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Doctor insights on: Halitosis

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What patients should get an implantable cardioverter-defibrillator (icd) for heart failure?

What patients should get an implantable cardioverter-defibrillator (icd) for heart failure?

New Guidelines: This is somewhat complex and will not all fit in 400 characters so I am creating initials. 1. Ischemic cardiomyopathy, i.C., with ejection fraction, ef, >30% but <35%, newyork heartassoc, nyha, class ii or iii, and >30 days post mi/revascularization. 2. Ic, ef <30%. 3. Ic, ef between 36-40% with inducible ventricular fibrillation or tachycardia, 4. Non-ic with ef <35% and nyha class ii or greater. ...Read more

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Dr. Greg Rubin
438 doctors shared insights

Bad Breath (Definition)

A foul odor from the mouth. Bad breath can be caused by many different factors, including sinus infections, periodontal problems, smoking, cavities, acid reflux, and your diet. Address all of these possibilities with ...Read more


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What do icd 9 and icd 10 codes mean?

What do icd 9 and icd 10 codes mean?

ICD codes: International classification of diseases ninth revision came out of meeting of the international conference convened by who, held in geneva in 1975, to revise the codes used to classify diseases. The icd 10 followed, with further revision & expansion to the codes. ...Read more

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Atrial fibrillation & flutter , mild COPD now minor leaky aortic valve is all this connected ?

Atrial fibrillation & flutter , mild COPD now minor leaky aortic valve  is all this connected ?

Maybe: Sometimes COPD is connected to a-fib, especially if the COPD is not well controlled. But, also, the leaky value could be the cause of the a-fib too. Sometimes, it is hard to tell which is causing or hurting what. The most important thing is to get all conditions treated to the best ability. ...Read more

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How does mild sleep apnea affect idopathic cardiomyopathy with an ejection fraction of 38% after bi vent icd surgery?

How does mild sleep apnea affect idopathic cardiomyopathy with an ejection fraction of 38% after bi vent icd surgery?

Sleep apnea : Big area of research we know 50 % of heart faliure patients have sleep apnea which can affect their prognosis. I even had a patient whose icd fired at night likely do to sleep apnea and lack of oxygen . The flip side is some patients may develop heart faliure due to sleep apnea . If diagnosed it should be treated aggressively. ...Read more

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I have paramoxal atrial fibrillation & flutter can it be successfully ablated ?

AF ablation: Atrial flutter is a simple electrical short circuit in the right atrium and a catheter ablation procedure is very safe and effective (95% permanent cure with one procedure). Atrial fibrillation is a much more complex rhythm pattern and catheter ablation has an average success rate of 70% with a first procedure, with some additional small risks, mostly due to the work being done in the left atrium. ...Read more

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How does icd or defibrillator extraction work?

How does icd or defibrillator extraction work?

Surgery: An icd (implantable cardioverter defibrillator) is a device implanted under the skin and connects to leads inserted in veins to the heart or occasionally placed surgically directly on the surface of the heart. The icd can be changed out under local anesthesia as an outpatient as long as the leads are functional. Lead change out is done by laser or mechanical extraction under deep anesthesia. ...Read more

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Had a bi ventricular ICD implanted after diagnosis of stage 3 CGF caused by LBBB & severe DCM. I have improved and my EF is now 25%. I'm 63. Prognosis?

Had a bi ventricular ICD implanted after diagnosis of stage 3 CGF caused by LBBB & severe DCM. I have improved and my EF is now 25%. I'm 63. Prognosis?

Prognosis: Although your EF is still low, the prognosis depends on your medical therapy and symptoms. So if you are not having any symptoms of heart failure or shortness of breath, no edema and taking your meds, your prognosis is not as bad as thought. It is important to follow all the instructions of your cardiologist including diet, exercise and avoidance of alcohol. ...Read more

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Please inform me, is the dual chamber pacemaker is contraindication with atrial fibrilation? What the best pacemaker for AF people? Better ICD or PPM?

Please inform me, is the dual chamber pacemaker is contraindication with atrial fibrilation? What the best pacemaker for AF people? Better ICD or PPM?

Depends on AF??: Ask your doctor what kind of atrial fibrillation you have. If dealing with paroxysmal atrial fib. and your doctor recommended pacemaker then dual chamber pacemaker is better suitable for you. If dealing with persistent or chronic AF and you have indication for pacemaker then single chamber pacemaker. Also discuss the current medication regimen with your doctor as some medication can affect rhythm ...Read more

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Can pacemaker fix all cases of atrial fibrillations?

