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Doctor insights on: Lupus And Chf

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Ma w lupus in hosp. A wk. Esrd, chf. Now low oxygen, low HRT func. Anemia delays angiogram. Yest surg fix bad fistula. No bld thinners now. How i help her avoid bld clots while waiting angio?

Ma w lupus in hosp. A wk. Esrd, chf. Now low oxygen, low HRT func. Anemia delays angiogram. Yest surg fix bad fistula. No bld thinners now. How i help her avoid bld clots while waiting angio?

Multiple risk factor: Have led to clotting of fistula. Seems like blood thinners can prevent clotting of fistula. Physicians taking care of patients can best make that decision since they know the complete picture, please discuss with them. ...Read more

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Dr. Joseph Shen
3,308 doctors shared insights

Heart Failure (Definition)

Heart failure is a complex set of conditions in which the heart "fails" to pump a normal amount of blood with each beat. This can be due to poor squeezing function (systolic heart failure) and/or a stiff heart incapable of filling normally (diastolic heart failure). Common symptoms include swelling and trouble breathing, particularly when ...Read more


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Crp-hs cardiac 8, Sed rate esr 88 neutrophils 10.7, homocysteine19, rf<10. Chf developed recently, Fever at night, fatigue, breathing issues. Can this be lupus or rheumatoid heart issue? do i need additional tests to determine inflammation of heart?

Crp-hs cardiac 8, Sed rate esr 88 neutrophils 10.7, homocysteine19, rf<10. Chf developed recently, Fever at night, fatigue, breathing issues. Can this be lupus or rheumatoid heart issue? do i need additional tests to determine inflammation of heart?

Inflamatory Markers: of ? immune system/WBC activity but not cause. Careful: "inflammation" = marketing with little help from meaning. Yes, could be Lupus & hs-CRP of no help in this setting. Primary drivers of CHF are ? blood supply due to coronary atherosclerosis, ?ed glucose & ?ed BP. Best optimize CADs drivers: NMR-lipoproteins (LDL 9 ?mol/L), HbA1c ?5.0% & SBP ...Read more

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What are the signs of lupus and heart failure ?

What are the signs of lupus and heart failure ?

Shortness of breath: You will be short of breath -- worse with lying down and sometimes accompanied by leg swelling. ...Read more

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My mom's lower legs have been swelling. BP 163/80 pulse 49. Hist lupus and overweight. Chances heart failure ?lupus attacking kidneys? Waiting on labs

My mom's lower legs have been swelling. BP 163/80 pulse 49. Hist lupus and overweight. Chances heart failure ?lupus attacking kidneys? Waiting on labs

Need echocardiogram: right heart failure with pulmonary arterial hypertension should be ruled out, start with an echo in addition to other testing by a specialist who treats this disease which is life threatening. ...Read more

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Who all gets lupus?

Who all gets lupus?

Genes, environment: This answer will change as we know more about lupus. We believe that for a person to get lupus, from the limited genetic information we have now, about 10% is from known genetic causes and remaining 90% unknown genetic causes and environmental causes. Environmental causes are largely undefined but important. Think about this: only 30% of identical twins develop lupus together. ...Read more

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Is Lupus reversible?

Is Lupus reversible?

No: Lupus in all its various presentations is treatable but it is not curable nor reversible. In some cases, lupus may go into remission but if it does go into remission, it does so on its own and does not go into remission as a result of treatment. ...Read more

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Is lupus hereditary? 

Somewhat hereditary?: Sle (lupus) is an auto-immune disorder in which a person's immune system is reacting strongly against parts of his own body. The inflammation from the immune system reaction leads to symptoms. It is believed to be partly genetic or familial (some people may be genetically more likely to get sle) and partly environmental (something happens in a person's life that sets off the auto-immune reaction). ...Read more

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What is systemic lupus?

What is systemic lupus?

Autoimmune disease: Lupus erythematosus is a chronic inflammatory disease of unknown cause. The immune system attacks the patient's own body (autoimmunity) and can inflame the skin, joints, kidneys, nervous system, lungs, mucous membranes, and other internal organs. A red rash is often but not always present. Thus, it was named lupus erythematosus meaning "red wolf.". ...Read more

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What are lupus symptoms?

See details: There are 11 diagnostic criteria for lupus. Google them. ...Read more

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How is lupus diagnosed?

Multiple factors: The diagnosis of lupus is made based on a constellation of clinical and laboratory criteria. That is there are a number of pre-determined symptoms, physical signs (things a Dr. sees when examining you), and findings on bloodwork. A minimum number of these must be present in order for the diagnosis to be made. So, you would need to have a physical exam and have blood work drawn. ...Read more

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What are tests for lupus?

See details.: Start with an ana. If that is positive check for dna, ena, ssa and ssb antibodies. If the ANA is negative, i strongly suggest that no other tests be done. ...Read more

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What is the cause of lupus?

What is the cause of lupus?

Genes, environment: This answer will change as we know more about lupus. We believe that for a person to get lupus, from the limited genetic information we have now, about 10% is from known genetic causes and remaining 90% unknown genetic causes and environmental causes. Environmental causes are largely undefined but important. Think about this: only 30% of identical twins develop lupus together. ...Read more

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What are symptoms of lupus?

What are symptoms of lupus?

Complex: Lupus is a complex autoimmune disease in which the body is attacking its own tissue. Lupus is famous for affecting different people in different ways. The effects can be so different from person to person that it does not even look like they have the same diagnosis. The diagnosis is best made by a rheumatologist who sees a lot of lupus patients. ...Read more

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What is lupus and symptoms?

What is lupus and symptoms?

Complex: Lupus is a complex autoimmune disease in which the body is attacking its own tissue. Lupus is famous for affecting different people in different ways. The effects can be so different from person to person that it does not even look like they have the same diagnosis. ...Read more

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How to tell if I have lupus?

How to tell if I have lupus?

See a rheumatologist: I would see a rheumatologist. To have lupus, you have to have symptoms compatible with the diagnosis and lab results to help confirm the diagnosis. ...Read more

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How to know if I have lupus?

See details: You see a rheumatologist. If the history and blood work are compatible with the diagnosis, you have lupus. ...Read more

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Top ten signs you have lupus?

See below: There is not really a top ten list for lupus where one sign is more important than another. Check out the lupus foundation of america's website which is a great informational source for patients. ...Read more

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What are they signs of lupus?

What are they signs of lupus?

Fatigue, pain: As noted above, his is a difficult question to answer since lupus has been associated with virtually every organ system. Of all the symptoms that are seen in lupus, fatigue and joint pain are the most common (but also are seen in many, many other conditions). The one symptom i find unique to lupus is photosensitivity: in form of rash or increasing fatigue. ...Read more

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Dr. Bennett Werner
755 doctors shared insights

Congestive Heart Failure (Definition)

Otherwise known simply as heart failure, is a condition in which the heart muscle is weakened. It may be receiving inadequate blood flow, its valves might be malfunctioning or the heart muscle might have thickened or stiffened. As a result, the heart, which is a pump, cannot supply the body with ...Read more