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Pathophysiology Hypertensive Heart Disease
Yes: Secondary causes need to be worked up but yes they can. ...Read more
Heart disease is a condition in which a person has problems within his or her vascular system and heart, which includes both congenital birth defects and problems acquired later. Examples of heart disease include clogging (atherosclerosis) of the coronary (heart) arteries, heart attacks (obstructions of the arteries), damaged heart valves, heart muscle failure, and viral infections of the heart. Some major causes of heart disease include genetics, smoking, hypertension, high ...Read more
Cardiologist diagnosed me with hypertensive heart disease. He said my children have a 40% chance of having it. Can I do anything to prevent it?
Normal angiogram, echo showed hypertensive heart disease. Managing aggressively now. Should I also take aspirin?
ASA & MI prevention: Different groups have different thoughts re use of aspirin for prevention of first heart attack (MI)in people w/o cardiovascular disease (or equivalent).No doubt aspirin can prevent MI, but at increased risk of major bleeding events. USPSTF advises no aspirin for men younger than 45. ASA advised when MI risk for men 45-79 or stroke risk for women55-79 >GI bleed risk (3%-12% depending on age/gender. ...Read more
Laying in bed, BP 129/91 pulse 101. Short of breath, chest pain. Have hypertensive heart disease. Should I take a nitro? Why is pulse so fast? It is usually in 70s. Why does this happen when relaxing?
Mom's echo, diastolic dysfunction grade1 with good systolic function, RVSP<30, ER72%, hypertensive heart disease, trivial &tricuspidMR. Treatment? SoScared!
Mom/echo show hypertensive heart disease grade1last year, can it be reversed after gastric bypass? She had HTN with meds, now v. low pressure no meds, why
Syndrome X: Your mom's obesity was causing HTN, which in turn was stressing her heart. After gastric bypass & weight loss, the BP improved, so she's off medications - good! However, the structural changes on the heart from the stress will take longer to reverse, if at all. Time frame is 6 months to 10+ years. Some BP meds actually help this remodeling; others hinder it. TTYD or use HealthTap Prime to discuss. ...Read more
Autoantibodies: Rheumatic heart disease is one of the complications of an untreated strep infection. A month or more after the infection, the body has made antibodies that mistale the tissue of the heart for the germ they were designed to fight. Over time thease antibodies cause inflamation of the heart and can injure the valves. After the acute phase is past, you have a weaker heart with leaky valves and murmurs. ...Read more
See picture: Try this. Http://pictures. Doccheck. Com/en/photos/2/15631/pathophysiology-of-rheumatic-heart-disease/.Get a more detailed answer ›
Two diff diseases: These are two different diseases. Pneumonia is an infection in the lung that causes fluid to collect within the air spaces (maybe w/in a lobe or more diffuse). Rheumatic heart disease is caused by the body attacking the valves of the heart in response to an untreated/inadequately treated streptococcal (most often group a) infection ("strep throat" or other). ...Read more
I am diabetic, hypertensive and have familial hyperlipidemia, what risk chance to get ischemic heart disease?
Higher risk: You have many risk factors for ischemic heart disease. Best thing you can do right now is to maintain healthy weight, loss weight if you are currently overweight or obese, do no smoke, take medications as prescribed to control the diabetes, blood pressure and cholesterol problems. Exercise if you can once cleared by your physician. ...Read more
What happens if thallium scan show normal blood flow than is it necessary to still have echocardiography to rule out heart disease in hypertensive patient?
Do antiandrogens/androcur effect the heart or cause heart issues in any way in a male in 30s who is obese, diabetic, hypertensive? If yes, is there a way to stop the heart diseases without stopping antiandrogens? Thanks
Interactions: Heart disease is often the result of environmental interactions and genetic predispositions. Some forms of heart diease are genetic, like some valvular abnormalities. Some are environmental, like exposure to toxins. Most are the result of some genetic predisposition or liklihood of developing a pathology and exposure in the environment that allows that predisposition to become manifest. ...Read more
See Dr./walking..: Exercise, especially if moderate, can reduce the risk of heart disease because it improves cardiovascular function. Your heart works better, and your bloood vessels and lungs are more used to exerting extra effort. Just walking every day can help greatly. It also improves blood pressure, another serious issue that can result in heart disease, as well as stroke. See your doctor to be sure. ...Read more
Diet: No magic, a mediterranean diet with regular exercise and not smoking is your best bet. ...Read more
Depends: Many different symptoms can signify underlying heart disease. In general heart pain is often described as a pressure (in fact many patients will correct me if I ask them about their chest pain, insisting it is not a pain but a pressure), often described as band like, a squeezing, like an elephant sitting on one's chest. ...Read more
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