Doctor insights on:
Aortic Dissection Vs Heart Attack
When heart attack is suspected is it permissible to give blood thinners before ruling out aortic dissection?
Yes: Heart attacks occur much more often than aortic dissections. I would not blame anybody for trying to protect or treat for a heart attack with anticoagulants at least aspirin. In order to rule out dissection you need an angiogram or ct scan which is time comsumming. If fibrinolytics are considered (tpa (alteplase) or similar) I would probably wait to see the ct scan first. Dissect. Gives asymm. Bps, back pain. ...Read more
Myocardial Infarction means some of the heart muscle dies because of insufficient oxygen supply. Most often this occurs because the coronary artery is blocked by plaque & clot. Other causes include tears in the artery wall, extremely high oxygen demand (eg, rapid arrhythmia, heart valve disorder, or severe systemic illness.) Prompt treatment can minimize heart damage & ...Read more
With significant cardiac family history (bypass, heart attack, aortic dissection x3) what tests should I request for myself; some symptoms of concern?
See MD: It seems you have high risk factors of atherosclerois, heart attack. The most common cause of aortic aneurysm is athersclerosis (historic only, used to be syphilis). Since you have the risks, see your doctor and discuss all the tests necessary, and there are some tests we don't usually perform in most people. Then discuss how to decrease the risks. Good luck. ...Read more
My father has had a heart attack, blood clot, and is waiting to have a aortic dissection surgery. Can a heart rate of 130 temporarily be bad?
How will high elevated heart enzymes effect an aortic dissection? My daddy has an decending aortic dissection that is 5.4cm and very very very close to his spine, so close they are trying extremely hard every way they can not to have to do surgery. He has
Most: Most current "heart enzyme" tests are very specific for heart damage (troponin), although there are older tests which are used less frequently which can be elevated in the setting of other muscle damage (ckmb, myoglobin). I would start by finding out which test exactly is abnormal. If it is indeed an elevated level of "troponin" then this typically indicates heart damage which can then be caused by either undue strain on the heart, or most commonly by low blood flow to the heart muscle which causes some of the cells to die off and release the enzyme. We know that many people with cardiovascular disease have issues in more than one area, so if you father has an aortic dissection, there is a good chance that he also has coronary artery disease which would increase his risk for surgery further. I would encourage you to sit down and talk with your father's physician and ask some of these same questions face to face and obtain some specific answers relating to you father's condition. ...Read more
Lethal: If you think you have an aortic dissection, you should be in the er since the mortality rate until diagnosis rises by the hour. ...Read more
Woke w hot swt and sev pain, naus. Like being ripped from r chest. Pain r shldr/back. Er said not heart. Aortic dissection? Still pain not as severe.
Severe Pain: Stabbing pain in the middle of the back must be evaluated for the possibility of aortic dissection - separation of the layers of the wall of the aorta. This could be potentially life threatening. Routine tests to evaluate the heart do not screen for this. Ct scan or MRI are usually needed. ...Read more
Can an echocardiogram tell a doctor if someone is at risk for an aortic dissection? Such as an enlarged heart or enlargement of aorta?
I have severe aortic stenosis- (.9) but no symptoms. Do I just sit around and just wait until I get sick, deve! Op pain, or have a heart attack?
Aortic stenosis: Please see a cardiologist who will follow your situation w/periodic echo-cardiograms and other ways to measure things. Peace and good health. ...Read more
I have had vsd repair and coarctation of aorta am I more susceptible for heart attack. Warning signs? How to tell if its a heart attack or anxiety?
Possibly: Patients with coarctation are, unfortunately, at greater risk of coronary artery disease. The reason is not well understood, but there is good evidence to support this. Please discuss the warning signs with your doctor; but they include severe chest pain, palpitations, arm pain, sweating, fainting, difficulty breathing. Please seek medical attention immediately if you are concerned. ...Read more
After a major heart attack in February the heart cath caused a tear in my aorta. Need to know if my risks are higher having another cath done?
Risk: The procedural risk is the same each time;doesn't increase with successive procedures ...Read more
My LDL was 200mg/dl last march I reduced it to 90mg/dl by exercise and meds. Is it certain I will have atheromatous aorta? Heart attack? So scared
Had chest X-ray showed tortuous thoracic aorta. I know I have abnormal EKG also heart murmur. My father passed away at 54 sudden heart attack.?
See cardiologist: You may have a family history of cardiac disease and you have a heart murmur. All good reasons to see a cardiologist to assess your risk factors. It's a good idea to know what is causing the murmur. A tortuous aorta by itself may mean nothing. It can be cause by scoliosis or osteoporosis and loss of height. It often just needs to be followed. ...Read more
Risk factors...: Risk factors for heart attack include: smoking, uncontrolled hypertension, uncontrolled cholesterol, sedentary lifestyle. Males and post-menopausal females are at higher risk as well as family history of a heart attack at a younger age. Diabetes was always thought of as a risk factor but new evidence suggests that well-controlled diabetes is probably not a risk factor. ...Read more
Heart Attack Pain: Pain from a heart attack can vary from severe to not really having pain, like in the case of some diabetics. Typical pain of a heart attack is pressure to the chest, aching pain to the left arm and/or the jaw. Diabetics don't always have these typical symptoms, and besides that are at increased risk of a heart attack! ...Read more
Chest Pain: Typically, patients with a heart attack have chest pain, difficulty breathing. The pain can sometimes move to the arm or the jaw. But, it greatly depends on the individual patient and the other medical conditions he or she has. For instance, paients with diabetes can sometimes get a heart attack without any chest pain at all, because the diabetes damages the nerves around the heart. ...Read more
See below: All the classical risk factors which include smoking, high blood pressure, high cholesterol, diabetes, family history and if you have the above, a heart attack may be precipitated by stress including drugs, excessive drinking and sex, and many more. Live healthy and good luck! ...Read more
It all depends...: Depends on what conditions you suffer of (for example diabetes, uncontrolled and severe high bad cholesterol, heart conditions, hypertension, obesity), your family history (for example a parent that suffered a heart attack very young), smoking, use of cocaine. It is very rare that at your age, unless under the circumstances mentioned above, to suffer and heart attack. ...Read more
Talk to your doctor: Please talk to you cardiologist or primary care doctor, who will be better able to guide you in your particular case. However, a heart attack may or may not qualify you for disability. It will depend on the severity. ...Read more
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The same: Anything between the belly button-mouth, front or back, including neck, shoulders, and arms + belching, "indigestion", sweating, ache/pressure including et cetera can be heart disease in the young or older patient. In diabetics and hypertensive heart symptoms can be "the flu", unusual fatigue, or nothing! ...Read more
Not always: A "silent heart attack" is one that occurs without any symptoms that are recognized by the patient who is having it. ...Read more
A serious condition in which the inner layer of the aorta, the large blood vessel branching off the heart, tears. Blood surges through the tear, causing the inner and middle layers of the aorta to separate (dissect). If the blood-filled channel ruptures through the outside aortic wall, aortic ...Read more