Top
20
Doctor insights on: Hypertensive Disorders Of Pregnancy Algorithm

Share
1

1
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.

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 more

See 2 more doctor answers
Dr. Erik Borncamp
4 doctors shared insights

Pregnancy (Definition)

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


2

2
History of hypertension, pre-diabetes, anxiety disorder on SSRI, heart attack. Is Nyquil safe?

History of hypertension, pre-diabetes, anxiety disorder on SSRI, heart attack. Is Nyquil safe?

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

3

3
Is there any corrlational research on low birth weight and later life diseases states.?

Is there any corrlational research on low birth weight and later life diseases states.?

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

4

4
Are there side effects during the 1-hr glucose challenge test for gestational diabetes?

Are there side effects during the 1-hr glucose challenge test for gestational diabetes?

No long lasting: Some people feels nauseated, slightly sick but no long lasting effects. ...Read more

5

5
Can lupus directly impact the brain? Myoclonic seizures, major depression, GAD, major mood swings. No official diagnosis, but positive for antibodies.

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 more

See 1 more doctor answer
7

7
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

9

9
What are the kinds of tests used for idiopathic intracranial hypertension?

What are the kinds of tests used for idiopathic intracranial hypertension?

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

10

10
With Exercise Induced Pulmonary Hypertension, what is the statistical shortening of lifespan? all data just talks about untreated PHTN

With Exercise Induced Pulmonary Hypertension, what is the statistical shortening of lifespan? all data just talks about untreated PHTN

Great question: We are just scratching the surface on treatment of PH.. Without having all your diagnostic test results, it's hard to give a firm answer. Given your age, I highly recommend a consultation with a PH specialist. You would be able to get more detailed answers from him/her. ...Read more

11

11
What are the risks of pulmonary hypertension during pregnancy?

What are the risks of pulmonary hypertension during pregnancy?

Big: Very complex condition, if taking era drugs are toxic. Other no, will depend on the pressures, fc, etc.Talk with your ph expert soon or ger a ph center appt. ...Read more

See 1 more doctor answer
12

12
How risky is attempting pregnancy at the age of 40, mild lupus, antiphospholipid antibody syndrome currently taking coumadin (warfarin)?

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 more

See 2 more doctor answers
15

15
Can lack of oxygen at birth cause a mental illness such as borderline personality disorder?

Can lack of oxygen at birth cause a mental illness such as borderline personality disorder?

No. Not BPD: No. There have been no study to date showing any correlation between lack of oxygen at birth and bpd. Developmental delays and some progressive developmental disorders, on the other hand, have had some data. ...Read more

16

16
Pregnancy advice for a cardiomyopathy patient with hyperthyroidism, high blood pressure. 42?

Pregnancy advice for a cardiomyopathy patient with hyperthyroidism, high blood pressure. 42?

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 more

See 1 more doctor answer
17

17
Is a pregnant PCOS patient with lots of anxiety issues at a greater risk of developing PPD? I'm currently 30w 5d pregnant.

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 more

See 1 more doctor answer
18

18
What are the risks and complication of pulmonary vein isolation in afib and are there indicatiins incase of paroxysmal afib in 73 hypertensive male ?

What are the risks and complication of pulmonary vein isolation in afib and are there indicatiins incase of paroxysmal afib in 73 hypertensive male ?

Ablation: Ablation techniques for treatment of afib vary but the great majority of patients have no serious complications and have good results. A cardiologist, especially an ep specialist, will evaluate whether a patient is a good candidate for ablation therapy. ...Read more