Auscultation: Grade 4/6 left apical blowing quality murmur. Heart rate 100bpm and regular with paroxysmal tachycardia with rates of 150bpm. Lungs clear. Anxious.
Thrill: none
PM: left – bounding apex beat
Femoral Artery: good quality bilaterally
Release Notes:
Limoncello’s murmur has changed in quality compared to the last examination of 8/25/2020.
The echocardiogram revealed further enlargement of the left atrium and ventricle comparatively.
Supplement regiment will remain the same
We are starting a traditional medication that is used with dilated cardiomyopathy, even occult cases (without clinical signs) to improve myocardial (heart muscle) strength.
Pimonbendan (5 mg tablets): 1.5 tablets every 12 hours
Tracking sleeping respiratory rate will continue, as this is essential in early detection of congestive heart failure which she is at risk for.
The blood work revealed normal kidney function and electrolytes.
Recheck Recommendations:
Recheck blood work in 6 months
Recheck radiographs as indicated based on clinical signs
