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Doctor insights on: Therapy Precautions Cardiomyopathy

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Dr. Barton Cook
426 doctors shared insights

Cardiomyopathy (Definition)

Abnormality of the heart muscle which can cause heart failure or potentially lethal ...Read more


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Is HBOT therapy advised for stroke patients?

Is HBOT therapy advised for stroke patients?

Hyper-baric oxygen: We use for ischemic limbs to prevent amputation, and find some utility in bad infections. Some research has been done in stroke, and occasional acute cases have responded, but oxygen treatment for stroke remains controversial and so far, not in main stream. ...Read more

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Is hyperbaric oxygen therapy effective for sports injuries?

Is hyperbaric oxygen therapy effective for sports injuries?

It might: It is a very expensive trreatment but its greatest benefit is treating spinal injury asap. Read my blog "oxygen, the spark of life" you can google. Oxygen is the very root of energy metabolism and a great deal of energy is required for healing. But, like everything else, it has to be dosed. Too much oxygen is as bad as too little. ...Read more

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Post mitral valve repair surgery w/ diag of exercise induced PHTN: Does this generally worsen to overall PHTN? With or w/o treatment? statistics?

 Post mitral valve repair surgery w/ diag of exercise induced PHTN:  Does this generally worsen to overall PHTN? With or w/o treatment? statistics?

PHTN: One of the purposes of your mitral valve surgery was to correct the cause of your pulmonary hypertension, so you HAVE been treated. Exercise will make it worse, just as exercise raises systemic BP. Over time, as your heart remodels from your surgery, one hopes that the pHTN will improve and/or resolve but only time will tell. You should repeat your echo in 6 months to a year. ...Read more

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Icd 9 for pt who is on Coumadin (warfarin) due to mechanical heart valve?

Icd 9 for pt who is on Coumadin (warfarin) due to mechanical heart valve?

V58.83: Use v58.83, “encounter for therapeutic drug monitoring, ” for the primary diagnosis followed by v58.61, “long-term current use of anticoagulants, ” and v43.3 for the heart valve. Codes v58.61 and v43.3 are designated for use as secondary diagnosis codes only. ...Read more

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Is chelation therapy effective for heart patients?

Is chelation therapy effective for heart patients?

Not for Kids: Not for kids. Stay away from this potentially life threatening procedure. ...Read more

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How effective is therapeutic hypothermia for treating cardiac arrest?

How effective is therapeutic hypothermia for treating cardiac arrest?

Cardiac arrest: Hypothermia doesn't treat cardiac arrest. If the patient has been resuscitated from cardiac arrest and is now alive, hypothermia can help improve eventual survival to hospital discharge and with better function assuming survival. How effective it is, is still an open question. ...Read more

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Is continuos medication required for congestive heart failure patients?

Is continuos medication required for congestive heart failure patients?

Depends: Usually, CHF pts will need to be treated daily for life but there are exceptions depending on the cause of the chf, the severity of the symptoms, and whther there were extraneous factors that caused a flare of symptoms. Please note: if this is about you, chewing tobacco is very dangerous in the presence of CHF (can precipitate dangerous arrhythmias). ...Read more

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How effective is cardiopulmonary resuscitation (CPR) for treating cardiac arrest?

How effective is cardiopulmonary resuscitation (CPR) for treating cardiac arrest?

CPR: less than 10% of people with cardiac arrest and CPR survive overall. After 10 min of CPR survival is miniscule. Early CPR and defibrillation within less than 4-5min give the best outcomes. Las Vegas casinos with abundant automated defibrillators, trained staff and people watching on monitors have the fastest response and best results. ...Read more

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Life therapy of antibiotics for enterococcal endocarditis 76 male mitral valve and pacemaker?

Life therapy of antibiotics for enterococcal endocarditis 76 male mitral valve and pacemaker?

Endocarditis: The combination of ampicillen and gentamycin can be an effective treatment for enterococcal endocarditis. ...Read more

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Which drug is contraindicted for a patient receiving anticoagulant therapy?

Which drug is contraindicted for a patient receiving anticoagulant therapy?

Coumadin (warfarin): There are different anticoagulants out there with different indications. I will just make the assumption you are talking about warfarin. In which case foods that are high in vitamin K like liver, leafy green vegetables, or vegetable oils can make Coumadin less effective. ...Read more

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Names of most suitable ssri antidepressant needed for multiinfarct stroke dementia patient, 67, with minor congestive heart failure, atrial fibrillation, diabetes. Dosage and duration info appreciated.

Names of most suitable ssri antidepressant needed for multiinfarct stroke dementia patient, 67, with minor congestive heart failure, atrial fibrillation, diabetes. Dosage and duration info appreciated.

SSRIs: There is some evidence that ssris help with post stroke remodeling where the brain works on regrowing connections between brain areas that were not killed by the stroke. There is also evidence they help prevent post stroke depression that is very common. Not much reason to think one ssri is better than another. See your prescriber for specific dosage recommendations. ...Read more

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Can occupational therapy or talk therapy help a person with Alzheimer/Schizophrenia, Diabetic Neuropathy, Pacemaker and Hypertension simultaneous.

Can occupational therapy or talk therapy help a person with Alzheimer/Schizophrenia, Diabetic Neuropathy, Pacemaker and Hypertension  simultaneous.

Therapy help: Depending on the circumstances, both of the types of therapy you suggested could be helpful to a person with any or all of these conditions. In particular, there may home safety or skill adaptation concerns that can be addressed.. ...Read more

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Will clopidogrel (7mg/day) compliment warfarin therapy for patients with CHF with a-fib? Is it really required? +dabigatran?

Will clopidogrel (7mg/day) compliment warfarin therapy for patients with CHF with a-fib? Is it really required? +dabigatran?

Coumadin/dabigatran: Coumadin (warfarin) or dabigatran. You can not be on both because of increased risk of bleeding. With either Coumadin (warfarin) and dabigatran you do not need to be on plavix. ...Read more

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What is chelation therapy for coronary heart disease?

What is chelation therapy for coronary heart disease?

Binding heavy metals: Chelation is a hypothesis that there are heavy metals present that initiate and perpetuate certain disease states. By the use of certain compounds that bind up these heavy metals and allow the body to excrete them, the conditions can be stopped or even reversed. A large nih trial some years back concluded that chelation therapy was not effecacious in the treatment of coronary disease. ...Read more

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How effective is life support for treating cardiac arrest?

How effective is life support for treating cardiac arrest?

That's a tough one: If the arrest is from heart rhythm problem, then good BLS (=CPR) + defibrillation can at least temporarily save 20-60% (studies vary a LOT). When CPR used on terminally ill pts from perceived obligation "to try," rate more like 4-8%. Combined, about 15% respond positively to get to ICU to work on fixing what caused the arrest. ...Read more

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Do normal people recieve occupational therapy treatments?

Do normal people recieve occupational therapy treatments?

See details: Referral from your doctor, assuming there is a good reason to get to ot in the first place. ...Read more

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How effective is tracheal intubation for treating cardiac arrest?

How effective is tracheal intubation for treating cardiac arrest?

It is part of ACLS: securing airway with the breathing tube is the recognized part of the Advanced Cardiac Life Support algorithm, i.e. it is very effective. However, cardiac arrest per se in adults often happens due to abnormal electrical activity in the heart and that is why defibrillators, whether in the healthcare facilities or for public use, are recommended to be used first. ...Read more