Case Studies

Secondary Polycythemia Due to Congestive Heart Failure (Joseph Feldschuh, MD, FACP, FACC)

This 58 year old man, 67” in height, weighing 327 lbs complains of chronic shortness of breath. He had a type of stroke in the past that affected his left side. He also has diabetes, high blood pressure and heart palpitations. The BVA-100 was able to determine that he has a large amount of fluid in his blood. He has been suggested to start therapeutic phlebotomy (a prescribed amount of blood withdrawn for medical reasons) as soon as possible.

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Orthostatic Hypotension (Joseph Feldschuh, MD, FACP, FACC)

This 81 year old man, 68” in height, weighing 196 lbs has a history of having an abnormal heartbeat for over 17 years. He received treatment to correct this issue several times, but 8 years ago the condition escalated to continuous heart palpitations and has since noticed increased fatigue and shortness of breath. He has also had swelling and water retentions of his lower extremities. The BVA-100 was able to tell us that he had a decreased blood volume that most likely is due mainly to his neuromuscular (disease that affects the muscles) issue he has to his lower extremities.

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Hypertension Due to Expanded Plasma Volume (Joseph Feldschuh, MD, FACP, FACC)

This 70 year old man, 72” in height and weighing 238 lbs has a history of high blood pressure. He was scheduled for surgery involving transurethral prostatectomy (removal of part of the prostate gland through the urethra). He is currently on medicine to lower his blood pressure. This issue is due to excess salt and fluid retention. The BVA-100 was able to uncover the main issues and he has been suggested to start diuretic therapy after his surgery.

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Congestive Heart Failure, Anemia, Pleural Effusions – Elevated BNP(Robert Schnitzler, MD, FACP, FACC) Part 2

This 49 year old man, 64” in height and 169 lbs came in complaining of shortness of breath. He was diagnosed with high blood pressure and heart disease about 5 months earlier. Due to the results received from the BVA-100 the patient has been suggested for a therapeutic phlebotomy (a prescribed amount of blood withdrawn for medical reasons).

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Congestive Heart Failure (Joseph Feldschuh, MD, FACP, FACC)

This 79 year old male, 69” in height and 182 lbs came in complaining of shortness of breath and feeling very run down and tired. He was recently hospitalized for coronary artery bypass surgery. The BVA-100 was able to determine that this patient has severe hypervolemia (a condition where there is too much fluid in the blood). This condition is a symptom of congestive heart failure.

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Congestive Heart Failure (Diastolic) with Marked Elevation of BNP(Robert Schnitzler, MD, FACP, FACC)

This 83 year old man, 64” height and 169 lbs has come in complaining of shortness of breath with a small amount of movement. He has a history of Coronary Artery Disease and aortic valve disease. He received treatment for 24 months following an episode of endocarditis ( inflammation of the inside lining of the heart chambers and heart valves). He refused surgery after receiving antibiotic therapy. He was then admitted later for surgical repair of his aortic valve after having congestive heart failure.The BVA was able to determine that he had a mild reduction in blood volume due to reduced red blood cell mass. He may benefit from a transfusion and the correction of plasma volume expansion.

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Congestive Heart Failure, Anemia, Pleural Effusions – Elevated BNP(Robert Schnitzler, MD, FACP, FACC) Part I

This 84 year old woman, 70” height and 124 lbs. was complaining of having difficulty breathing. After performing a chest X-ray the medical team suspected it was pulmonary vascular congestion (swollen blood vessels leading to and/or from the lungs). She also tested positive for jugular venous distention (the blood pressure in the jugular vein on the side of the neck swells and is higher than normal) The BVA-100 determined that she had decreased blood volume and if she continued with diuretic therapy (commonly used in patients with congestion) that it could further reduce the amount of blood she has and possibly cause an abnormally high volume of nitrogen waste in the blood. Thanks to the BVA machine, they were able to start treatment to increase her blood volume.

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Congestive Heart Failure & Dialysis – Dialysis Complicated by Hypotensive Episode, Elevated BNP Consistent with Cardiac Failure(Robert Schnitzler, MD, FACP, FACC)

This 78 year old male, 68” height and 145 lbs was admitted for low blood pressure during his blood dialysis. He has gone through dialysis many times that had to be stopped and not resumed because his blood pressure dropped and his heart was not able to pump enough blood through his body properly. He had an unhealthy, pale appearance. The BVA-100 was able to determine that his blood volume was expanding. In order to proceed with his dialysis, they will have to slow down his treatments in order to keep from overloading his system.

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Vasoconstrictive Hypertension (Joseph Feldschuh, MD, FACP, FACC)

This 49 year old man, 70” in height, weighing 208 lbs has a 2 year history of high blood pressure and abnormal lipid levels in the blood. The BVA-100 determined that he has a moderate to severe case of excess fluids in his blood and restricted blood vessels. It has been suggested that he be evaluated for a possible reduction of blood flow to his kidneys because of his hypertension. Medicine for high blood pressure/congestive heart failure are suggested as possible initial therapy.

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