Archive for the ‘Cardiac surgery’ Category
Can swim
Question: Can I fly after surgery for prosthetic mitral valve?
Answer: Dear Madina, Aerobic exercise (brisk walking, swimming) – a very important part of the rehabilitation of patients after prosthetic mitral valve. Swimming is not only possible but necessary. The only time when, after such an operation can not swim – early post-operative when it is still not healed joints. The rest of the time – please.
UPU-Tetralogy of Fallot and pregnancy
Question: In my childhood was the UPU Tetralogy of Fallot. An operation in 5 years of age. After being improved. Had a record for the cardiologist. In 20 years, pregnant, delivery was by caesarean section. After hard Restores was an overload of right heart. Discharged from the hospital for 14 days. In the statement it was stated that re-birth is prohibited. Over time, I had tachycardia, ekstrosistoly, occasional pain in my heart aching character. Now I'm 24 years old, I feel good. Medicines do not accept. I very much want a second child. Tell me is it possible? I think in your practice have been cases of this nature.
Answer: Hello! You need to be carefully examined. According to the survey, after joint consultation cardiologist and gynecologist probably planning pregnancy.
Ebstein's Anomaly
Question: doctor! Answer the question please. In 9 year old girl has congenital heart disease (UPU) – Ebstein's anomaly of Article II, III fax. Cl. , Is it possible to dispense medication?
Answer: via the Internet, such issues are not solved. This is a serious pathology, look for a vascular surgeon for a consultation. I can only say that all depends on the clinical manifestations, presence of arrhythmias, heart failure.
Heart attacks
Question: Dear doctor! My dad (73 years) assigned to the planned surgery. I quote the results koronagrafii: type of blood supply balanced. Barrel ALE – not changed. PMZHV – stenosis of the proximal segment to 90%. OB – no change. VTC – small diameter. PKA – uneven contour in the middle segment. But the operation is constantly postponed due to lack of stents (sorry if misspelled word). If any movement and at rest constantly attacks, which are removed nitroglycerin, but the pope glaucoma, nitropreparaty contraindicated. Can you please tell that it is better to take to wait for the operation and to facilitate the state.
Answer: Dear Natalia, although I did not Vladimir and Dmitry, all the same answer. Antianginal (against strokes) have the effect of beta-blockers and calcium channel blockers, they can be successfully applied in strokes, and significantly reduce their intensity. Such drugs include, for example, bisoprolol (Concor), diltiazem. Specific doses of the internet, I have no right to call, the physician selects the drug after the examination of the patient. Successful operation! Do not forget to take medication, which will nominate doctors after the surgery.
Reduced ejection fraction
Question: I am 36 years old. At ECHO-HS put that in my ejection fraction is 51%. Two years ago, was 69%. The doctor said that with such heart and live badly enough. And he gave direction to the hospital to undergo coronary angiography. This procedure I really need? And raise function possible?
Answer: Natalia, you very little about myself to write, to be able to give intelligible advice. PV – only one of the parameters that determine when echocardiography. Yes, 51% – this is not enough for your age, but you also know the reason for the decline of this indicator. Reasons – not less than 10-20. And you have nothing else written. What is an extension of the cavities of the heart? Then it kind of cardiomyopathy, but why do it when coronarography – I can not guess. Coronary angiography is only one purpose – to identify atherosclerosis of the arteries of the heart. In 36 years a woman atherosclerosis is extremely rare. Maybe you should find a competent cardiologist and consult with him full-time? Examined and not worry yet.
Immunizations after operations for prosthetic valves
Question: 6 years ago I had an operation for prosthetic mitral valve prosthesis LIKS-28, MIX-21 aortic and tricuspid plasty. Can I make a flu shot A/N1N1? I am 57 years old. Last 46 years I did not do any vaccinations after acquired rheumatic defects in 11 years. Is there any information about the immunization-designed after surgery to prosthesis? How do they tolerate such patients? I am afraid, valves "cleave" bacteria from grafted flu, but this flu, too afraid. So do or not do, that's the question? Sincerely, Lyudmila.
Answer: Dear Lyudmila, bacteria from vaccination nowhere cleave for the simple reason that they are not in the vaccine. If you currently do not have any colds, it is better to be grafted.