Doctor insights on:
What Are Markers For Microvascular Angina In Hypertensive Patients
The company it keeps: There are no "markers" for microvascular angina, per se. The diagnosis can be made invasively at specialized centers (only a few around the country), but often is based on a "gestalt" of suggestive symptoms, sometimes with evidence of impaired blood flow ("ischemia") on stress tests, in a person with traditional heart disease risk factor, when typical angiograms show no blockages. ...Read moreSee 1 more doctor answer
Angina is chest pain that is caused by poor blood flow to the heart muscle. Angina is not an actual disease, but rather a symptom of an existing heart problem. Most commonly, this underlying problem is due to an obstruction of the coronary blood vessels that surround the heart. There are different types of angina including stable angina, unstable ...Read more
What are troponins in cardiac patients? What are acceptable levels of troponins in cardiac patients? Thank you for your time and response.
What medications for peripheral neuropathy are safest for someone with reduced kidney function (gfr = 38, all other kidney tests are normal)?
No precise #: While a exact # isnt really known, we know women tend to be missed due to atypical symptoms and late presentation. They also have more coronary artery vasospasm. So women need special attention and not be dismissed when they present with chest pain thats not the "text book" description. ...Read moreSee 1 more doctor answer
What are the risks and complication of pulmonary vein isolation in afib and are there indicatiins incase of paroxysmal afib in 73 hypertensive male ?
How are loop duretics used for acute renal failure and CHF though ther are contraindicaticated in borderline RF and CHF ?
Medicine vs. poison: There's a saying in healthcare: "medicines & poisons r the same chemicals given with different intent". If u r volume overloaded in acute renal failure or CHF, then u need volume reduction. The easiest & fastest way is diuretics, which "force" the kidney to get rid of water, tho side effects can occur (so u have to b monitored). If there is no volume overload in renal failure, skip the side effect ...Read more
Is coronary artery disease the same as arteriosclerosis and myocardial infarction? More specifically how are they related?
HEART ATTACK: Coronary artery disease is disease of the arteries to your heart. Atherosclerosis is hardening of those arteries. Myocardial infarction is injury to your heart muscle because oxygen carrying blood could not get thru your diseased , hardened coronary arteries. = heart attack. ...Read moreSee 1 more doctor answer
CAD: About half, very common in both sexes. ...Read more
I am a cardiac patient known for coronary artery spasm and unstable anginas in the past. Now meds are controlling sympto. What is my life expectancy ?
May be normal: The seriousness can be diagnosed with cariac catheterization utilizing some chems that can precipitate coronary vasospasm. 2. Life expectancy in patient with this condition is similar to that of the general population, meaning that there is no increased mortality. 3. The only way to treat this condition is by eliminating stress, tobacco exposure, staying away form cold temps and taking meds. ...Read moreSee 1 more doctor answer
Variable: It is hard to answer your question as survival rates or life expectancy after a "moderate stroke" would depend on the underlying cause, the type of stroke, ie embolic, lacunar, hemorrhagic, and the location of the injury. Adjusting your underlying risk factors for stroke and optimizing your medical care are key to lowering your risk for future stroke. ...Read more
Are there stages in the development of hypertensive cardiovascular disease? What are those? I'm confused. Thank you!
Functional vs ...: Tests for CAD are classified as functional / physiologic vs anatomic ie the mere presence of ateriosclerosis. Heartcath and cta of coronaries(cat scan) can demonstrate blockages but not tell if its causing the pts symptoms. A stress echo or Cardiolite gives physiologic information and can point to the culpret .Usually both are employed to find and fix the pts blockage responsible for their symptom. ...Read moreSee 1 more doctor answer
What are the important triggers for attacks of Afib in paroxysmal type,and is anticoagulant a must if age72with hypertensive male s.creatine 1.5?
Almost always: You are unlikely to prevent paroxysmal atrial fibrillation by trying to identify "triggers". It's a grave mistake to forego anticoagulation in any atrial fibrillation patient unless they have some other very serious contraindication. The risk of a devastating stroke is much too great. ...Read more
Several test.: There are several tests for coronary artery disease. A thorough history and physical exam, ekg, ct scan, nuclear studies are all helpful but the best test is a cardiac catheterization. The cardiologist will place a small catheter through a groin vessel up to the heart and inject a special dye into the coronary arteries. The pictures will show if there are any blockages or not. ...Read moreSee 1 more doctor answer
5 risk factors: The 5 major risk factors are cigarettes, high blood pressure, elevated cholesterol, diabetes mellitus, and family history of coronary artery disease. The more of these risk factors you have, the higher the risk of coronary artery disease. However, the absence of any of these risk factors is not absolute protection against coronary artery disease. ...Read moreSee 1 more doctor answer
See below: Renal artery stenosis is narrowing of the kidney arteries most commonly due to cholesterol plaques accumulating inside the walls of the blood vessel.There are other causes as well. A cathetor can be inserted into the blood vessel and a balloon can be inflated to restore the lumen size. A stent is inserted to keep it open.There are surgical options in special circumstances, . ...Read moreSee 1 more doctor answer
What are the risk factors of a 58 years female patient who survived from massive heart attack (ami) followed by angioplasty (ptca) and cardiac arrest?
AMI: Those questions need to be asked of the patient's physicians. In general what you describe suggests serious damage was likely done during the heart attack, but that can't be known from here. The state of the coronary bed and the myocardial function likewise. Best to discuss with the physician(s) who know this patient best rather than generalize. ...Read more
Vast Majority: Atherosclerosis (known to start ~age 7), is dominant human behavior yet typically remains asymptomatic for decades because the disease is in the walls & the arteries enlarge, compensating for the disease. It is plaque ruptures, debris downstream & clots which produce the blood flow obstructions, heart muscle damage & death. Stress tests overwhelmingly miss the disease until after it is advanced. ...Read moreSee 2 more doctor answers
Is there any new recommendations regarding hypertension and pre hypertension in people with definite coronary artery disease?
For younger: men <60, the recommendation is stricter blood pressure control <= 120/80 with beta blocker, thiazide diuretic and/or ACE inhibitor or ARB. For older folks the current recommended pressure threshold is <= 130/85 but that recommendation could change within the next 2 years. Salt restriction to less than 2000 mg daily is also recommended along with cardiovascular exercises daily. ...Read moreSee 1 more doctor answer
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