Hello Dr. Agar,
I have been experiencing a little shortness of breath on the days after I skip a treatment. I normally do HD five nights a week, 7.5 hours each night. I put on only about 1.5 - 1.7 kgs. Despite this, I have these symptoms. I used to be able to withstand weight gains of more than 4 kgs without any symptoms in the past.
I have tried removing more fluid as suggested by my nephrologist but I feel I am going below my dry weight if I did that. So I am definitely not fluid overloaded.
My nephrologist referred me to a Cardiologist who got an Echo cardiogram. The Echo report said I have a dilated LV, Grade 1 Diastolic Dysfunction and Biatrial Enlargement. I was asked to get a Dobutamine Stress Echo in which they could reach a heart rate of only 116 /minute as opposed to a desired HR of 140 /minute. They ruled out severe ischemia but said I may have slight ischemia but the test was inconclusive.
My cardiologist and nephrologist are only giving me vague explanations of the above with a ‘nothing to worry’. They are not giving me any workable solutions for the shortness of breath.
I was wondering what the above meant for my heart? Any suggestions on the Shortness of breath?