Doctor insights on:
Why Is There Such A High Incidence Of Heart Disease In The United States
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
Several reasons: Several factors that involve increase prevalence of atherosclerosis including increase stress, high blood pressure , diabetes, high cholesterol , fast food diet , sedentary life stool with decrease excercise, more control of infections which kills more people in third world countries. ...Read moreSee 1 more doctor answer
Several: Cardio-inhibitory form of vasodepressor reflex. Complete heart block as might occur during myocardial infarction, myotonic dystrophy, or lyme disease. Iatrogenic complete heart block from medical procedures. Use of beta blockers in patients with sick sinus syndrome. There are probably others but these come to mind. ...Read more
The installation of an IVC filter is all that is needed to avoid most heart attacks, strokes and PE's if there is a history of familial heart disease?
No way;can only trap: large clots traveling from leg & pelvis veins from proceeding to right heart & lungs. Heart attacks & strokes result from clots in arteries leaving left heart, including supplying heart muscle itself. Most are without symptoms, due to plaque rupture or clots from left atria (rarely ventricle), occur without warning. Setup is atherosclerosis, LDL-P, HbA1c & Systolic BP not ?, Large-HDL-P not ?, etc ...Read more
Is there a law in the state of oklahoma that requires doctors to treat women at risk of death from pregnancy?
Partial birth aborti: Patial birth abortion a procedure that is performed by obs to terminate the pregnancy if the mother's life is in danger. Since this procedure is done after 20 weeks of gestation some politicians have been calling it as murdering unborn babies this procedure is performed very rarely and it is only performed to save the mother's life. In several states it has been banned ...Read more
Many: I like to divide risk factors into two categories. First are those you can not change. The other are those you can. For instance we can't change inherited risk factors. But we can control smoking, diet and exercise. Of the risk factors we can impact - probably smoking is the most important risk factory to control. Genetics is probably the biggest risk factor of all. ...Read more
Is it possible that sugar consumption is the cause of the high rate of cancer in western civilization?
In countries where people don't eat a lot of wheat, what is the incidence of heart disease, cancer, hypertension, diabetes?
?: I don't know the answer to your question, but if you substitute "meat" for "wheat", i can tell you with much literature to back me up that the incidence of those conditions is low and much lower than in the usa. Wheat, btw, by itself is not the culprit and whole grain (unprocessed) wheat is full of good fiber, relatively low in calories, and doesn't raise cholesterol. White bread is a bad example. ...Read more
Is there any ongoing research for the use of low dose naltrexone in autoimmune diseases especially in the case of bullous pemphagoid.
Stetchy research: There is some sketchy research and documented experiences of MDs using low dose naltrexone for this purpose with success. Naltrexone is largely without any complications (unless you regularly take narcotic pain medication - in which case skip it.) Since there is almost no downside it is worth a try if traditional treatment is not giving you satisfaction. ...Read more
Exercise/diet: As countries become more "western", they exercise less and eat a high-fat diet. When a third world countries becomes more like the United States, they exercise less, drive around in cars, and eat a fatty diet. Subsequently, they develop heart attacks, congestive heart failure, and heart disease becomes the leading cause of death. ...Read moreSee 1 more doctor answer
What is considered the number one way or treatment for congenital heart defects or "hole in heart"?
What is the drug of choice for hypertension in middle age male with no history of dm or other chtonic diseases?
Several: Usually we start with one or two drugs. More out now on combination of low dose of two drugs. Usually a combination of an ace inhibitor with low dose hydrocholorothiazide or Chlorthalidone is selected. One may opt for a beta blocker with hctz/chlorthalidone but in males particularly, beta blocker can have untoward sexual side effects. Arb's may be used for ace. It is usually individualized. ...Read moreSee 1 more doctor answer
Many reasons: As adult obesity has increased, so has childhood obesity. This is essentially a trickle down effect, meaning we learn from our parents bad eating habits. Kids eat more fast food and have more sedentary activities such as video games. Also less expensive to feed a large family with fast food so there is also a financial component. Convience also plays a role with our fast paced lifestyles. ...Read more
Can't say precisely: About Mexico....But as many as 50% of American travelers traveling internationally get it. ...Read more
Complicated: Adhd is diagnosed in the us much more than in any other developed country, and the use of medications for it are even more disproportionate. Some argue this proves we're overdiagnosing and overtreating adhd in the us, others, that adhd is underappreciated outside the us. A big change is ongoing treatment in adolescents and adults, leading to concerns about medication misuse and diversion, . ...Read more
Not always.: Depending on the type of hospital infectious diseases may be associated with high mortality rates. An example is a reference hospital with a significant proportion of immunosuppressed patients including patients with cancer on potent chemotherapy, transplant patients, patients with cystic fibrosis, all of them at high risk for complicated infections. ...Read more
Can living at a higher altitude for example el.paso texas cause.mild.right heart enlargement? Is that even possible?
Maybe: High altitude has lower oxygen content so living at high altitude causes adaptive changes to compensate for this. heart size and function are some of these changes. this is why some people train in high altitude prior to competition. a heart condition can be exacerbated or improved by changes in altitude. ...Read moreSee 1 more doctor answer
...That is a measure of the risk of developing some new condition within a certain period of time. The incidence rate is the # of new cases per population that develop a disease over a period of time. So, in a population of 100, if 5 people develop the disease within 5 years, the incidence rate is 5% over 5 years. Compare to 'prevalence', which measures the total # ...Read more
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