Zanax – Cardiology doctors online

Archive for the ‘Blood Pressure & Training’ Category

Question: about a year ago was hospitalized with hypertensive crisis pressure of 190/120, up to 2 years of almost daily kozhdy abused alcohol, weight was 97 kg with an increase in 178. After the hospital a week later fell again, this time with retrosternal pain favoring his left arm, the pulse 130, blood pressure 160/110, wrote a suspicion of coronary artery disease. The study thyroid gland and hormones – normally, sugar, cholesterol is normal, elevated hemoglobin 165, ultrasound of the kidneys, internal organs are normal, ultrasound of the heart – the cavity is not dilated, prolyaps mitral valve without regurgitation. Holter – sinus arrhythmia, single supraventikulyarnye ekstosistoly syndrome RRZH, ST segment, without significant changes dynamically. Veloenergometriya – tolerance to load average, a negative change in ST. At discharge diagnosis of hypertension of 2 degrees. Treatment renitek 10 ml. , Meteprolol 10 ml. After 2 months, stopped taking metoprolol, heart rate fell to 42 beats. Lost 10 kg. Employment office. Sometime torment retrosternal pain smack under the shoulder blade and arm, of varying length and nature of bursting to non-compressive load. Pressure morning 120/80 evening 115 (140) / 70 (90) in stressful situations 160/110. However, recently began torturing day headaches in the back and interruptions in the work of the heart. ECG once a month, results-sinus arrhythmia and then poyavlyayuschyaeesya then you can slow intraatrial conduction, when the doctor pressure of 170/110. We put the daily blood pressure monitor, the results of the average daily pressure of 140/90. at sressovoy situation at work during the monitoring of up to 160/110, in a dream 110/70 (65) while taking 10 ml. reniteka. Questions: 1) whether this treatment is sufficient. 2) whether the shit cause pain and disruption in the heart of the constantly changing pressure 3) constantly evolving retrosternal pain are all the same, and coronary heart disease associated with heart or should look for other causes, and how. 4) What physical activity are shown.

Answer: 27 years. 1. Excuse me, but in absentia examination prescribed treatments do not spend. 2. No. 3. This is not IBS, but look for physical causes _ustranimye_ not tselesooobrazno. 4. Any which do not cause fatigue. Signs of fatigue. With considerable physical effort blood flow increased 10 times: if the total blood flow at rest takes place for 50 seconds, then the load can be reduced to 5 seconds. Naturally, this is a result of heart palpitations (up to 180-200 per minute) and blood pressure increase (up to 200 units.). Therefore, when physical education is much easier to judge the tolerability fiznagruzok, of fatigue is not on pulse and blood pressure, and on external features. Such as: color of the skin sweating breath movement and stability in standing posture account being. Accordingly, the characterization of small fatigue: a small red small rapid, smooth brisk gait good, unerring understanding and execution of the no complaints. Significant (secondary) fatigue: a large red big big quickening; periodically Oesterreich breathing through the mouth unbalanced step, swaying the body inaccuracy in the execution of commands, errors in alternating direction complaints of fatigue, leg pain, palpitations, shortness of breath. Sharp (large) fatigue: a sharp redness, blanching, cyanosis integument particularly sharp, statement salts sharp quickening, surface, continuous breathing through the mouth; some deep breaths replaced erratic breathing (dyspnea) sharp shaking of the body, the appearance of uncoordinated movements delayed execution of commands, is seen only loud command complaints about the same phenomena as that of the average fatigue, and in addition, a headache, a burning sensation in the chest, nausea and even vomiting .

Question: Doctor! Situatsmya such. In 20 years (in winter) to honey. examination at the institute to measure the pressure okazolos 160/82, but I felt a clear inner emotion from the process. I came home (after school) – measuring the blood pressure was 145-150/80-82. Morning pressure was also Vysokova something (130/80). At this time (with the Institute, income-in 18let) I was very seriously engaged in the cord. otletikoy, but this case has decided to stop training. Summer has passed examinations in cardio instute them. Myasnikov in Moscow. Ultrasound / ECHO / EKG everything is normal, pulse rate at rest before going to bed 49-55 beats / min (in school years has been active in judo). The doctor just shrugged his shoulders, saying that everything is normal, gave me some weak tablets. Pills I decided not to drink, but to truly engage them. A balanced diet, morning, douches, with trams passed to walk (10 km per day), a balanced diet, no smoking, alcohol, to the best of the holidays. Results are as follows: Now I'm 21 years old. At the moment of awakening pressure-114-122/65. When I come to the Institute 129-140/70-80 (pulse 55-60). Advise how to normalize the upper pressure, what sports are not contraindicated, kakienagruzki allowed, just really wants to take over the bar.

