My husband has stage 4 heart failure only 15% of his heart is working. What does that mean?

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And if he want stop drinking alcohol. My husband has been drinking for 28 years.3 weeks ago he had fluid in his lungs no energy and could not eat. Now we found out he has heart failure ,only 15 % of his heart is working and he is in stage 4. With the medicine he feels better ,but starting back drinking .What can I expect ? He has been working all his life, but I see him going down more and more. Should we try to file for social security disability? I really don't know what to do.

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He really does need to stop drinking. I know hes probably depressed, but let him know to help himself and you, he has to quit, there are pills and therapy for depression. What about stints to open his blood flow, if this is a problem, has he had an Angiogram? Im unsure if he would qualify for heart surgery or a pacemaker because of the stage he's in, what does his Cardiologist say? You should check with a disability lawyer today, but the drinking issue might not help. Your in my thoughts
i am an alcoholic, 15 years sober, come from a family of drinkers, i got sober in AA at a relatively young age, my father died of this disease in 2010, pancreatic cancer, but he had a number of other complications as well, including massive heart problems, triple bypass surgery added a few more years to his life. my father quit drinking during his last year of life, i think because it was incompatible with his cancer treatments. i don't think he would have quit on his own, he was more or less defiant until the last month.

i wish i could tell you otherwise but the sad truth is it sounds like he doesn't have much time left. your best hope is to get him checked into somewhere, a professional facility, that can help him with both the physcial and psychological affects of his drinking. he absolutely must stop drinking, and it can't be done on his own in his condition, it could kill him.

literally what will probably happen, he'll collapse on the floor someday, 911 will get involved, and he'll end up in hospice if you do nothing to put a stop to his drinking. get the family involved, do an intervention, call AA, talk to them, do whatever it takes in my opinion. i would start making some calls today. Baker Act him, involuntary, if you have to, then refuse to bring him home if that's what it takes. the social workers at the hospital can place him in a facility from there.

forget about the money, that's the least of his problems.
Viola, you're probably referring to ejection fraction, which is a measure of the amount of blood that's pumped from your husband's heart when it beats.

This is a very good explanation of ejection fraction and how it works.

http://www.mayoclinic.org/ejection-fraction/expert-answers/faq-20058286. If the link is deleted, Google "ejection fraction" to get other hits on explanation.

Note that it also states that 55% is normal. So 15% is quite low, and dangerous.

There are 2 classifications of heart failure stages: one is alpha and the other numeric. I couldn't successfully get a link on the American Heart Assn. page which describes the 4 stages - it might be a problem with my browser. But Google "stage 4 heart failure" and check out the hits.

Be prepared; stage 4 is not a good place to be. I don't wish to be an alarmist, but if you haven't already, you should get your estate planning affairs in order, especially if your husband won't stop drinking.

Your husband has probably been prescribed Warfarin/Coumadin, an anticoagulant which thins the blood to reduce the event of clotting, as his heart is not pumping out as much blood as it should and that can increase the likelihood of a blood clot. He may also have been prescribed "baby" (81 mg.) aspirin as it also is a blood thinner.

You asked for advice: get him to join Alcoholics Anonymous, NOW. TODAY. That's the best thing both of you can do for his health.

Honestly, I don't know much about SS disability but it seems that his disability is self-induced so I'm not sure why he would qualify for it.

If you're religious, get his pastor to support you in getting him to join AA. If you have family, get their support also.

This is a real wake-up call for your husband and he needs to stop drinking ASAP.
Thank you so much for your answer. The doctors say they want to try the medicine first. They cant do nothing right now because his heart is so weak. I know its between him and god right now. I just feel lost right now , and don't know where to turn to .My 27 year old son is trying to be strong for me and I am for him. But my husband is in denial about his heart problem. The doctors told him he is on the end of the cliff, no going forward or back. Is this really the end, I don't know what to think anymore .Thank you again for caring.
The 15% figure is called the 'ejection fraction', and refers to how much of its blood content the heart pumps out in one beat. In a healthy adult it is around 65%, I believe. Don't panic! Although the figure is frightening, you have to remember some important (and I hope reassuring) things about it.

1. It is very hard to measure precisely. Your husband will have had an echocardiogram, which is like an ultrasound of his heart. The cardiac physiologist will have taken measurements of how well the blood was flowing through the chambers of his heart, and of how efficiently the heart was pumping.

2. 15%, although obviously it means the heart is not working well, is not the end of the world. My mother's last EF was measured at 10% - her GP gently explained this was their polite way of saying her heart is rubbish. And yet there she is, sitting in her chair, comfortable and content. You can toddle along for quite a while with poor heart function.

2. The breathlessness will have been caused by a build up of fluid in the lungs (water retention in the tissues), which is improved with diuretics. The trouble is that although diuretics work well, they do have side effects. But, again, my mother's been taking them, with occasional adjustments, since about 1996; and for the moment she is having no problems with fluid retention at all.

