Doctor insights on:
Dialysis Shunt In Chest Vs Arm
What are causes of sever heart burn radiated to shoulder associated with abdominal pain in patient on peritoneal dialysis(turbed fluid) in ihdpatient?
Simple answer is that it is a medical technology used primarily to provide an artificial replacement for lost kidney function in people with renal failure. Hemodialysis remove wastes and excess water from the blood by circulating blood outside the body through an external filter, called a dialyzer. Blood and dialysate flow through in opposite directions and the ...Read more
What are the advantages of having a diagnostic cardiac catheterization through the groin arm or neck?
Groin/ arm/ neck: The difference lies mostly in operator preference and experience. There are higher complication rates when using the brachial (upper arm) approach due to ability to compress the artery after the catheter is removed. Some pain at the insertion site is possible after the procedure, which may be a consideration. ...Read moreSee 1 more doctor answer
Suvival rate for 47 Yr F with hx of STEMI in LAD, 6 stents, SSS, pacemaker (20% dependent), aortic valve replacement, non-semi, and occluded by pass?
Depends: Much depends upon the status of her heart muscle health as determined by an echocardiogram or gated blood pool scan.. If her left ventricle has good strength (normal ejection fraction)and no evidence of past or present congestive heart failure, I believe survival odds can be good barring any further heart attacks which will cause myocardial damage. ...Read more
Pulmonary embolism about 2wks ago in both lungs 1 clot near rt side heart. Today left arm numb and severe headache why?
Mom has aortic valve leakage, & a-fib. Chronic cough, moving pain started under lft arm. Could the cough caused aortic dissection? The moving scares her
No: The most important risk factors for aortic dissection are systemic hypertension and a history of atherosclerosis. Atrial fibrillation and mild aortic insufficiency are not risk factors. Aortic valve replacement is, though. Intense weightlifting may cause it, due to an increase in blood pressure. The onset of pain is usually very abrupt, severe, and has a tearing or ripping quality to it. ...Read moreSee 1 more doctor answer
What cause shoulder pain in patient on peritoneal dialysis with turbid color fluid and peritoneal pain?
Acute venu embolism and thrombosis of deep vessels of lower extremity alrady had stints in legs and 2 venaava filters now having severe leg pain?
Recurrent DVT: It sounds like you were taken off lifelong blood thinner medication. You should be back on it and wearing 30-40 mmhg compression stockings daily. You do not say if the filters were both removed or how long the present condition exists. Usually, interventional corrections are sucessful if within a 2 week period of dvt. See your vascular spacialist immediately as this is very serious. ...Read moreSee 2 more doctor answers
Old man with sudden left side chest pain for 30 min, died after minutes.investigations show narrowing and obstruction of CA,is it cardiac arrythmia ?
MI: Assuming the patient had a myocardial infarction, the timing suggests the actual death event was an arrhythmia. Massive infarction can have a hemodynamic death but usually this takes a bit longer. Another rapid cause of death with MI is cardiac rupture. All these are possibilities with what is presented. ...Read more
Chest pain ongoing. Goes into left arm. Sometimes neck feels burning. Most tests ok. ECG, treadmil, MRI, echo. On propanolol for tachy heart.
From heart cath, coronary procedure notes: femoral angio with loss of flow into sf. no closure. what does this mean?
See below: SF is superficial femoral artery. From your brief description, it sounds like you had temporary compromise to the circulation in your leg. That can be from spasm, clot, or tear. It must be okay or you'd be in pain and they would have operated. However, to not exacerbate it, they did not use a closure device which, otherwise, would have been used. ...Read more
My cardiac MRI showed persistent left sided superior vena cava drains into a dilated coronary sinus w/ mild dilation of the main pulmonary artery?
Mostly a normal: Variant. Every fetus has one, but in most it involutes before birth. 0.3% of the general population has one. It is the most common variation of the thoracic venous system. Left svc draining into coronary sinus is expected 90% of the time. Discuss with your doctor the significance in your case of the mild dilation of the pulmonary artery. ...Read moreSee 1 more doctor answer
What would cause atelectasis with effusions 24 hours after percutaneous liver biopsy? Both lungs. Chest pain.
Worry about bleed: See your doctor - with the biopsy we worry about bleeding of the liver or other tissue. Uncertain why you are on plaquenil (hydroxychloroquine). This medicine could be used to treat other conditions that you have and these other conditions could be causing these changes ...Read moreSee 2 more doctor answers
Loc, bleeding&collapsing lungs, blood in kidneys, arrythmia, was on a vent, BP sky rocketed, back on vent.Is this SVT or goodpasture?13yrsold.Thoughts?
Angiogram & balloon artery left groin after developed a blood clot left groin in the vein on blood thinners what exercise is best?Tightness normal?
DVT: or blood clots in veins is treated by blood thinners and compression. Continue normal activities. If leg is too tight you may need angiogram to evaluate the extent of clot. If clot extends up from groin, it should be treated by medicines that dissolve the clot. Also it depends on when you developed the clot. These issues need to be discussed with your physician. Hope that helps. ...Read moreSee 1 more doctor answer
Male 30,Chest CT shows 6 mm nodular density in the left upper lobe,minimal bibasilar dependent atelectasis, have shortness of breath,it needs surgery?
Under went cardiac cath after having astrok in wall of heart decreased e.F tl 32%..Good condition of arteries after installing pillars, i am47y?
LVEF after stenting: You clearly had a significant csrdiac event. I am not clear what result you cite for your ef - was it 32% after the stent? Healthy hearts generally have fractions in the 60-70% range. A good stent result will bump the pre-procedure fraction up about 5%. At age 47, you have been issued a heavy duty warning shot and you and your cardiologist will need to monitor it carefully. ...Read more
What causes the type of acute breathlessness where it hurts when breathing in and during expiration? The chest is clear, BP & HRT rate fine, heart murmur upper left & central chest.
See your provider: This is usually due to irritation of the lung lining or to irritation of the nerve along the rib. In any case there are many potential causes for both of these. Most causes are quite benign but some are serious. You should see your provider to obtain a complete assessment for this. ...Read more
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