Heart & Cardiology/Heart Disease

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Question
Dear Doctor
My husbank is 65 and has Chronic Kidney Disease. In the last six months his GFR has decreased from 30 to 19 (Creatinine 3.34).  A year ago his GFR was 40. He is on 5 different tablets for hard to control hypertension, two of which are diuretics. His total cholesterol is 6.8mmol/l and his LDL is 4.5mmol/l.  He takes Crestor for this. His BMI is high due to a large stomach. He stopped smoking several years ago but does drink too much. His current main symptoms are extreme fatigue, breathlessness, wheezing, edema in the legs and feet.  He recently had a ProBNP blood test.  We live in South Africa and the results were 762 pg/ml against a normal level according to our laboratory of >125 pg/ml.
Do you think there is a possibility thta he has some sort of heart disease? He is reluctant to go to a cardiologist and says there is nothing wrong with his heart.
Thank you.
Regards
Rose

Answer
Hi Rose,
He certainly is at a high risk, but that doesn't necessarily mean he has heart disease as well:
http://www.cardiachealth.org/cardiovascular-health-factors-atherosclerosis-treat
Hope this helps,
Dr T
http://www.cardiachealth.org/

Heart & Cardiology

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