occurs leading to "shortness of
breath" even at rest

and

Quoted message said:

with lying down. Eventually, the congestive heart failure
can get so bad that sleeping has to be done while sitting
straight upright.

Quoted message said:

I am trying to prepare myself for the inevitable. My 91
year old father is going through this right now. His
doctor just

wants

Quoted message said:

to keep him out of the hospital.

Thanks in advance.

You are welcome, Jack.

You and your father will be in my prayers to God, in
Christ's name.

Quoted message said:

Quoted message said:

My 91 year old father is going through this right now.
His doctor just

wants

Quoted message said:

to keep him out of the hospital

Wouldn't hemodilution .. or simply bloodletting in a case
like this .. BE .. one of the doctors solutions to allowing
the patient to remain at home ..?

Since one could assume the hypervolemia EXISTS in this
patient who is obviously .. IN .. 'advanced' .. congestive
heart failure .. ?

tinyurl.comyrsteOpen ↗

tinyurl.com32tv2Open ↗

Who loves ya. Tom

Quoted message said:

Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD Board-Certified Cardiologist
heartmdphd.comheartmdphd.comOpen ↗

A reduction of hemoglobin concentration to a subnormal
level increased oxygen consumption without lowering
oxygen delivery.

tinyurl.com2zffhOpen ↗

Who loves ya. Tom Jesus Was A Vegetarian!
jesuswasavegetarian.7h.comjesuswasavegetarian.7h.comOpen ↗ Man Is A Herbivore!
pages.ivillage.commanisaherbivoreOpen ↗ DEAD
PEOPLE WALKING
pages.ivillage.comdeadpeoplewalkingOpen ↗

"Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message
"]news:[email hidden]...

Quoted message said:

Jack H. said:

Why is it that the body retains water as the congestive
heart failure advances?

Various hormones (ie aldosterone) is increased in level.
Such hormones

promote

Quoted message said:

sodium retention.

Quoted message said:

Tis a bit of a simplistic answer. but thank you none the
less. I was looking for more information on WHY the hormone
is being released, what causes it and all.

Quoted message said:

Quoted message said:

What is going to happen in the next stage?

Pulmonary congestion occurs leading to "shortness of
breath" even at rest

and

Quoted message said:

with lying down. Eventually, the congestive heart failure
can get so bad

that

Quoted message said:

sleeping has to be done while sitting straight upright.

Quoted message said:

I am trying to prepare myself for the inevitable. My 91
year old father is going through this right now. His
doctor just

wants

Quoted message said:

Quoted message said:

to keep him out of the hospital.

Thanks in advance.

You are welcome, Jack.

You and your father will be in my prayers to God, in
Christ's name.

Thank you. I gather that he he is nearing the end of his
time with us and while he has not been in very good shape
for as long as I can remember, it is never easy to see the
final decline.

Quoted message said:

Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD Board-Certified Cardiologist
heartmdphd.comheartmdphd.comOpen ↗

** Who is the humblest person in the universe?
makeashorterlink.commakeashorterlink.comOpen ↗

What is all this about?
makeashorterlink.commakeashorterlink.comOpen ↗

Is this spam? makeashorterlink.commakeashorterlink.comOpen ↗

Jack

Jack H. said:

"Dr. Andrew B. Chung, MD/PhD" <[email hidden]>
wrote in message "]news:[email hidden]...

Quoted message said:

Jack H. said:

Why is it that the body retains water as the
congestive heart failure advances?

Various hormones (ie aldosterone) is increased in level.
Such hormones

promote

Quoted message said:

sodium retention.

Quoted message said:

Tis a bit of a simplistic answer. but thank you none the
less. I was looking for more information on WHY the
hormone is being released, what causes it and all.

The RAA hormonal axis "senses" the low cardiac output of
someone with heart failure and tries to compensate
(maladaptively).

Quoted message said:

Quoted message said:

Quoted message said:

What is going to happen in the next stage?

Pulmonary congestion occurs leading to "shortness of
breath" even at rest

and

Quoted message said:

with lying down. Eventually, the congestive heart
failure can get so bad

that

Quoted message said:

sleeping has to be done while sitting straight upright.

Quoted message said:

I am trying to prepare myself for the inevitable. My
91 year old father is going through this right now.
His doctor just

wants

Quoted message said:

Quoted message said:

to keep him out of the hospital.

Thanks in advance.

You are welcome, Jack.

You and your father will be in my prayers to God, in
Christ's name.

Thank you. I gather that he he is nearing the end of his
time with us and while he has not been in very good shape
for as long as I can remember, it is never easy to see the
final decline.

Only God knows when it is time (for any of us).

Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
heartmdphd.comheartmdphd.comOpen ↗

**
Who is the humblest person in the universe?
makeashorterlink.commakeashorterlink.comOpen ↗

What is all this about?
makeashorterlink.commakeashorterlink.comOpen ↗

Is this spam?
makeashorterlink.commakeashorterlink.comOpen ↗