Doctor insights on:
Esrd And Htn
One canlead to other: Hypertension can cause changes in the heart like overgrowth of the heart muscle or weakening of the muscle through plaque build up in the arteries that feed the heart or degradation of the heart valves. These changes can then cause the pump to fail, and when it doesn't pump well, fluid tends to build up in places like the lungs and we call that congestive heart failure. ...Read moreSee 1 more doctor answer
A blood pressure reading has two numbers: a systolic blood pressure and a diastolic blood pressure. The systolic blood pressure is the maximum pressure the blood exerts on the vessels when the heart is beating. The diastolic blood pressure is the pressure the blood exerts on the vessels in between heartbeats. Hypertension, or high blood pressure, begins when the systolic blood pressure remains above 140 or when the diastolic blood pressure remains above 90. Hypertension can be a result of increased blood flow through vessels or increased resistance to ...Read more
Your opinion about lercanidipine vs amlodipine in htn control in 72 htn male with renal impairment and LVH ,paroxysmal a fib?
Hi BP drugs: They are both in the same class of drugs called calcium channel blockers for treatment of high BP. If that does not lower it enough there are many additional classes of meds that can be added such as angiotensin blockers, angiotensin converting enzyme inhibitors, diuretics, life style changes. See a good internist! ...Read more
What is.The.Prognosis for a esrd patient with diabetes, and septic arthritis, pneumonia and went into cardiac arrest?
Difficult to manage: The description given puts this person in a very critical situation. What is described appears to have overwhelming infection that is overwhelming the body's ability to sustain itself. There is hope if the patient did not damage the brain when the heart stopped and the infection can be eradicated. Even if this person should recover, the long term prognosis would be poor for good quality of life. ...Read moreSee 1 more doctor answer
My 96yr old aunt is stage 4 renal failure. Congestive heart failure, hypertension, no dialysis. How long does she have?
Life expectancy: You ask a difficult question. Stage 4 chronic kidney disease (ckd) is far advanced stage of ckd. The life expectancy (l) of a 96 year old female in the us is 3.18 years. That is the l without ckd. Patients with ckd live shorter than those without it. Your question is a difficult one to answer and i hope this helps. ...Read more
HTN & renal failure: Htn (hypertension or high blood pressure) is one of the two leading causes of chronic renal (kidney) failure. Diabetes is the other leading cause. Many people have both HTN and diabetes! when kidneys shut down, many body systems suffer: heart, bone health, red blood cell production, etc. When kidneys stop functioning, kidney transplants or dialysis help; there's no substitute for healthy kidneys! ...Read moreSee 1 more doctor answer
How are loop duretics used for acute renal failure and CHF though ther are contraindicaticated in borderline RF and CHF ?
Medicine vs. poison: There's a saying in healthcare: "medicines & poisons r the same chemicals given with different intent". If u r volume overloaded in acute renal failure or CHF, then u need volume reduction. The easiest & fastest way is diuretics, which "force" the kidney to get rid of water, tho side effects can occur (so u have to b monitored). If there is no volume overload in renal failure, skip the side effect ...Read more
CHF and CKD: Tough to say - depends upon reason for CHF, valve disease, heart muscle disease, and how severe kidney disease is. These can be managed with careful diet, careful balance of medications, dialysis and kidney transplant - all depends upon age of individual. ...Read moreSee 1 more doctor answer
What is the life expentancy for a 66 year old woman with stage 4 kidney failure and congestive heart failure and diabetes?
Life expectancy: According to this website: http://www.Ncbi.Nlm.Nih.Gov/pubmed/22442392 men and women aged 40 years had a life expectancy of 30.5 and 34.6 years at egfr ? 60 ml/min/1.73 m(2), 24.5 and 28.7 years at egfr 45-59 ml/min/1.73 m(2), 14.5 and 16.5 years at egfr 30-44 ml/min/1.73 m(2) and 10.4 and 9.1 years at egfr 15-29 ml/min/1.73 m(2), respectively. Patients with diabetes and CHF can live shorter. ...Read moreSee 1 more doctor answer
Depends...: It depends on the severity of the copd. If the patient is on COPD medications and has relatively mild symptoms and/or is well-controlled, then dialysis can be given. It will likely need to be hemodialysis as a pulmonary patient is not likely to tolerate peritoneal dialysis. For an individual case, a kidney specialist will determine if the patient will tolerate dialysis treatment. ...Read moreSee 1 more doctor answer
See below: In any kidney disease it is important to control blood presssure .If uncontrolled it will lead to more rapid loss of function no matter what the underlying cause.Use of certain medications like ace inhibitors are preferentially used, ask your doctor. Blood sugar , cholesterol control and exercise all help. ...Read moreSee 1 more doctor answer
Very different: Pulmonary hypertension is high pressure in the lungs and associated with chest pain, shortness of breath and fainting spells. Essential or systemic hypertension is different and is high pressure in blood vessels outside of the lungs. It can cause headaches, cheat pain but usually no fainting spells. ...Read moreSee 1 more doctor answer
What. Is antihypertensive of choice in interstitial lung disease with mild pulmonary hypertension?
Several choices: In the absence of other heart problems i would tend to try amlodipine in someone with high blood pressure and mild pulmonary hypertension. However many other medications such as acei or arb, beta blockers, Diltiazem or diuretics could also be appropriate. Please discuss with your doctor. ...Read moreSee 1 more doctor answer