Doctor insights on:
"Flight socks and aspirin won’t stop blood clots,says professor"in the UK 2013/50 Fit male Mitral Valve Repair2yrs ago for2x6hr flights Flight Socks?
Agree: Such measures are useful but cannot guarantee being clot free ...Read more
70 year old high exercise level recreational road bicyclist with recent reduced exercise tolerance. Echo shows Basal Septal LVH. ACE or ARB?
Septal hypertrophy: Asymmetric septal hypertrophy can produce a heart murmur as well as place strain on the left ventricle. If your ejection fraction is perfectly normal and you still have diminished exercise tolerance,diastolic dysfunction is also a factor. Since there is some obstruction to blood flow, relaxation of the ventricle with beta blocker or certain calcium channel blocker like cardizem is preferred thera ...Read more
77y with cll, developped dvt, existing trombs in art. Ankle area. Can the patient receive clexane? Platelets 90- 100.
Resistant pulmonary htn due to sjogrens. Norvasc (amlodipine) works but isosorbide unpredictable. Beta blocker worsens. Arb acs contraindicated ckd high K. Advice?
Pulmonary HTN: There are a range of molecules available by prescription that address P HTN ;go see a cardiologist or pulmonologist that has an interest in treating this condition ...Read more
female 58 yrs Small aneurism in ascending aorta and arch; also PFO; high LDL & chol- can't take statins. Willl diet & exercise be enough?
Depends on LDL level: AHA/ACC guidelines =treat based on an assessment of lifetime risk of developing heart disease. Typically, before statins are started, a sincere attempt at lifestyle changes, including avoiding saturated fats& exercising (atleast walking even 10,000 steps/day) ought to be undertaken. Recheck fasting lipids 6 months later. No egg yolks, no shellfish; eat salmon, almond/walnut (Incr. HDL) ...Read more
2 yrs ,Mitral Valve Repair after climbing 4 flights 50Steps inwarm climate leg calf feel heavy yearly check of heart was Fine with Stethascope,normal?
It appears that you: are taking a beta blocker (Propran.) It is common to feel leg heaviness as a side effect of these medications with exercise. Especially stair climbing. If your auscultation was OK it is probably normal. Routine exercise and stair conditioning may help to reduce or relieve symptoms. ...Read more
Lv frac 35% rv elongated+enlarged, pulmon htn, allergic to betabloc +coreg, aspirin causes intestinal bleeds, on altace only 10mg.What treatments r best?
Aldactone/icd: A low ef implies pulmonary venous hypertension (a backup into pulmonary veins with pulmonary vascular congestion). If Coreg (carvedilol) cannot be used would continue the Altace and consider aldactobe to help reduce pulmonary vascular congestion. An icd might be helpful to consider for arrythmogenic concerns in th setting of a cardiomyopathy. ...Read more
How bad is tricuspid valve annular systolic velocity of 11.9 cm/sec? Peak regurgitation velocity 2.31 m/sec R atrial pressure 3 mmHg.
What does high thrombin 14.5, prothrombin 22.7, APTT 79, APTT 1:1 NP 47 mean? SLE patient. Risk of bleed or risk of clots? C3-70,CH50- 22, C4-norm.
Hbg, hct, rbc, plt, mvc, all at top of normal range. Does this ^ clotting risk? Hx: fact v leiden & aps. On lovenox (enoxaparin) 100mg bid
No: These values would not increase the risk. Normal is normal. ...Read more
Healthy 54 yo woman sched 4 ACDF C5-6. Blood low 6.8 MPV & high 42 PTT. Prothromb w/INR: INR 1.0 Ratio; Prothromb 10.7 secs. Will this delay surgery?
Probably not: Such a surgery is associated with very minor blood loss in the hands of a well qualified surgeon. If your doctor performing the medical clearance is concerned, it could be delayed. From a surgical standpoint, it does not appear that it should delay such a surgery. ...Read moreSee 2 more doctor answers
Possibly: An elevated high-sensitivity CRP has been shown to be a risk factor for coronary disease. In the jupiter tiral, people with normal LDL cholesterol and high CRP were benefitted from taking a statin. Note that many other conditions (infection, arthritis) can raise the crp, so it is only useful if you are otherwise well. Must discuss with your doctor. ...Read more
Male 35,enlarge spleen 17 cm,high Beta-2 Glyco 1 IgM & Cardiolipin IgM, & DRVVT,normal INR & PTT , No clotting event, platelet fluctuate, is this APS?
It may be: You my have it but you need to repeat and confirm the results,also add a lupus anticoagulant test. You can discuss this with your physician or see a specialist. ...Read more
Warafin clopidogrel aspirin given Hospital patient 89yrs has COPD stroke and heart attack will need limit Vegetables high chance of bleed?
83 yrs f; stable diastolic hf; rate controlled a-fib. Meds: cardizem, coumadin, (warfarin) lasix, inderal, spiriva (mild copd). Would a cardioselective betablocker be better than inderal ?
Theoretically yes: In patients with COPD or asthma , cardioselective beta blockers like atenolol are felt to be superior to Inderal (propranolol) which also has possible harmful effects on the bronchial tree and could produce wheezing(bronchospasm). This may be a concern in someone like you who has copd. Your physician is best to advise you, however especially if you're doing well on inderal (propranolol). ...Read moreSee 1 more doctor answer
Have mitral/tricuspid prolapse valves mild pericardial effusion 25 yrs etiology unknown no affect heart ldl53cholesterol 128 hdl 79 how often checkup?
Can I do cardio training (brisk walking, treadmill, cycling) in case of lattice degeneration + high myopia? Does lutein, zeaxanthin, bilberry help?
Heart Valve replace12mth ago take prostate tablets.Have Diabetis 2 strokes Aspirin Dipyridamole Ezetimibel Simvastatin Leg Cramp can i Add ubiquinol?
Yes: I recommend it, especially if on statin ...Read more