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Doctor insights on: Gout Crystals Make Artery Worse Heart

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Does gout/uric acid crystals make coronary artery blockages worse in my heart?

Does gout/uric acid crystals make coronary artery blockages worse in my heart?

No: Uric acid is not a cause of coronary artery disease. Hypertension is a very common condition and if it coexists with gout, the hypertension can lead to worsening coronary artery disease. However, the gout does not affect the coronary arteries. ...Read more

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Dr. Tanya Russo
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Artery (Definition)

Arteries are defined as blood vessels which carry blood away from the heart (to either the body or lungs). Arteries: higher pressure, thicker walls, stretch (pulse) with each heart contraction & deliver blood to the arterioles which control the flow to individual capillaries. Veins are blood vessels which carry blood from capillaries back to the heart (body to right heart; ...Read more


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Hi! 27/F. Psoriatic Arthritis, get "gout like" attacks in big toe where uric acid spikes, will colchicine help bring it down even though it is PA?

Hi! 27/F. Psoriatic Arthritis, get "gout like" attacks in big toe where uric acid spikes, will colchicine help bring it down even though it is PA?

Probably.: Psoriasis, psoriatic arthritis and gout have been shown to have some type of relationship. Exactly how, is still unclear. People with psoriasis has an increased chance of having a gout attack and those with psoriatic arthritis, even higher. The uric acid level is being elevated by the effects of psoriasis breaking down cells and releasing the uric acid. The gout has be monitored and controlled. ...Read more

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If I have normal uric acid levels can gout attacks still lead to kidney or heart problems?Thanks

If I have normal uric acid levels can gout attacks still lead to kidney or heart problems?Thanks

Yes: Uric acid levels are usually, not always, elevated with gout. Chronic gout can cause kidney damage and affect the heart. See these two sites for more info. http://www.ncbi.nlm.nih.gov/pubmedhealth/pmh0001459/ http://www.Med.Ucla.Edu/modules/wfsection/article.Php?Articleid=475. ...Read more

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Is lipoprotein associated phospholipase a2 blood test better predictor of heart disease, heart attacks and stokes than myeloperoxidase (mpo) in men?

Is lipoprotein associated phospholipase a2 blood test better predictor of heart disease, heart attacks and stokes than myeloperoxidase (mpo) in men?

No, Different Issues: Mpo tends to reflect more active/prone to rupture vulnerable plaque activity, whereas lpla2 a protein on LDL particles which correlates with ?ed atherogenicity. Keep in mind artery ds typically begins age 7, ; earlier. Measured ldl, large hdl, hba1c ; BP are bigger issues. Many other biomarkers, like the ones you mentioned, also involved ; less important. Illusions of high tech often marketed. ...Read more

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Does coronary artery disease directly cause ventricular tachycardia or is it after heart attacks and damage etc?

Does coronary artery disease directly cause ventricular tachycardia or is it after heart attacks and damage etc?

Both: Myocardial infarction (heart attack) and scarring of the heart can lead to arrhythmias. Also, if coronary artery disease (CAD) causes impairment in flow of blood, ischemia may lead to arrhythmias. However, not all arrhythmias are due to CAD or mi. ...Read more

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Does an anxiety attack make you feel like you're having a heart attack? Numbness in the hands & feet. Fast heart beat. Loss of breath

Does an anxiety attack make you feel like you're having a heart attack? Numbness in the hands & feet. Fast heart beat. Loss of breath

Anxiety: Anxiety attacks and panic attacks can feel exactly as you describe. At 19 anxiety is far more common than a heart attack. Heart attack is not impossible but statistically the anxiety attack would be overwhelmingly more probable in a young person. Discussing with your Dr. and if appropriate having cardiac testing or help with anxiety is a good course of action. ...Read more

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Could dissolving with effective supplementation "plaque" from inflamed arteries dislodge and cause stroke or heart attack pre-maturely? %?

Could dissolving with effective supplementation "plaque" from inflamed arteries dislodge and cause stroke or heart attack pre-maturely? %?

