Doctor insights on:
Treatment After Heart Attack
Need docs answers! what factors affect doctors' decisions on which treatment is best after a heart attack?
Lots of things: The coronary anatomy (the vessels, the size, the blockages - number, severity, location), pumping function of the heart, symptoms, age, general condition, other medical problems that might affect the risk of different treatments. All these things figure into the docs' recommendations. ...Read more
Myocardial Infarction means some of the heart muscle dies because of insufficient oxygen supply. Most often this occurs because the coronary artery is blocked by plaque & clot. Other causes include tears in the artery wall, extremely high oxygen demand (eg, rapid arrhythmia, heart valve disorder, or severe systemic illness.) Prompt treatment can minimize heart damage & ...Read more
First get to: A hospital via paramedics. Second take an Aspirin if you have one available. Please chew it. Once you get admitted depending on the presentation you will get either medicaly managed to start or you will be taken to the cath lab where you will have an angiogram and possibly placement of stents or angioplasty. Once this is done the treatment once again entails medical management. ...Read more
Timing: There are many ways and there are indicated ones depending on timing and findings. Heart attack is usually due to small clots in areas where there is clogging of the blood vessels, can rarely be due to spasm of the vessels (as in drugs). Treatment is dependent on opening up of the area by dissolution of the clot or opening up of the vessels i.e., reversing the cause. ...Read more
Is it POSSIBLE to live a long life after a silent heart attack that did not get treatment at the time?
On the internet: The most important thing you must do is to never have another cigarette. Starting today. Second not one of us is able to give you any accurate advice without all of your test results and vital signs and physical exam . You are asking for guessing or generalities. You can live well but you must start that today. Stop smoking. Now. ...Read more
Diagnosis: We talk about CPK or troponins cardiac cellular enzymes releases from damaged heart muscle cells that can be detected in blood tests in the er. ...Read more
Very important: Beta blockers have been shown to keep the heart beating efficiently and effectively, and several studies have shown improved outcomes. There are many different beta blockers available, so a person should discuss with their doctor a balance between effectiveness, side-effects, and cost. ...Read moreSee 1 more doctor answer
What would be the most impportant range of treatment for chd, angina/heart attack. Medication or surgery?
Depends: Angina and heart attack is from coronary obstruction and depending on vessels involved, and other risk factors, surgery can be amazing and durable. Some respond to medicine, and some are suitable for percutaneous. Your surgeon and cardiologist will discuss risks and benefits and options. For valvular heart diseases, surgery also has a long and trusted approach. ...Read moreSee 1 more doctor answer
No proof that bad gums actually cause heart disease or strokes. Also claims that dental treatment may prevent heart attack or strokes are unwarranted.?
Occur together: As opposed to gum disease causing heart disease. They are both inflammatory diseased that can occur at the same time. Having severe periodontal disease could be an indicator that you are susceptable to inflammatory diseases. All these disease states need to be checked and controlled. ...Read moreSee 4 more doctor answers
Dad has st. 2 lung cancer. Had a heart attack recently. Diabetic and is 62. No treatment is being offered. What is his life expectancy?
Father, 67, had silent heart attack 1 month back. Angiogram revealed 100% lesion in left anterior & circumflex. Bypass was suggested but later rejected due to deceased artery. Treatment options needed?
Climbing hill symptoms:shortness of breath heart heaviness sweating. Admitted to hospital ekg, stress test, no heart attack. Angiogram no blockage? Could it be related to gerd? Treatment type of dr.
More info needed....: Are you overweight? Do you exercise regularly? Do you ever exert yourself strenuously? You've listed symptoms associated with someone being out of shape exerting themselves... Thankfully you didn't have a coronary. Time to make a plan with your physician to take care of yourself by loosing weight (if necessary), eating right, and starting a cardiovascular workout routine. All the best. ...Read moreSee 1 more doctor answer
What treatment/comfort is available for end stage chf? Having trouble breathing; has to stand most of time to breathe. 13% ejection
fraction from recent heart attack due to collapsed stent. . .History of coronary artery
disease since 1990
My ef is up from 15 in march 2013 to 50 currently. Diet, meds exercise main treatments. No heart attack, cath clear. Is this a good prognosis?
EF: An increase in ef with treatment bodes well but few of us would recommend discontinuing treatment. ...Read more
Why is it that hormone therapy for men i.e. Testim often states that it "can" make you prone to a heart attack? Thanks.
Is it common for doctors to put the elderly on aspirin therapy even if they've not had a stroke or heart attack?
Aspirin: The benefits of Aspirin for primary prevention should be balanced against potential risks of bleeding particularly in older patients with greater risk for bleeding in that age group. Provided such risk is thought acceptable, the protective anti platelet effects of Aspirin might make it a particularly good option in the elderly as the vascular risk is inherenttly higher in this age group. ...Read moreSee 1 more doctor answer
Is there an increased risk of heart attack when suspending aspirin therapy for the 3 days prior to a minor surgery?
Seven days: If you are suspending aspiring before surgery to avoid intraoperative bleeding, 3 days is not enough. Should be at least 7 days. If the surgery it's a minor surgery and do not involve eye, plastic, ear, brain, it may be ok to continue aspirin. But, that decision is between your surgeon and anesthesiologist. Aspirin create a platelet dysfunction that may increase risk of bleeding in surgery. ...Read moreSee 1 more doctor answer
Can dhea be used without the side effects of testosterone therapy as stroke heart disease heart attack?
DHEA: For men dhea will not be strong enough to replace testosterone deficiency. However, you are likely low on dhea so taking it will likely benefit you anyways. Based upon your history, i would recommend that you be evaluated by anti-aging specialist who could shed light on the testosterone controversy as well as talk to you about heart/stroke prevention because it gets a lot more complex. ...Read more
No self CPR!!: Take Aspirin if available and do not hesitate to seek help from any one around. Availability of defibrillator and getting to a hospital pronto is key. If you are in a deserted island with no one around lie down, meditate or pray and hope for the best. No you cannot do your own CPR because, if you could you don't need one. ...Read moreSee 1 more doctor answer
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