Doctor insights on:
Congestive Heart Failure And Dementia
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 moreGet help now ›
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
One day at a time: I have many patient living very productive lives. Doctor needs to treat the conditions that makes heart weak (htn, atrial fibrillation, irregular heart beats, anemia, diabetes, cholesterol, stroke prevention etc) . Balance eating, exercise, and mostimportant pma (positive mental attitude). ...Read moreGet help now ›
No.: No. If a person with CHF were having hallucinations, I'd suspect a medication side effect. People with CHF take a lot of pills. ...Read moreGet help now ›
Low pressure, : Water leaks out of the vessels and can not be pumped out of the legs due to low pressure. Low pressure also reduces the blood flow to the kidneys, resulting in activation of hormones that cause fluid retention. ...Read moreGet help now ›
Swelling: Swelling in the intestinal wall. Some diuretics are better absorbed in this setting by mouth. If this fails then IV diuretics. Hope this helps. ...Read moreGet help now ›
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Only at the moment: It may cause cardiovascular collapse when the anaphylaxis is severe. This is more from reduction of plasma volume in the vascular bed than actual cardiac failure- but the result would be the same since the heart will not be able to provide enough blood supply to the body. CHF is from the heart's inability to pump enough blood through your vascular system despite adequate or even high plasma volume. ...Read moreGet help now ›
Basically, it is a condition in which your heart becomes an inefficient pump. As a result, fluid backs up into your lungs and also your lower extremities. There are numerous causes for this but ischemic heart disease is the most common cause. This can be diagnosed by laboratory test, chest xray, as well as an echo or ...Read more
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