Doctor insights on:
Cardiac Clearance Letter
Just who does heart attack surgery? A cardiovascular doctor? Interventional cardiologist? Thoracic & Cardiac surgeon? Differences?
Interventional: CardiologistGet a more detailed answer ›
Dyspnea on off.Chest pain, history of allergy, reflu disease. Ecg heart enzyme vdimer echo cardiac all ok.Any more tests to eliminate cardiac issues?
Most common method: Cardiac output is basically the amount of blood the heart pumps over a unit of time, usually measured in liters per minute. When divided by the heart rate, one gets a stroke volume calculation, or milliliters per beat. All these may be corrected for your body size for comparison with "normals". The most common technique is with thermodilution catheters, but non-invasive techniques are validated. ...Read moreSee 1 more doctor answer
I had breathlessness, palpitation.In icu, pulmonary edema found, fixed by lasix (furosemide). Lvef 38-45%, hr 75-90, HDL 61, LDL 155, BP 130/80. Do i need CT angiography or catheter angiography, cardiac eps?
More info: At this moment not enough info. Pulm edema is a serious problem. Most commonly from heart failure. But, can happen from a severe chronic lung disease, exacerbated. From volume overload in renal failure, liver failure/cirrhosis, severe acute lung injury from trauma, pneumonia, cancer, etc. Are you out of the hospital? ...Read moreSee 1 more doctor answer
Ecg , cardiac echo, heart enzyme , chest ct, cardiac angio ct, all ok.Still resting heart pulse 53-62.Increase when move.Exclude cardiac issue?
That is o.k.: Your md is trying to make a diagnoses of the dysrrhythmia by doing the holter and that is o.K! ...Read more
Tubular acidosis question. Gfr improves consistently with b12 shot and bicarbonates (sodium bicarbonate). Nephrologists refer dialysis but crt 2.6 to 1.5 with bicarb. !?
Here are some...: Glad to see her acidosis has been improved from taking sodium bicarbonate. Known to us, dialysis is designed for fluid overload and/or electrolyte and acid-alkaline imbalance. Do nephrologists recommend dailysis now or refer for pre-dialysis assessment? So, ask her doctors for specifics and relevance for renal tubular acidosis, dialysis, etc. because online 400-letter does not suffice to address.. ...Read more
Ecg interpretation states ventricular pacemaker no other interp. Possible. How would you diagnosed?
Valve leak: Valve between right atrium and right ventricle is leaking. The more it leaks the higher the excercise intolerance, shortness of breath, liver and leg swelling. Graded as mild-moderate-severe. Many causes. Ask your cardiologist about your particular situation. ...Read moreSee 1 more doctor answer
ECG reads "cannot rule out previous anterior MI" and " minimal requirements met for current anterior infarct, abnormal comp to previous ECG"?Explain?
Clinical correlation: Basically your ECG likely shows low voltage in the anterior precordial leads, which may be secondary to left ventricular hypertrophy, anterior infarct pattern, or secondary to body habitus. SO since your have had an echocardiogram and a CT angiogram, both of these tests would be able to corroborate if ECG is consistent with "anterior infarct" or not, I suggest u ask ur cardiologist to correlate. ...Read more
Clarify:cardiac output too high at rest? Echo:stroke volume 100ml by 70 bpm, that means cardiac out:7l/min; cardiac index would be 3, 57l/min*m2.Txs
High Cardiac Output: Cardiac output is calculated by multiplying stroke volume by heart rate. Since the amount of blood pumped by the heart is dependent on body surface area ie. A larger person needs more blood supply. If it is more than 6l/min in an average person, at rest , and associated with symptoms, the cause must be looked into. ...Read moreSee 1 more doctor answer