Doctor insights on:
Hypertensive Disorders Of Pregnancy Algorithm
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 moreSee 2 more doctor answers
When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more
Many issues: Forget about pre-diabetes, at least for now. If you haven't seen a psychologist you should ask for a referral. If you already have a psychologist ask your friends if they might know someone else. You should be seeing your cardiologist regularly. ...Read more
Depends: Premature infants are LBW (low birth weight). So are some other gestational age infants that did not achieve full growth potential. Depending on the severity of growth restriction (called SGA-small for gestational age), they may have no, small, or moderate learning disabilities. Depending on the severity of premature complications-they may have psychomotor, cognitive, or learning disabilities. ...Read more
No long lasting: Some people feels nauseated, slightly sick but no long lasting effects. ...Read more
Can lupus directly impact the brain? Myoclonic seizures, major depression, GAD, major mood swings. No official diagnosis, but positive for antibodies.
A few comments: Yes, lupus cerebritis can occur. Spinal fluid measure of P-ribosomal protein might help. Your myoclonic seizures could be Juvenile Myoclonic Epilepsy, and could benefit from Depakote or Keppra (levetiracetam). Your emotional state could be assessed by psychiatry. Recommend you see a neurologist, and have all of this looked at thoroughly. ...Read moreSee 1 more doctor answer
Is effectively controlled htn, lipids, and glucose considered a risk factor for cad, absent of other risk factors (i.E. Genetic)?
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
What are the lipid tests that can be ordered in case of prolonged diabetes with developing of ischmic heart disease ?
Spinal tap: The neurologic exam and the history obtained by the neurologist are the starting point. Examination of the eyes and the fundi of the eye can give information about whether or not there is pressure transmitted to the optic apparatus. Ct scans or mris rule out any mass lesion or obstructive hydrocephalus.A spinal tap is done to document the CSF pressure and if there is any relief with removal of csf. ...Read more
With Exercise Induced Pulmonary Hypertension, what is the statistical shortening of lifespan? all data just talks about untreated PHTN
How risky is attempting pregnancy at the age of 40, mild lupus, antiphospholipid antibody syndrome currently taking coumadin (warfarin)?
Risks: The risks as you describe them, are many, but they are not insurmountable. First, having a baby at 40 is more of a health hazard than having a baby at 20. This might be the biggest hurdle. Second, any chronic disease must be well controlled. Lupus should be quiet before attempting pregnancy. Third, any medications should be reviewed - you are likely aware that warfarin causes birth defects. ...Read moreSee 2 more doctor answers
What endocrine disorder results in abnormal blood sugar levels and increases the risk of heart attack?
Diabetes mellitis: Is this a trick question?Get a more detailed answer ›
See a specialist: You need to be very closely monitored by a high-risk obstetrician and maternal fetal medicine specialist. They will need to coordinate your care very carefully with your cardiologist/endocrinologist and good communication of these team members is essential. You will need frequent visits. ...Read moreSee 1 more doctor answer
Is a pregnant PCOS patient with lots of anxiety issues at a greater risk of developing PPD? I'm currently 30w 5d pregnant.
PPD risk: Yes, a hx of anxiety or depression makes you at a higher risk for a postpartum mood disorder. My rec would be to start therapy now to 1. Reduce your current anxiety 2. Learn some coping skills prior to your delivery. You might be surprise what you can accomplish in a short amount of time. Yoga, massage (pregnancy massage center in ViHi is wonderful)and Hypnobirthing can also help. ...Read moreSee 1 more doctor answer
What are the risks and complication of pulmonary vein isolation in afib and are there indicatiins incase of paroxysmal afib in 73 hypertensive male ?
Is ssri antidepressant ok for multi infarct stroke patient, age 67, suffering atrial fibrillation, heart issues, diabetes, higher creatine level.
What are some preventive health screening needed for a female 48 years old.. I currently have high blood pressure, diabetes, anemia low hemoglobin, heart mumor, arthritis, diagnosed a high risk of congestive heart failure, high cholesterol, morbid obessed
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