Doctor insights on:
Low Blood Pressure After Open Heart Surgery
What would cause a severe headache located behind the left ear at the base of the skull. Pain meds haven't helped. Now what? Medical history: heart surgery, diabetic, high blood pressure
Headaches and their causes can be complicated, difficult diagnoses to make. With your past history of diabetes and high blood pressure, you should make an appointment with your doctor for a complete evaluation as soon as possible. You doctor will take a thorough history and do a neurological evaluation to try and find out what is causing your symptoms. You may want to think about the answers to some of the questions they may ask you such as:
- when did it start?
- how often do they happen?
- are they getting more frequent or more painful?
- how long do they last?
- what does the headache feel like and can you point to it?
- does it occur around the same time at night or does it ever happen during the day?
- what other symptoms do you have and when do they occur in regards to the headache?
- have you had any big life changes?
- how is your lifestyle? Are you getting enough sleep, eating well, exercising?
- are you taking any medications? Do you drink caffeine and how much?
Answering these questions may help your doctor figure out what is causing your headaches, whether it is a serious problem or not, and how to help you. Good luck! ...Read more
Open intervention on the heart to correct congenital cardiac anomalies, repair replace heart valves, ascending aortic dissection repair, coronary bypass, heart transplant, surgical removal of heart tumors, ventricular assist devices, cox maze procedures to cure atrial fibrillation, repair of trauma to the heart. Repair of iatrogenic injuries to heart, heart-lung ...Read more
Open heart surgery performed to remove a paraganglioma 3 months ago. Blood pressure has gone up again to high120's/90's w/hr 110's. Possible causes?
Unsure: Seek further evaluation by your primary care physician or cardiologist so things like arrythmia can be ruled out. ...Read more
Dear Dr Want to ask if one is facing 3 heart veins closed one 90% and others 40% & 50% with high blood pressure. Is open heart surgery only solution?
Coronary artery dz: It sounds like you are saying that the 3 main heart arteries, Right coronary, left anterior descending and left circumflex, all have blockages. Some doctors - interventional cardiologists - may try to stent these vessels (perform angiolpasty with stent) if he or she thinks they are causing symptoms. Or, you may be referred for bypass (CABG) surgery. It depends on other factors. ...Read more
I've had open heart surgery about 8 years ago, aneurism repair and metal aortic valve replacement. INR is 2.1 (low), I wake up with blood in mouth, dark?
Contact your MD: Based on your health history and that fact that you have INR testing, you are likely taking warfarin or a different blood thinner in which case you should contact your doctor and let them know you are experiencing bleeding. It may also be a good idea to contact a dentist as it is not normal for your mouth to be bleeding and there may be an underlying teeth or gum problem causing this. ...Read more
After open heart surgery I want to punch my heavy bag for excercise. I know it will put a lot of pressure on my sternum. It has been twenty weeks?
OK: Your sternum has healed to almost full strength. You can start a punching bag routine. You will probably develop some chest wall or muscle pain as you start the exercise - because you haven't used your muscles to this extent since the operation. Listen to your body and start gradually and workup to the level that you performed prior to surgery. ...Read more
On call surgeon: If you had open heart surgery & are coughing up blood, you should contact the on-call surgeon immediately. ...Read more
I had open heart surgery 2 years ago to remove a blood clot. Now I have a small hard lump at the base of the old incision.
Is it normal for my father to have foot swelling after 1 year from open heart surgery when blood pressure and cholesterol levels are normal?
Probably: Especially if the heart surgery was a bypass. A leg vein is often removed to use for the heart bypass. Veins drain blood out of the legs. If a vein was not removed, he may have other circulation or metabolic problems that tend to go along with heart circulation disease that can also cause swelling. May also be due to a local problem in foot not related to heart procedure at all. Need to check it. ...Read more
A geriatric patient who has had open heart surgery years ago and recently had a stroke and is on blood thinners, can he take aleve (naproxen)?