Viola, there are a lot of things you haven't mentioned that will make a difference. How old is your husband? What diagnosis has he been given underlying this heart failure (there can be all sorts of causes)? And regarding the alcohol, how much is he drinking, and what is he drinking?

A Scotch or two after dinner, OR a glass of red wine with dinner, OR a beer in front of the tv - these won't hurt him. A bottle of vodka will. If you're worried about how much he's consuming, or that he's unhealthily dependent on alcohol (it's the need, not just the amount, that you want to watch) then discuss it with his doctor.

If you can provide a little more information we could perhaps suggest other sites that would be helpful for you. Try not to worry too much, there are many treatment options available and you will almost certainly find that his doctors can sort him out with a good care plan. He'll need to co-operate, but it doesn't have to ruin his enjoyment of life.
He fought me for 28 years to get help I know I have to be strong and I try. And he will not listen to me or that I am scared. I knew this day would come ,but now it hits me like a rock and I am numb.
"Honestly, I don't know much about SS disability but it seems that his disability is self-induced so I'm not sure why he would qualify for it."

unfortunately i know something about this. alcoholics like me who are sober qualify for nothing, alcoholics who 'can't stop drinking' actually do qualify for benefits. go figure. when i first found out about this many years ago it made no sense to me either. in fact i think it encourages some people to continue drinking. i was living in a YMCA hotel for a while, one of my 'neighbors' there was an active alcoholic living on disability checks. the money went to pay for his 'rent' and booze. they go from one YMCA to another, they have policies about maximum length of stay, have to leave for one week, then they come back. most alcoholics who have been around for a while know how to work the system. it's all very sad.

your husband needs to be in a hospital setting like yesterday. i can't stress enough how important it is to check him in to a psychiatric hospital emergency room, and if he refuses to go, go downtown to the courthouse TODAY and fill out the involuntary Bake Act paperwork to have the cops give him a ride.

My dad lived on 12% ejection fraction for over a year. When the heart muscle is damaged it does something amazing, it creates "collaterals" which are blood vessels that keep the blood flowing to the heart. The heart is really an amazing organ and will do as much as it can to protect itself.

Obviously, ejection fraction in the teens isn't good and it won't sustain someone indefinitely and it's not reversible. If your husband were to start eating heart healthy and quit drinking his heart condition wouldn't improve. Unfortunately the damage has been done.

I think your husband would be eligible for disability however it takes quite a while to go through that process. It would be wise to get started on that now. If you hire a social security disability attorney it would be quicker than doing it yourself because most people are turned down initially. You shouldn't have to pay the lawyer up front but a lawyer would get a percentage of any back payments you receive.
"If your husband were to start eating heart healthy and quit drinking his heart condition wouldn't improve. Unfortunately the damage has been done."

agree for the most part, but as someone said, his overall health depends on his age, a lot of factors. i've seen some miraculous recoveries, mine was one of them. if he doesn't stop drinking i think we all agree there's no hope. as we say in AA there are three choices, dead, sober or in jail, take your pick.

my focus in cases like this, including my own family and friends, is the whole person, body and soul, not just physical symptoms. the soul, family issues, money issues come later, much later, like a year from now, if he sobers up. the analogy i would use in your husband's case, it's like the house is on fire, and everyone inside is worrying about rearranging the furniture. it's too late. i especially wouldn't be wasting time on money issues. as we also say in AA, if a problem can be solved with money, it's not a problem.
Ok, this chap is 57. Was busy working - i.e. functional, i.e. possibly still an alcoholic but not at rock bottom, or not yet anyway, or possibly a drinker but not actually an alcoholic - who knows? Viola? - and then got symptoms three weeks ago and now has been found to have heart failure.

Viola, you need to sit down, take deep breaths, and have a good, clear-eyed look at your husband's diagnosis and prognosis. Any of his doctors will be happy to explain his disease to you; but one of the key things you need to find out is what has caused his heart failure. It could be permanent damage to the muscle of his heart, but it isn't necessarily. Find out! Then you'll know what you're dealing with.

Asking/pleading with/begging an alcoholic, or indeed a hard-drinking man, to 'get help' is a perfect waste of breath and time. You have tried. It hasn't worked. If he won't listen to you, perhaps he'll listen to his doctors. If his behaviour is unacceptable and he won't listen to you, perhaps he'll listen to the police. If he is in fact an alcoholic then maybe support from Al-Anon would help - we know already that knowing you're not alone can take whole weights off your mind. It really doesn't matter who you get help from, but YOU have to make the first move by seeking help. You can't do this on your own.

Same thing with any social security you or your husband might be eligible for - make the first step! Ring them up and ask!

Come back to the forum and let us know how you're getting on. I'm sorry if I'm sounding brusque - actually I really do sympathise, but for things to get better you have to make it happen. Good luck, keep in touch.

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