Zanax – Cardiology doctors online

Archive for the ‘Cardiac arrhythmia’ Category

Question: My son in 19 years did Echo heart-found mitral valve prolapse with regulgitatsiey. problems with his heart since birth, cyanosis nasolabial treugolntka, this was the reason for seeking a cardiologist. ECG always-sinus arrhythmia with early repolarization of the ventricles with the elements of myocardial hypoxia. We have moved to live in Taganrog. And here at the ECHO-prolapse is not confirmed. A cardiogram is the same. WHY?? But the equipment at the Katori examined differently. He was taken to the Army. Now he is in the hospital for examination in Kamyshin Volgograd region. Can not find prolapse, if not modern equipment. The fact that he was in airborne troops. Although military enlistment he was sent to others, and at the regional transit point in the VDV was a shortage and there he was taken away. If prolapse find? His commission, but if not it will be there. JUNE 2, will do an echo.

Answer: In the military hospital diagnostic equipment sufficiently modern. If the diagnosis: Mitral valve prolapse of 1 degree, this is not a contraindication for service in the army. I understand your concern, but hardly anything I can help. Doctors on the ground know better.

Question: Male, 42 years old. Has been a constant disruption in the work of the heart. Diagnosis – ventricular arrythmia and respiratory arrhythmia. Holter monitoring: Maximum heart rate = 138-recovery at 5 th floor; tachycardia – a walk, charge. Minimum heart rate = 42 at 06:07. Bradycardia at 00:28-08:39. Against the background of severe respiratory arrhythmia recorded permanent ventricular beats at a frequency of 3-9 extr / min. , Periods of bi-tri-kvadrigeminii. Registered ST segment depression on channel A at 23:45, duration 2 min. A maximum of 0,145 mV-load. At the same time recorded lengthening of the QT interval duration 8 min. , To a maximum of 0,740 msec, at 23:39. Analysis of blood TSH contraindications for appointment Kordarona not given. FGS showed no ulcer. Dear Doctor, is it possible to avoid the use of Kordarona and do less heavy medication?

Answer: Dear Oleg! Most ventricular extrasystoles – a sign of organic heart disease. For the purpose of therapy is necessary to make a diagnosis using imaging techniques such as echocardiography. Perhaps even need coronary angiography. There should also be careful assessment of history of disease, concomitant diseases. Only then can assign adequate treatment, not only antiarrhythmic drugs but also drugs, improve the prognosis of the main disease. Antiarrhythmic drugs are shown to you in the light of the data provided. Kordaron in such situations shall appoint a temporary replacement, followed by other drugs, the likelihood of adverse effects are low. There are alternatives Kordaronu, for example, beta-blockers, but the appointment of a particular drug the doctor decides on full-time appointment. Be Healthy!

Question: 77 years. Male. Operating pressure 160/90 for 7 years. There were signs of arrhythmia periodically. They used a regular Raunatin. Tenorik We tried to stabilize the pressure – the pressure dropped to 150. But a day later at night the pressure rose to 240/120. They took kristepinom. Now arrhythmia was more often, especially at night. Weakness, sweating, pain in the left side of the neck in the shoulder depression in the middle. How to support the heart? Is it possible to cause a change medicine and the use of Tenorika? With a given state to drink to relieve the pressure? "There are stones in the kidney. Tinnitus. Lifestyles active. Full self-control. No bad habits. Conduct an adequate and independent. Fiz. load is above average – twenty hectare under control. Thank you for your attention. I hope to answer.

Answer: Heart of support can only be competent full-time medical consultation or a cardiologist. On the Internet it is impossible to appoint a treatment. I can only say the following. From tenorika pressure so can not leap. To avoid arrhythmia, you need to take modern medicines, such as beta-blockers (which include tenorik, by the way). Raunatin and kristepin – inefficient, outdated drugs. We should choose an efficient modern (not necessarily expensive) therapy of hypertension. To remove the high pressure can drink in minimal doses, captopril (Capoten), but it is better to consult internally with a doctor – not a contraindication for this drug.

Question: My mother put a pacemaker. She has diabetes. Hypertension. After surgery, it took three weeks, and a stimulator works with changes in rhythm: a 42 strike, then 52, then 71, then again 43, though it was programmed to 70. Doctors say the device, the "knitting", then goes to work his heart. All waiting for something, doing nothing. Sugar jumps from 6,2-25, although she did not have one before the operation. We have managed to correct a little bit – 11,2. Pressure in the morning 145 (135) 80 (70), in the evening – 185 (190) 90. Show you with what it may be the reason?

Answer: Valentine, you have not written the main thing – mode pacemaker, it should be specified in the statement. I can only assume that these are the features of the regime, in which it is programmed, this issue must be discussed with the doctor who delivered him. To control sugar and blood pressure, simply choose an adequate therapy (insulin, 2 drugs against high blood pressure), direct connection with the implantation of the pacemaker is not here.

Question: Two days ago, returned from a holiday in Turkey. I noticed that there were interruptions in the work of the heart. Every 3.10 strokes in a prone position is ekstasistula. Sitting – less. In the movement like no or rarely. Also rhythm uskroenny. Drank there on vacation badly. No pain. I went to the clinic, a cardiologist not accept. What advise do?

Answer: Recommend to go to the therapist, he would send the ECG to be able to understand what kind of beats, whether other changes in the myocardium. And yet reached the therapist – valoserdin 40 drops, no more advice I can not, because you do not see. Is it time to tie with "drinking pretty?

Question: Doctors diagnosed – paroxysmal ventricular tachycardia. They said to put AIX, where do we have such an operation? Or you can cure without doing surgery?

