Yes. If properly tested with neuropsychological tests many patients have mild memory problems up to a year after ohs. Fortunately the vast majority have no obvious changes noticeable to them or their family members.
Telogen Effluvium. Hair loss by telogen effluvium happens when trauma of some kind adversely affects the body, and forces hair into the telogen stage. This hair will first start to thin, and then fall. It is common after surgery, to develop a telogen effluvium where the hair goes into a shedding phase. The telogen effluvium usually lasts for 6-12 months.
It's complicated. Hair loss can happen for a number of reasons, lots of them unrelated to surgery. However, the stress and trauma of surgery, as well as medications to treat heart problems or blood pressure, or anemia after surgery can contribute. You should see a doctor if you are concerned.
Low salt. Low salt, low on animal fat, limited calorie intake to keep weight normal.
See AHA. Seven simple steps and diets.
It depends. Hopefully improvement in symptoms. If the surgery is for coronary disease and chest pain, doing away with the pain. If it is for a leaking or too tight valve, improvement in things like fatigue and shortness of breath. There of course can be bad consequences such as rhythm problems, kidney failure, anemia, fluid around the lung, pain in the incision, stroke, and even death.
Depends. For what condition? Congenital holes / conditions? May have complete repair /or may need subsequent interventions or surgery. Coronary blockage- bypass and generally improved prognosis. Valves improve and may ned coumadin risks are dying, bleeding, infection, stroke, recurrence.
Edema. Because of swelling and edema -- so we are trying to monitor the volume by weight and urine output.
Tropinon I test - negative / ejection fraction 35% - 40%. High BP / diabetes patient for the last 12 years. Would you recommend an open heart surgery?
That depends. It really depends on what blockages you have and their locations. Studies do show that diabetics with 3 vessel coronary artery disease do better with surgery. In addition left main disease also do better with surgery. Reduced ejection fraction with 3 vessel disease is another classic case where surgery is performed. Your cardiologist and surgeon should be able to help you make a decision.
Complicated. This depends on several factors. The type and indication for the surgery formost....Thereafter your doctor will determine your cardiac risk profile and determine your physical activity level or metabolic equivalency. Once all of these factors are taken into account a decision can be made in proceeding with the surgery.
Yes. Yes if your cardiac cath shows blockage in your main artery that feeds the heart or all three vessels that supply the heart.
A geriatric patient who has had open heart surgery years ago and recently had a stroke and is on blood thinners, can he take aleve (naproxen)?
Should not. Aleve (naproxen) is an NSAID and can have interactions with the blood thinners, so do not take until you discuss with the physician prescribing the blood thinners and pharmacist.
If possible, Avoid use of anti-inflammatory med such as aleve (naproxen) on patient taking bld thinners due to increased risk of bleeding. Also prolonged use of this medication may increase blood pressure as well, cause kidney dysfunction in elderly. Try Acetaminophen if in pain, do not use over 3000mg per day. Consult with his dr regarding pain cause to get to the root of the problem for proper treatment. Good luck.
I will avoid. Nsaid's like Naproxen in geriatric patients specially if they are in blood thinners. 50 millions american have gastritic/ulcer disease induced by nsaid's and around 3% of those will bleed from the disease. Also nsaid's are associated with stroke and heart attacks. Use tylenol (acetaminophen) without using more than 3, 000 mg a day. Consult your doctor.
Absolutely not. Naprosyn (naproxen) and other nsaids should never be taken by a patient on a blood thinner because of the increased risk of bleeding from this combination.
NSAIDs. No! non-steroidal anti-inflammatory drugs (nsaids) should not be taken by patients on blood thinners / Aspirin ; are contraindicated in patients with vascular disease (stroke ; coronary artery disease qualify), stomach problems ; kidney disease/impairment. Tylenol/acetamiophen are recommended for pain control.
Complex issue. Kids who have a normal intellect at birth tend to lag far behind their age equivalent peers on academic progress if they have complex congenital heart disease, this disparity tends to increase with increased time for hospital care and away from school. For others, the chd is just one parameter of a genetic or chromosome disorder that has reduced intellectual abilities to start with.