A case report on management of dilated cardiomyopathy

Abstract

Dilated cardiomyopathy is a progressive disease of heart muscle that is characterized by ventricular chamber enlargement and contractile dysfunction. The right ventricle may also be dilated and dysfunctional. Dilated cardiomyopathy is the third most common cause of heart failure and the most frequent reason for heart transplantation. It is a condition in which the heart's ability to pump blood is decreased because the heart's main pumping chamber, the left ventricle, is enlarged and weakened. In some cases, it prevents the heart from relaxing and filling with blood as it should. Over time, it can affect the other heart chambers.
A 58 years old male patient. He was a known case of chronic heart disease (CHD) with severe left ventricular (LV) dysfunction with 28% ejection fraction. He is a known case of Coronary Artery Disease (CAD) with an old Anterior Myocardial Infarction (MI) with Coronary Artery Graft (CAG) done for – Double Vessel Disease (S/P STK- on 26 May 2013).He got admitted in Cardio-Thoracic department of Yashoda Hospital, Hyderabad, with complaints of breathlessness, giddiness and mild bilateral pedal edema (upto lower 1/3rd of leg) on 1 Dec 2013.He had Acute Chronic Kidney Disease (CKD) for which he was on Dialysis. He presented with severe Hyperkalemia (K+ 8.4 mmol/l) and his serum creatinine was 3.0 mg/dl on admission. His X-Ray chest PA view done on 5 Dec 2013 revealed pleural effusion on right side of lungs. Patient complained of left ear tinnitus for which ENT consultation was also taken. This patient’s son a general surgeon came for a help that his father is waiting for heart transplantation .As a cadaver heart is not available and also on dialysis his general condition is grave. At this juncture he wanted to try Dr.Appa Rao’s medicine as an adjuvant. He has used three doses in alternate days and found remarkable recovery they came home. Even though they got a heart for transplant they dropped the idea of that. This patient is only on Dr. Appa Rao’s treatment and dialysis and lived comfortably .He was investigated several times for his heart his heart efficiency was found improved to a level to compensate the demand of his day to day needs. Thus Dr.Rao’s Immunotherapy may have a good role in treating Dilated Cardiomyopathies.