Answer: Here in St. Petersburg, such operations are done in many hospitals, including in the cardiology center of Almazova. Operation etamalotravmatichnaya, without cutting the chest.

Question: I am 22 years old. Last week, suffering two bouts of arrhythmia. Suddenly, usually in a quiet position 1 – 2 times a day may be all day without seizures, heart starts to falter though. The shocks are sufficiently strong and not uniform, the duration of bouts 5 – 10 minutes. And sometimes it's as if the gravity of the heart, brief seizures. Himself engaged in parachuting. Previously've never been. For me it is important to a healthy heart. When arrhythmias begin to feel fear. He did EKG showed nothing. Show you this is dangerous or not, and what a survey should be done. Thanks in advance!

Answer: Viktor make daily ECG monitoring, everything will become clear. Can we assume that short bouts of SVT, not bad to have to pass a blood test for T4 and TSH (thyroid hormones).

Question: Dear Doctor! I am 32 years old, had just arrived from the sanatorium, where did ECG and RRI. It turned out that I have a strong sinus tachycardia. Pulse 124 beats per minute at rest, RRI: the predominance of the sympathetic division of the autonomic nervous system, the path of realization of the central incentive – the nerve, expressed stress adaptation and adaptive mechanisms. Nevertheless, the doctor said that everything is normal, that "such" people live happily ever after and advised to drink motherwort and valerian. Prior to that, the heart is not worried, only occasionally ache a little and pulled the last time did a cardiogram at the institute 10 years ago, when seemingly everything was normal. Reading the previous questions, I saw that people drink blockers at lower rates tachycardia! What do I do? Is there cause for concern?

Answer: Yes, 124 alone – too much. I advise you to Holter monitoring, to pass tests for TSH and T4 (thyroid function), consult your cardiologist or physician.

Question: Dear Doctor. My mother 75 years – 2 heart attacks, strokes, diabetes, hypertension 2 degrees. Attacks of arrhythmia were once rare, now almost every day. This increases pressure 190/110 and pulse to 135, pain in the heart (as if stuck a knife), pain in the fingers. Mom drinks such drugs: Ravel, Betalok (200 mg), Fiziotens (20), Norvask (10 mg), Lozap (100), Vazilip and even a handful of diabetes. Maybe it is the state of the drugs? Recently, she lay in hospital, treated only droppers – potassium, magnesium – a brain – zero. Sincerely, Natalya.

Answer: Natalia, did mom drink all together? Preparations from virtually all groups of antihypertensive drugs! After a heart attack shall be binding: beta-blockers (a betalok, 200 mg – the maximum dose), ACE inhibitors (fiziotenz), aspirin, statins (vazilip). Lozap superfluous, since he fiziotenzom operates on the same thing about link. From medicines you specify the state can not be, it may be more likely from improper selection of drugs. Proper selection – it is a complicated and often lengthy procedure, so unfortunately I can only advise you to look for a large hospital in St. Petersburg, where her mother hospitalized for selection of therapy and which will not be treated with potassium and magnesium. On the Internet prescribers – a violation of medical ethics.

Question: Female 19 years old. Since 2005, worried about the pain in my heart (when you inhale the sharp pain, which took place almost immediately) diagnosis on ECG: sinus tachycardia, heart rate 118 beats per minute, a shortening of the interval PR. If I was treated, then something riboksin. In 2006, complaints of pain in the heart palpitations. Diagnosis: sinus tachycardia with a heart rate of 122 beats per minute, single ventricular extrasystoles. Again, almost no treatment because the disease is rarely disturbed. 2008, compressive pain in the heart, numbness in the left hand, she could not lie on your left side, my heart almost immediately began to ache (compressive pain). Did a ECG diagnosis: sinus tachycardia heart rate of 120 beats per minute, BPNPG, frequent ventricular extrasystoles, single reduction with aberrant ventricular conduction. Holter: yellow. ekstrosistol 6344, by type bigenimiya – 1955, max. number – 724 from 3:00 to 4:00. By type trigenimiya 534, max count – 233 from 11:00 to 12:00. Steam M / E -1. Supraventricular extrasystoles 17, including nizhnepredserdnye. Steam H / E – 1. Complaints of heart attacks, even at rest. Saw metoprolol (5 months) to 0,125 + mildronat. Extrasystoles were isolated. Dose is reduced to 0.0625 (1mes.) beats passed. The drug is indicated. After 3 weeks after the cancellation, compressive pain in my heart throughout the day. After weeks 5 done done Holter: extrasystoles nadzheludochkovyh – 6, ventricular – 9721, one of which doubles, a short jog atrial tachycardia, conduction disorders were observed. Thyroid hormones are normal, an echo of the heart – mitral valve prolapse. We have no complaints except for periodic compressing no pain, heart attacks, too. Average daytime heart rate -93 beats per minute, at night – 70 strikes. Is it necessary for treatment, what? And what could be the cause extrasystoles? Please consult. Thank in advance!

Answer: It is necessary to consult a neurologist just in case, some of the manifestations are similar to osteochondrosis. The above picture fits into the framework of the so-called syndrome of mitral valve prolapse. Pathology is functional, ie, people do not die from it, but suffer greatly. Treated quite true, metoprolol, in such cases is shown. Since now displays virtually no no, I recommend motherwort tincture and sports such as cycling or swimming. Tablets do not have to drink now and then in the head of the girl made to believe that "I am seriously ill, no one can help me." Observed condition – feature of the autonomic nervous system, which is not out just so. If there is a pronounced psychological component (anxiety, panic attacks), the only thing that can help – a call to the therapist, who may appoint receiving psychotropic drugs.