Frank J. Pearl, M.D.
|Voluntary Professor of Medicine, University of Miami Miller School of Medicine, Miami, FL. Board certified in cardiovascular disease|
The minor change in position should not matter. If there is any question about the adequate control of your BP ask your doctor about a 24 hour BP monitor. Everyone's BP is elevated some of the time. The
A Left Bundle Branch Block is a problem with the electrical system of the heart. It can cause dysynchrony which can cause a decrease in the ejection fraction. It is not low enough to consider bi-ventricular
You were found to have early cerebrovascular disease. You need to optimize your BP and cholesterol profile, keeping your LDL , 70. You probably also have early coronary disease since it is a systemic
1 -There was nothing that required treatment at that time but that was now 4 years ago. 2- There is no required follow up of a normal 3 - It depends on the clinical situation. You need to discuss
It does sound like he has congestive heart failure. Without a lot more information I cannot comment on his prognosis. If he truly does have congestive heart failure then there is a 50% 5 year mortality