Name: GOH HUANG SHENG
D.O.B: 17/12/1960
Gender: Male
Diagnosis: Primary dilated cardiomyopathy, chronic heart failure – CHF, gout, post-chemotherapy status of B cell lymphoma, psoriasis and gastroenteritis
Treatment procedure: Mesenchymal stem cell therapy and traditional Chinese medicine – TCM
Cooperated Hospital: Beijing Puhua International Hospital
Record Time: Jan, 2015
Mr. GOH HUANG SHENG is a 55 years old gentleman from Singapore. Two years ago, he suffered from intermittent palpitation, cough and chest distress without apparent incentives. He would experience short of breath and edema in both lower limbs after exercises. He was suggested with implantable cardioverter defibrillator (ICD) in a local hospital and got improvement. Digoxin was prescribed for maintaining the treatment effects. In March 2014, he was noted with bradycardia and Digoxin was stopped. Atrial fibrillation appeared following the stop of Digoxin, with the heart rate of 200 times/min. Electrical cardioversion treatment was offered and his condition was finally stable.
In November 2014, the condition happened again. The cardiac ultrasound examination revealed that the lowest left ventricular ejection fraction (LVEF) was about 10%. He received electrical cardioversion treatment again and his condition was under control. However, he was still troubled with palpitation. Besides, he felt abdominal distension, which made him just eat quite a little. He felt lack of strength nearly all day. The poor quality of life pushes him to seek for a better treatment.
Except from heart problem, Mr. GOH HUANG SHENG also had gout and psoriasis. He had B cell lymphoma and was treated with 6 circles of CHOP chemotherapy.
While admission, Mr. GOH HUANG SHENG mainly complained about his abdominal distension and palpitation. The palpitation aggravated after meals, together with his abdominal distension symptom, he only eat a little food. As a result, the intake of nutrient was insufficient. He always felt fatigue and lack of strength. Moreover, he felt short of breath while walking and could only walk for a shot distance. Besides, he often experienced abdominal pain and diarrhea.
In the physical examination, his blood pressure was normal. He was noted with enlarged heart scale via percussion and irregular cardiac rhythm via auscultation.
Cardiac ultrasound examination revealed enlarged left ventricle and left atrium; myocardiopathy; slight to moderate mitral regurgitation and slight tricuspid regurgitation; left heart insufficiency.
The result of chest X-ray was similar with cardiac ultrasound examination, indicating myocardiopathy and left heart insufficiency.
Combining the medical history, physician examinations, lab and radiography findings, Mr. GOH HUANG SHENG was diagnosed with primary dilated cardiomyopathy, and chronic heart failure and gastroenteritis at our cooperated hospital.
Two injections of mesenchymal stem cells via intravenous approach were offered, combining with symptomatic treatment and traditional Chinese medicine, which aimed to adjust the imbalance between his liver and stomach.
After 12 days’ stem cell therapy for his chronic heart failure, Mr. GOH HUANG SHENG received great improvements. He felt good in general. The abdominal distension was predominantly relieved. The palpitation which aggravated after meals disappeared after the stem cell therapy. He also had more strength compared with before. With increased strength, he was able to walk longer and the short of breath symptom while walking was much better than before. The abdominal pain and diarrhea disappeared after the treatment too.
The level of C-reactive protein – CRP which is related to inflammation became normal after the treatment. As Mr. GOH HUANG SHENG remembered, the level of CRP was always abnormal, over 15mg/L in the past years in Singapore. The level of brain natriuretic peptide – BNP which is related to heart failure was also better and controlled within normal level.
Main items of lab tests were compared in Figure 1
Figure 1