Can pacemaker fix all cases of atrial fibrillations?

No: Atrial fibrillation is an irregular heartbeat of the upper chambers of the heart. Its greatest danger is the formation of bloodclots within the heart which can trravel up to the brain and cause a stroke. Patients with af are generally treated with anticoagulants or blood thinners like aspirin, warfarin (coumadin) or dabigatran (pradaxa) to prevent strokes and medication to control the heart rate. ...Read more

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I can't decide: implantable cardioverter defibrillator or heart bypass surgery?

I can't decide: implantable cardioverter defibrillator or heart bypass surgery?

Different things: Bypass surgery (CABG) treats the blockages in the heart vessels, while the defibrillator (icd) treats dangerous heart beats such as ventricular tachycardia or fibrillation. A person may need both, depending on their medical condition. ...Read more

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Hpw bad is hypertrophic cardiomyopathy?

Hpw bad is hypertrophic cardiomyopathy?

Depends: There is a range of phenotypes and manifestations. Hypertrophic cardiomyopathies can range from mild to severe. ...Read more

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Have res cardiomyopathy from cardiac sarcoid found from card biopsy developed arrhythmias may need defib implanted ..does the defib shock hurt me?

Have res cardiomyopathy from cardiac sarcoid found from card biopsy developed arrhythmias may need defib implanted ..does the defib shock hurt me?

Hmmmm...: Ventricular fibrillation usually causes rapid unconsciousness, so you might be unaware of the event. However, if you're still conscious at the time of the shock, you may feel it. People vary so widely in their pain threshold and tolerance that it's not possible to predict for you. Since the alternative is "Sudden Cardiac Death", a brief, uncomfortable sensation is worth enduring. Best wishes ...Read more

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Is an implantable cardioverter defibrillator removed in heart bypass surgery?

Is an implantable cardioverter defibrillator removed in heart bypass surgery?

No: The defib. Device is implatnted in the inner chambers of the heart and bypass is on the out side of the heart where the coronary arteries lie.Unless theres another reason to remove the device ie an infection the device is left in. ...Read more

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Can professional dental cleaning cure gingavitis?

Can professional dental cleaning cure gingavitis?

Yes but: Gingivitis can be addressed with a regular dental cleaning. However, the real prevention comes with routine home care that includes proper brushing 2x a day and flossing. For severe cases of gingivitis, you may consider a mouth wash to supplement your home care. A dentist will evaluate the severity of your gingivitis and help you create a plan for getting it all under control. Best of luck! ...Read more

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Medical Records state, GASTROINTESTINAL PROPHYLAXIS W/PROTON PUMP INHIBITOR & DEEP VEIN THROMBOSIS PROPHYLAXIS W/SEQUENTIAL COMPRESSION DEVICE. What does that mean?

Medical Records state, GASTROINTESTINAL PROPHYLAXIS W/PROTON PUMP INHIBITOR & DEEP VEIN THROMBOSIS PROPHYLAXIS W/SEQUENTIAL COMPRESSION DEVICE. What does that mean?

Precaution care: It sounds like these are precautions taken to prevent surgical or hospitalization (bedrest) complications due to inactivity and not eating. Stomach acid is reduced with proton pump inhibitor meds and deep vein thrombosis caused by venous stasis prevented with a device that wraps around the calves and squeezes intermittently. ...Read more

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Are this Results Anything to Worry About? Rate: 67- 94; PR: .14-.16; QRS: .11; QT: .34 SVPB(S), SUPRAVENTRICULAR TACHYCARDIA, SINUS TACHYCARDIA

Are this Results Anything to Worry About?
Rate: 67- 94; PR: .14-.16; QRS: .11; QT: .34
SVPB(S), SUPRAVENTRICULAR TACHYCARDIA, SINUS TACHYCARDIA

Depends: Follow up closely with your cardiologist, just providing certain values of your EKG is not sufficient for appropriate evaluation. This conversation is best had with your cardiologist, not your internet doctors. ...Read more

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Does gingivitis complicate heart surgery?

Does gingivitis complicate heart surgery?

The actual sx, no: Not sure what surgical procedure you are having, but for post operative healing and decreased risk of infection, your mouth should be in tip top shape before you have your surgery. ...Read more

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