11/20/2025
Update from Chicago and the U of MN
Chicago- The Dr. was nice and came from Mayo Clinic. He reviewed everything and said this is heart failure. My heart cath from August had a few numbers that were a little high/ low. Not being able to finish cardiac rehab made my muscles weak and hard to absorb the oxygen. He apoligozed and said he doesn’t have much to offer me right now, unless my symptoms continue and then extensive testing needs to be done. He said there is a little damage to the heart muscle.
Minnesota - This doctor is incredible, she is the advanced heart failure/ transplant doc. She has a few concerns after looking over all my recent imaging from Mayo Clinic in August. My heart is definitely stiff, but the pumping (ejection fraction) is good. It is definitely heart failure with preserved ejection fraction. One of her concerns is that the bypass graft I had put in, in 2022 for my CHD surgery has closed and failed. If that is the case that is what could be cutting off blood flow to parts of my heart, and making it stiff and causing all these heart failure symptoms. This would make sense as to why my heart is having to work hard. She wants to do a cardiac mri to check my graft, she also wants a heart cath with a fluid challenge to purposely stress the heart by fluid overloading and see what it does. She is also considering putting in a cardio mems, which monitors the fluid levels. She said I am way too young for this, and none of this is normal. I require so many diuretics to be able to get by, and all the other heart meds. The test would also see if the remaining pericardium is constricting. It is still inflamed some, but not enough to cause my crp to be high. January 14th she comes to Sioux Falls and I’ll see her then, she gave me the option to come up earlier and do this testing, we will schedule after I see her in January. She said it’s not an emergency but definitely needs to be done. She’s hoping we can get through the holidays without anymore hospitalizations and crisis. I’m really praying the bypass graft hasn’t failed, and I don’t need a cardiac re-do surgery.