Zanax – Cardiology doctors online

Question: dear doctor! My mother 64 years old, suffers from hypertension for 3 years, but with constant therapy (indapamide, egilok), the pressure was maintained at 120-130/70-80 mm. Hg. Art. After prolonged stress originated pain behind the sternum, the first attack of the night was filmed taking nitroglycerine, and the next morning (May 13, 2008) once the second attack, was taken to the hospital – the pain is not removed, was vomiting, cold extremities, diagnosed with acute extensive transmural myocardial myocardial septal, apical and posterior walls of the left ventricle, cardiogenic shock. In the intensive care unit had thrombolysis, dripped dopamine, corticosteroids (just can not say that more specifically). A week later was transferred to the cardiology department. Within 2 weeks ECG froze, now formed a negative T spike, on echocardiogram all indicators are normal (except for the presence of zones of akinesia and thinning of IVS), cardiac output – 58%. After a heart attack chest pain is not. AD at 110-120/80 mm. Hg. Art. Accepts betalok and monosan. I have a question about the tactics, as surgeons and cardiologists a few disagree. Cardiologist planned to conduct further coronary angiography with surgical correction and categorically does not recommend conducting rehabilitation in the sanatorium. However, we did not take a heart surgeon, claiming that, after extensive infarction in the absence of angina attacks and the background of a normal blood pressure an inappropriate coronary angiography earlier than 3 months and advised undergo rehabilitation in the sanatorium. Ultimately, a cardiologist with the agreed and subscribes to our house under the supervision of a polyclinic. Show you all the same in this situation, whether you need to at the moment CAG or have to wait 3 months? How best to rehabilitate? What might make preparations for removing the patient from the anxiety of whining, she was concerned about insomnia and a feeling of fear and anxiety? (cardiologist did not appoint even in response to our persistent requests) Sorry, that much has been written, perhaps more muddled. Thank you for your attention, with respect, Margarita.

Answer: I'm sorry, not a professional cardiologist. For a diagnosis of cardiac output is very decent. Aneurysms not, although she was "frozen" ECG. Since cardio is acceptable. Moreover: invasive approach with stable angina or its absence has no real advantages over adequate drug therapy. In the virtual view, contraindications for sanatorium rehabilitation there. Psyche, of course, in the postinfarction period requires correction, but to give advice in absentia does not take the risk.