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Doctor insights on: 20 Heart Function

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With congestive heart failure or coronary ischemia would the oxygen saturation shown on the monitor at hospitals drop?

With congestive heart failure or coronary ischemia would the oxygen saturation shown on the monitor at hospitals drop?

Possibly: With severe or "decompensated" congestive heart failure, the oxygen saturation is frequently low due to the pint of water in the lungs. As this condition is treated, the oxygen level will improve. For ischemia, it would be very unc. ...Read more

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How could hyperthyroidism affect cardiac output?

How could hyperthyroidism affect cardiac output?

Hyperthyroidism: Hyperthyroidism is a excess metabolic state. If other systems are normal it will usually cause increased heart rate and cardiac output. In the face of a weak heart, it could be associated with decrease in cardiac output. Chronic hyperthyroidism can be associated with a cardiomyopathy causing decreased heart function. ...Read more

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Does beta blockers prevent vf in myocarditis ?

Does beta blockers prevent vf in myocarditis ?

Ventricular fibrilla: Antiarrhythmic medications and antiheart failure medications can decrease the probability of ventricular fibrillation but no medication is 'preventative'. ...Read more

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51 yo male. Mild chf, ef of 50. Kidney failure caused by meds. Creatinine returned to 1.6 after meds stopped. Are my kidneys severely damaged?

51 yo male.  Mild chf, ef of 50.  Kidney failure caused by meds.  Creatinine returned to 1.6 after meds stopped.  Are my kidneys severely damaged?

Some damage: Stage 3 of chronic renal failure consists of egfr 45-59 (3a) or 30-44 (3b).Rememember that egfr is an estimate (more info on egfr) and may require a correction for (black) race. Most patients with stage 3ckd are older and only a minority go on to get more serious kidney disease.Increased rate of heart attacks, strokes. Need to be closely followed by physician.Stage4, 5 are more severe renal failure. ...Read more

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Can aptt test can clear heart disease ?

Can aptt test can clear heart disease ?

No: No test can clear a disease and it is unlikely that one test completely rule out a disease. ...Read more

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Heart rate up 20-30 beats when standing up.then normal.cardiac?neuro?normal?ecg,cardiac echo, CT angio w contrast all ok.am obese and non athletic

Heart rate up 20-30 beats when standing up.then normal.cardiac?neuro?normal?ecg,cardiac echo, CT angio w contrast all ok.am obese and non athletic

Orthostasis: it is normal orthostasis. as the blood pressure decreases, pulse inversely increases. try to increase fluid intake as dehydration has a tendency to increase likelihood of orthostatic hypotension. ...Read more

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My serology cpr is 15 and aso is 1:400 positive.. Is my heart valve affected ?

My serology cpr is 15 and aso is 1:400 positive.. Is my heart valve affected ?

Unclear question: From the information provided, it is not feasible to assess the status of your heart valves. If you are concerned about rheumatic fever, please see your doctor. ...Read more

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Vital capacity changed slightly, suggesting mild respiratory disturbance conductance (dvr) respiratory tract revealed. Result of spirometry, it means?

Vital capacity changed slightly, suggesting mild respiratory disturbance conductance (dvr) respiratory tract revealed. Result of spirometry, it means?

Makes no sense: This sounds like a computer generated report that might have been mis-interpreted by you. Regardless, minor changes in pfts cannot be interpreted out of context, just like strange noises your car makes cannot be diagnosed without looking at the car. ...Read more

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What is congestive heart failure? Symptoms .

What is congestive heart failure?  Symptoms .

Hrt StiffnessWeaknes: With increased stiffness &/or weakness of heart pumping (muscle &/or valve problems), brain reflexes ? thirst/water intake & ? water output from kidneys; thus body water increases driving congestion (edema). If heart function not too sick, the ? water/blood volume improves pump function; but no limit to the reflex & the increased water (edema) can fill the lungs (can't breath) & legs/body swells. ...Read more

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I had an acute asthma attack, administered oxygen, morphine, and 3 other meds, enlarged heart. Should i take oxygen?

I had an acute asthma attack, administered oxygen, morphine, and 3 other meds, enlarged heart. Should i take oxygen?

