Doctor insights on:
Benign Hypertensive Heart Disease Without Heart Failure
Yes: Secondary causes need to be worked up but yes they can. ...Read more
Heart disease is a condition in which a person has problems within his or her vascular system and heart, which includes both congenital birth defects and problems acquired later. Examples of heart disease include clogging (atherosclerosis) of the coronary (heart) arteries, heart attacks (obstructions of the arteries), damaged heart valves, heart muscle failure, and viral infections of the heart. Some major causes of heart disease include genetics, smoking, hypertension, high ...Read more
Cardiologist diagnosed me with hypertensive heart disease. He said my children have a 40% chance of having it. Can I do anything to prevent it?
Normal angiogram, echo showed hypertensive heart disease. Managing aggressively now. Should I also take aspirin?
ASA & MI prevention: Different groups have different thoughts re use of aspirin for prevention of first heart attack (MI)in people w/o cardiovascular disease (or equivalent).No doubt aspirin can prevent MI, but at increased risk of major bleeding events. USPSTF advises no aspirin for men younger than 45. ASA advised when MI risk for men 45-79 or stroke risk for women55-79 >GI bleed risk (3%-12% depending on age/gender. ...Read more
Laying in bed, BP 129/91 pulse 101. Short of breath, chest pain. Have hypertensive heart disease. Should I take a nitro? Why is pulse so fast? It is usually in 70s. Why does this happen when relaxing?
Mom's echo, diastolic dysfunction grade1 with good systolic function, RVSP<30, ER72%, hypertensive heart disease, trivial &tricuspidMR. Treatment? SoScared!
Mom/echo show hypertensive heart disease grade1last year, can it be reversed after gastric bypass? She had HTN with meds, now v. low pressure no meds, why
Syndrome X: Your mom's obesity was causing HTN, which in turn was stressing her heart. After gastric bypass & weight loss, the BP improved, so she's off medications - good! However, the structural changes on the heart from the stress will take longer to reverse, if at all. Time frame is 6 months to 10+ years. Some BP meds actually help this remodeling; others hinder it. TTYD or use HealthTap Prime to discuss. ...Read more
Heart failure: Heart disease and heart failure are fairly nonspecific terms. In general you need a diagnosis of what the disease is and how much cardiac dysfunction is present and what the prognosis attendant to the diagnosis is. There is a difference between systolic and diastolic dysfunction heart failure for instance. Talk to your Doctor and ask for an explanation of the diagnosis and the prognosis. ...Read more
It can happen: Unfortunately, sometimes young people also get affected by heart failure. Most often it relates to a viral infection that infects the heart muscle, called "myocarditis". This can lead to substantial heart failure in young patients, and is treated similarly to older patients with hf. However, sometimes the disease can get so bad that heart transplant needs to be considered. ...Read more
What's the difference between heart disease and heart failure in the way national health stats are tracked?
In any case, CHF is a syndrome or set of symptoms of a weakened or diseased heart that results in various problems associated w/ insufficient oxygen to the body. So, they are connected. Here's an explanation: http://www. Healthcentral. Com/heart-disease/patient-guide-44627-6_2.Html
hope it helps. ...Read more
Rarely in utero.: Even severe fetal cardiac defects rarely cause fetal hydrops or heart failure. On the other hand, many severe defects can present as florid cardiac failure in the nursery or the first few days/weeks of life and prompt expert care is mandatory. See: http://texaschildrens. Org/locate/doctors/ayres, -nancy/. ...Read more
2 months old: The most common forms of chd which is ventricular septal defects, if large enough and non-restrictive would cause congestive heart failure at 1-2 months of age. There are, however, forms of critical congenital heart disease that would present with chf, cyanosis, and/or shock within hours - few days after birth. ...Read more
Flow demands: The fetal heart is required to do about half the work of living outside. Blood from the body is pumped through the heart back to the body & placenta without going through the lungs. Mom also does the work of providing nutrients, removing waste & keeping temperature stable. After birth, the heart must pump thru the lungs & do more work. The additional load can lead the heart to fail. ...Read more
Coronary disease develops from our lifestyle and as we age
real blockage develops in some or all coronary vessels. One or more plaques disrupt and obstruct. If adequate collateral pathways exist may just vagus transient angina or pain. Angina is pain without damage.
If not adequate flow, or collateral, acute myocardial infarction- heart attack occurs and that is "damage".
Heart failure may follow. ...Read more
How accurate is an ultrasound in detecting heart failure, heart disease and clogged arteries? Is a good result that is about 18 months old reliable?
Pretty accurate: You can never see clogged arteries on ultrasound, but can be indirectly assessed by wall motion. An 18 month old result is not reliable. ...Read more
purple feet/hands for long time. Wash hands a lot feel the cold anxious & am underweight. Is this due to heart failure? 19 no heart disease history
Chest pain and inside left arm pain. My symptoms match heart disease and heart failure, diagnosed with GERD after normal echo ECG and chest X-ray. Help?
Symptoms: Sounds like you don't have what you decided you have. Why don't you discuss with the Doc you saw. Out here we don't know more about you than that Doc does. ...Read more
Heart failure is a complex set of conditions in which the heart "fails" to pump a normal amount of blood with each beat. This can be due to poor squeezing function (systolic heart failure) and/or a stiff heart incapable of filling normally (diastolic heart failure). Common symptoms include swelling and trouble breathing, particularly when ...Read more
Otherwise known simply as heart failure, is a condition in which the heart muscle is weakened. It may be receiving inadequate blood flow, its valves might be malfunctioning or the heart muscle might have thickened or stiffened. As a result, the heart, which is a pump, cannot supply the body with ...Read more
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