DCM &CREATININE LEVELS

[Vivi2711]

Respected colleagues,

Hope that all are feeling better. I am a patient of dilated cardiomyopathy since May 2018. CAG done with no blocks. Kept on with carvedilol 3.125 mg twice daily, spironolactone plus toresemide 10 mg, atorovastatin 10 mg, losartan with potassium 25 mg &clopidegril 75mg all once daily. Reduced salt intake & fluid restriction of 1 litre per day imposed.

After 6 months recovered slowly from the symptoms and increased my daily walking to nearly 4 kms at an average pace of 10 mts per km.

Before 3 months there was an elevation of serum creatinine & potassium levels to 1.9 mg/dl & 4.7 respectively, which prompted my cardiologist to stop losartan with potassium 25 mg and an increase in fluid intake upto 1.5 litres was recommended.

Despite this, my BP level is maintained as 95/65 round the clock & within a month my creatinine levels were down to 1.2 mg/dl.

Before a fortnight my creatinine levels rose upto 1.6 mg/dl. Since I am due for a review with my cardiologist during October, I started taking spironolactone plus toresemide 10 mg on one day and 5 mg on the alternative day which I am continuing till date without reducing my fluid intake of 1.5 litres a day. I am loosing weight gradually daily and is within BMI level.

Don't have symptoms and is able to continue my walk for 2& a half hours per week.

No edema is also witnessed.

Today again my serum creatinine levels has raised to 1.9 mg /dl.

I took more bananas before 10 days & take curd rice daily as a part of my meal. Invariably every night once I wake up for passing urine and on such occasions it is dark yellow with tiny white sediment like floats but not particles. Occasionally in the evening after walk feel a little tired but never the fatigue which was witnessed in my early stages of the disease.

Generally, by and large feeling normal but for this elevated creatinine levels which has disturbed me today.

Kindly guide me with your valuable inputs please

With utmost regards,

M. Vivekanandan