No: O2 should be prescribed by a pulmonary physician after finding that your o2 levels are low. Low o2 mean severe pulmonary or heart disease. Reason should be investigated. You need to stop smoking asap. It is not helping and is worsening your condition. I suspect you may have a combination of chronic lung disease/ reactive airway/ heart condition. Consult an internist/lung specialist soon. ...Read more

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Cardiologist says heart is fine because of ekg/holter/echo/thyroid/adrenal good. Constant tachycardia/pacs/palps though. Ef 50%. Possible error?

Cardiologist says heart is fine because of ekg/holter/echo/thyroid/adrenal good. Constant tachycardia/pacs/palps though. Ef 50%. Possible error?

Very doubtful: It is extremely doubtful that you have a heart problem with all of that testing coming out normal. To be honest, it is much more likely to be related to stress/anxiety in your life, or possibly due to less than optimal lifestyle behaviors (diet, caffeine, exercise frequency, etc). ...Read more

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Echo 2 mos ago, results = LA dilated, mild functional mr and trivial functional tr.holter result sinus rhythm, PVC seen 32.7%. Now discomfort jawline?

Echo 2 mos ago, results = LA dilated, mild functional mr and trivial functional tr.holter result sinus rhythm, PVC seen 32.7%. Now discomfort jawline?

See your doctor: To assess whether the pain in your jaw line is related to your heart you will need a stress test. This is especially the case if that jaw discomfit occurs with exertion. The echo cardio gram will not necessarily give you information about your arteries, especially if these new symptoms. Good luck to you! ...Read more

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Flipped T wave in lead 3, no other abnormalities. ECG was done due to palpitations, increased HR, and lightheadedness. Normal echo. Is this okay?

Flipped T wave in lead 3, no other abnormalities.  ECG was done due to palpitations,  increased HR,  and lightheadedness. Normal echo.  Is this okay?

Flipped T in III: Normal variant. Would check tilt test to see if heart rate increases when tilted , as you may have POTS postural orthostatic tachycardia syndrome Also check TSH/T4 , check for H pylori if any abdominal discomfort, and less commonly consider ANA, sed rate, DS DNA and ACE metanephrines and 5HIAA., if all else negative ...Read more

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Heart is supposed to beat like 1...2 noticed it beats like 1..1 vfast/strong then a long pause then 2 and rate slows. Felt it couple times/day, I'm 20 and I exercise daily. cardiac arrest coming?!

Heart is supposed to beat like 1...2 noticed it beats like 1..1 vfast/strong then a long pause then 2 and rate slows. Felt it couple times/day, I'm 20 and I exercise daily. cardiac arrest coming?!

Not clear from descr: I am not sure what u mean when describing ur heart beat. What is 1...2 & what is a 1...1 beat? From ur description, at the very least we know (1) heart beat is irregular, & (2) u feel it. Do u feel it in ur chest? Or do u check ur pulse (w/ ur fingers)? Next time it happens, count how many times it beats in a minute. Better yet, get onto HealthTap Prime to discuss ur symptoms. U may need a Holter. ...Read more

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Can you have heart failure without a myocardial infarction?

Can you have heart failure without a myocardial infarction?

The quick answer is : Yes. Heart failure refers to the inability of the heart to pump properly and thus resulting in accumulation of fluid in the lung. This is called systolic heart failure. There is also diastolic or right sided heart failure and those symptoms are a bit different. Myocardial infarction refers to poor blood supply to the heart resulting in the death of heart tissue. This could result in heart failure. ...Read more

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Vital capacity changed slightly, suggesting mild respiratory disturbance conductance (dvr) respiratory tract revealed. Doctor, what it means?

Vital capacity changed slightly, suggesting mild respiratory disturbance conductance (dvr) respiratory tract revealed. Doctor, what it means?

Makes no sense: Sounds like its been mis-read from a computer generated report. Double check the report wording. Then ask the doctor that did the study. Small changes in pfts are meaningless unless they are put into context, and even then they may not signify anything significant. ...Read more

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I'm 22, female, type 1 diabetic 20 years & graves disease. Had baby 12/2 & sick for month. Angina, irregular heartrate, syncope, short of breath. Help?

I'm 22, female, type 1 diabetic 20 years & graves disease. Had baby 12/2 & sick for month. Angina, irregular heartrate, syncope, short of breath. Help?

PCP visit: I would suggest having your thyroid function tests obtained, and an evaluation for autoimmune disease. The other test that you should have while you are at the PCP, is an EKG. ...Read more