Doctor insights on:
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 moreSee 1 more doctor answer
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
Polisomnograf.SpO2 mean=92%. Min=80%.ODI=12.apnea=0.AHI =5,5. heart rate:mean=88.min=71.Max=103. Diagnosis=alveolar ipoventilation.which Dr treats it?
Adult no tonsils one sided no symptoms lingual tonsil hypertrophy biopsy/pathology complicated? Best to do=ent, dentistry/oral & maxillofacial, other?
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
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 moreSee 2 more doctor answers
Are there risks with Dental Hygienist
Air Flow cleaning to Heart Patients mitral repair with Annuloplasty ring,
in regards to Infective Endocarditis?
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
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 moreSee 3 more doctor answers
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 moreSee 1 more doctor answer