No: Stating drugs have been shown to decrease plaque. Most OTC supplements have not been proven. If you have plaque cussing symptoms you should talk to your doctor about treatments. Don't take a chance. Dissolving plaque should not increase the risk of a stroke or vascular event. Make sure you don't risk your life/health on unproven claims. ...Read more

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Stress test, ultrasound arteries, carotid, legs, cath, everything is clear, last LDL 113, family history of heart disease. Hbp, cholesterol med?

Focus on lifestyle : I wonder why all of that was done? Was it for symptoms or anxiety over potential symptoms? What was your risk factor status beyond the family history? If all of these studies were negative and your LDL was 113, you could either consider lifestyle modifications alone (if no other risk factors), or lifestyle modification plus a low dose statin if multiple other risk factors present. ...Read more

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How could smoking cigarettes precipitate atherosclerosis and heart attack ?

How could smoking cigarettes precipitate atherosclerosis and heart attack ?

Tobacco use : Smoking is highly correlated with atherosclerosis and increased risk of heart attacks. Some of this is genetic and some is related to increased inflammation from the effects of smoking. ...Read more

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35 male, 3 EKG's Echo stress and cholestrol fine. Chest pain in left at a single point, heart burn that goes away with tums (calcium carbonate). Heart prob? Out of shape?

35 male, 3 EKG's Echo stress and cholestrol fine. Chest pain in left at a single point, heart burn that goes away with tums (calcium carbonate). Heart prob? Out of shape?

Heart not likely: Chest point tenderness is more likely to be musculoskeletal than heart related and the work-up seems to be reassuring in that regard. You do seem to have symptoms that suggest reflux disease. If overweight, losing weight should help in all departments. ...Read more

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Is a stroke like a heart attack?So strokes have fast heart beats or does your heart rate stay the same?

Is a stroke like a heart attack?So strokes have fast heart beats or does your heart rate stay the same?

Similar yet differen: Both result in injury due to decreased oxygen &/or blood supply to tissues. Stroke can b due 2 blood clot or bleeding; mi from blood clot or spasm of arteries to heart. Area of brain or heart affected will determine if heart increases or decreases. ...Read more

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Why can Rheumatism affect heart valves?

Why can Rheumatism affect heart valves?

Yes: This article will help clarify: http://www.arthritis.org/living-with-arthritis/comorbidities/heart-disease/ra-and-your-heart.php

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Coronary artery calcification...I take adalat (nifedipine) blood pressure ok but heart rate high 110 at rest ..feel heaveness on chest and shortness of breath.help?

Coronary artery calcification...I take adalat (nifedipine) blood pressure ok but heart rate high 110 at rest ..feel heaveness on chest and shortness of breath.help?

Need examination: That is an abnormal resting heart rate and for someone your age & history of coronary artery calcification as you state- if this is entirely new for you in terms of symptoms then, your next move should be an ER facility. You are welcome to write to me with other questions if you'd like at: www.healthtap.com/drsaghafi but I don't think that should delay getting seen now. ...Read more

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My father is diagnosed of gout arthritis. He is taking gout stat and diclofenac. Even then he is having small attacks of gout in extremities joints.

My father is diagnosed of gout arthritis. He is taking gout stat and diclofenac. Even then he is having small attacks of gout in extremities joints.

See details: His treatment is not the best. He needs to stay on colchicine on a regular basis. Once the current attack has completely resolved, he also needs to start allopurinol to normalize the serum uric acid and prevent future attacks. ...Read more

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What is worse cholesterol or saturated fat for the heart and arteries?

What is worse cholesterol or saturated fat for the heart and arteries?

Saturated fat: Saturated (and trans) fats increase bad LDL cholesterol the most. Dietary cholesterol has a minor effect on LDL cholesterol, and actually increases good HDL cholesterol. So the focus should be on cutting saturated fat from meat and dairy fats. Critical point is to replace fats not cut them. So eat more unsaturated vegetable fats rather than more carbs. This a feature of the mediterranean diet. ...Read more

Dr. Pierre Moeser
908 doctors shared insights

Gout (Definition)

Occurs when too much uric acid gets deposited in a joint. Lifestyle factors like red meat and alcohol ...Read more