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Patient health issues cardiomyopathy, bradycardia, pacemaker-defibrillator, brain tumor, syncope episodes. Told no driving then y no DMV report?
NO DRIVING: Definitely no driving with your history. Last thing you need is an episode of syncopy and then an accident. ...Read more
Slow heart rate, also called bradycardia, is defined as a resting heart rate (pulse) less than 60 beats per minute. Having a heart rate less than 60 is not necessarily abnormal. In fact, people in good cardiovascular shape have a low heart rate. People with certain heart conditions may take medications which lower the heart rate as one of ...Read more
Yes : Yes but only when the tachycardia is fast and not tolerated . But the electric current has to be synchronized with the heart beat.This is most appropriately called cardioversion than defibrillation the latter being unsynchronized electric shock for ventricular fibrillation which is a chaotic ineffective rhythm. ...Read more
Depends: Usually, CHF pts will need to be treated daily for life but there are exceptions depending on the cause of the chf, the severity of the symptoms, and whther there were extraneous factors that caused a flare of symptoms. Please note: if this is about you, chewing tobacco is very dangerous in the presence of CHF (can precipitate dangerous arrhythmias). ...Read more
Paroxysmal atrial tachy, flutter. Mitral regurg w/stenosis. Tricuspid regurg. Biatrial enlargement. Cardiac meds =hypotensive brady. Explain,thoughts?
Symptoms: You should be seeing a cardiologist for evaluation and management. ...Read more
For young (<60), asymptomatic, paroxysmal atrial fibrillation patients on NOACs with LVH, should the patient seek out catheter ablation for treatment?
Depends: on left atrial size and function, frequency. Ablation is a big deal and frequently unsuccessful. I would try to suppress with a beta blocker like Bystolic, get magnesium level to 2.1-2.4, potassium to 4.1-4.5, stay off stimulants/alcohol, use hawthorne berry, avoid many other supplements, get general labs checked. Why the LVH? HRS, MD, FACC. www.thepmc.org ...Read more
Is ssri antidepressant ok for multi infarct stroke patient, age 67, suffering atrial fibrillation, heart issues, diabetes, higher creatine level.
Atria or ventricles: Supra ventricular tachycardia: from upper chambers of the heart, is due to irritability (increased automaticity) or a short circuit (reentry), heart is usually structurally normal. Ventricular tachycardia: from lower chambers of the heart, due to irritability, can occur in normal hearts but is more often seen in hearts with scar tissue or weak hearts and can be life threatening. ...Read more
The patient i'm caring for has rapid atrial fibrillation and dyspnea-- why is she being prescribed heparin?
Afib and Heparin: Afib is a dis-coordinated, chaotic heart rhythm where the heart can not effectively move blood the way it should. When blood sits stagnant it can clot. The Heparin helps prevent the stagnant blood from clotting to avoid a clot , or "thrombus", being sent to the brain or lungs where it may cause a stroke or pe. ...Read moreSee 2 more doctor answers
Is treatment required for symptomatic bradycardia, heart rate 35, with bigeminal PVCs, normal blood pressure, no history of heart disease?
Depends: Sinus bradycardia can be normal in a fit individual. Septal infarct age undetermined may also be a normal variant, but also possibly indicate previous injury to the heart. You might want to consider getting further evaluation, such as a stress treadmill ECG test. Depending on various associated healthy issues, this might need to be combined with imaging (nuclear or ultrasonography). ...Read more
Depends on: Individual. If not irregular 65-90.Get a more detailed answer ›
Brugada & anesthesia: The risk of a drug causing or worsening a cardiac rhythm disturbance is a concern with some anesthetic drugs. For patients w/ Brugada syndrome, this is a much more significant issue. In a study of 57 patients w Brugada, a single dose of propafol did not cause problems, but extreme caution is advised for general anesthesia of Brugada patients especially w prolonged propafol infusion. ...Read moreSee 2 more doctor answers
Names of most suitable ssri antidepressant needed for multiinfarct stroke dementia patient, 67, with minor congestive heart failure, atrial fibrillation, diabetes. Dosage and duration info appreciated.
SSRIs: There is some evidence that ssris help with post stroke remodeling where the brain works on regrowing connections between brain areas that were not killed by the stroke. There is also evidence they help prevent post stroke depression that is very common. Not much reason to think one ssri is better than another. See your prescriber for specific dosage recommendations. ...Read moreSee 2 more doctor answers
Only in a Very Few: Generally, the answer to this is a very solid "no." this is a rare complication of people with another condition (on top of their afib) called wolff-parkinson-white syndrome (or wpw). In certain patients having both conditions, the top chamber is too-well connected to the bottom and can trigger ventricular fibrillation. ...Read moreSee 1 more doctor answer