I will avoid: Nsaid's like Naproxen in geriatric patients specially if they are in blood thinners. 50 millions american have gastritic/ulcer disease induced by nsaid's and around 3% of those will bleed from the disease. Also nsaid's are associated with stroke and heart attacks. Use tylenol (acetaminophen) without using more than 3, 000 mg a day. Consult your doctor. ...Read more
My BP is any where between 120-90 top and 69-59 bottom is the diastolic to low I always feel tired&have headaches I had open heart surgery 8 weeks Old
Diastolic BP.: In and of themselves, those diastolic BP numbers seem fine. You could still be recovering from the surgery. Or you could be feeling tired from any new medications that may have been started before or after your surgery. You may want to follow-up with your primary doctor or heart surgeon. ...Read more
Stages: "full" recovery takes months. But I typically think of this in stages. The child is usually hospitalized ~10-14 days. Then the major portion of the recovery is complete by ~2 months (i.e. Home for ~6-8 weeks). But it will take another few months for the sternum to completely heal, etc. ...Read more
Some operations are more complex, tedious, and complications.
Simple ones lead to speedy recovery in infants.
They are pliable and quick to heal. ...Read more
Depends: It depends on how deep the infection is; a superficial infection can often be cleared in a couple of weeks. The deeper the infection, the longer the antibiotic course/risk of complications. The other variable would be if this is a mssa or a MRSA infection, and the choice of antibiotic. ...Read more
Blister at incision site on leg after open heart surgery. Appeared about a month after surgery on bottom of incision. How to treat?
Likely benign: See the surgeon to be safe. If OK wi surgeon, topical aloe &/or vaseline is good. ...Read more
Heart Surgery: I ask my patients to walk 10-20 minutes twice daily right away but caution that they are not expected to set land speed records. This should be combined with a cardiac rehab program and increase to one hour twice daily. ...Read more
Likely be advised to: People tend to lose weight after heart surgery more so because of being advised that their bad food habits have to change for them to have a chance of a prolonged life. So if you are having surgery at age 36 then your doctors will definitely talk to you about getting cholesterol under control and any other medical issue like diabetes, stopping cigarette smoking and adding exercise to your routine. ...Read more
It varies: If indeed it is sundowning, and not something else (medications, hypoxias, infections, metabolic, etc), it should improve within days as the brain recovers and a more normal routine is instituted. Sometimes, recovery is not complete until the patient is home amidst more familiar surroundings. ...Read more
Ask surgeon: If you are the individual with the heart surgery, I am concerned of a more complex cardiac history. A 33 year old having undergone significant cardiac surgery should directly discuss all these matters with both surgeon and cardiologist. Diet after any surgery is discussed with specific surgeon. Coffee is often started with regular diet. ...Read more
Six weeks: Six weeks if routine and no complications. ...Read more
NO.: Standard midline sternal approaches take two months to heal completely. Less invasive approaches may heal more quickly and allow for quicker return to activities and work. ...Read more
Yes, like bone fract: The sternum is a bone & heals like any other bone. It is "fractured" (cut) at the start of open heart surgery. At the end of surgery, the sternum is usually "sewn up" using metal wires to hold the 2 parts together. Further bone healing (fusion) occurs over the course of 3-6 months (eg, as with a broken arm). Wires hold the sternum together in that time & fuse with bone as it heals. Ask surgeon. ...Read more
Hypotension is defined as "low blood pressure". Blood pressure is measured as two numbers and expressed as systolic blood pressure (sbp) / diastolic blood pressure (dbp). The sbp is the pressure that is generated when the heart squeezes. Dbp occurs when the heart relaxes. 120/70 is considered normal in adults. Less than 100/60 (of either number) can ...Read more
Blood pressure is a measurement of the force placed on the blood vessels and is comprised of the "systolic" pressure (the top number on a blood pressure meter) which is the peak pressure when the heart is pumping, and the "diastolic" pressure (the bottom number on a blood pressure meter) which is the pressure during the resting phase ...Read more
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