Answer: We can only welcome such an approach to their own health. No amateur physical training is not contraindicated. Figures pressures are likely to be normal, if to observe all the rules of measurement of blood pressure (http://doktor. Ru / qa / davlenie / article. Html? Id = 51939). However, in addition to confirm this possible with daily monitoring of blood pressure. If the fluctuation of blood pressure during the day will still be excessive, it really shows the course reception "weak" tablets.

Question: I'm 26 years old, height 174 cm Weight 96 kg. I conduct an active life, a bodybuilder 7 years, do not smoke, drink moderately. Frequent stressful situations related to work. Three days ago there was a crisis: the pressure after a hard day's work and the gym has risen up to (160/105), small pokalovaniya in the heart did not sleep at night, but the condition was satisfactory, made ECG – normal, the doctor prescribed a diet and co-renitek 10 days now and the last three days of pressure (130/75), pulse 48 in a quiet position, condition good. In the doctor abruptly skakanulo pressure (170/90) at the same time felt nervous tension, but the condition is good. Two years ago, so too was (190/100), but one day all returned to normal. It has been a complete diagnosis – all normal. No edema and head bolii otdyshek never felt. On ordinary days the pressure is not bolle 140/85. I would like to hear from you advice about bodybuilding, and do I need, in addition, kardiouprazhneniya. Thank you in advance for your reply!

Answer: (30. 04. 07) Recommendations on these studies can not give. Desirable relaxation exercises, relaxation and autogenic training elements.

Question: I am 32 years old, patients with severe hypertension 6 years (the pressure does not drop during this period are below 160/120, usually in the morning 180/120, 210/130 in the evening, the highest for the period, 270/180). Tried many, raised lowered kidney, passed through the endocrinologist, kordiologa (cardiogram in the order, not counting gipnrtrofii left ventricle), a neurologist. Tablets pressure does not shoot down (monopril, kordipin, bonnet, fiziotenz, Indap). Pew atenolol for 4 years at 0.25 per day. I heard that there are examples of blood pressure lowering through physical exercise. Consulted kordiologom, but she said "stroke care?" and I was afraid to run bezsistemno. If you have an opportunity, Can you please tell where to start, as loading the body, so as not to harm. I would be very grateful for the advice.

Answer: When blood pressure consistently greater than 160/120, exercise contraindicated. Usually in such cases (so-called. Refractory hypertension) used a combination of 3-4 drugs with different mechanisms of action on blood pressure in adequate doses. And lowered blood pressure to acceptable limits. If you drink atenolol 25 mg daily, this dose of "child", but if 250 mg, the conditional maximum permissible (pulse becomes very rare).

Question: Dear doctor, I am a man, 43 years old, do not drink, quit smoking 5 years ago, height 180, weight 79. Physically active: 3 times a week, jogging, strength training 2 times, but not bodybuilding (horizontal bar, parallel bars, dumbbells, pushups, 2 days "off" from the stress. Unfortunately, I have a family hereditary hypertension (all sides) and elevated cholesterol. It is very reactive nervous system, chronic stress. Accordingly, last year 4 pressure was consistently higher than 140/90 – 145/95 (there tanometr), were, alas, little change fundus vessels. Plus, cholesterol: 240 total, 166 — LDL. The doctor demanded simultaneous reception Tritase (ramipril), Sivastatina and aspirin. From all the above, take a couple of years only Tritase that puts pressure around 130/85, 135/89. EKG, ECHO – normal. Q: I know that taking medication to reduce the pressure, usually for life. However, for me personally, it is psychologically very difficult. (Plus-known side effects.) Is it possible to somehow abandon the use of the drugs on the pressure? Or need to "relax" and go with the flow, ie, humbly accept all appointments. Do I myself am? might have something to recommend, doctor? "Thank you!

Answer: Admission ramipril can keep blood pressure within the boundaries, therefore, dramatically reduces the risk of serious cardiovascular disease (http://doktor. ru / qa / heart / article. html? id = 48599). optimal level of total cholesterol <200, LDL <130 (for you). Known side effects occur a maximum within a few months of taking the drug if they do not have any, remains a net benefit. Weigh it on some scales in the effects of hypertension as a psychological relief, motivation to continue treatment. (Excerpt from the response of 31 July 2002) In addition to well-known dramatic irreversible complications of hypertension – cerebral infarction, or stroke (which in Russia is 400 thousand per year, 25% die within the first month), and heart attacks, which are the main causes of death and disability, there is another complication, which they say less (but found it very often). It's – a chronic progressive brain damage (progressive vascular leykoentsefalopatiya or Binswanger's disease, etc.), leading gradually to severe consequences in the form of reduced memory, attention and intelligence, emotional-volitional disorders (in the form of emotional impoverishment and narrowing the range of interests), and finally to the pelvic violations – from the periodic incontinence until the total loss of control of pelvic functions. So treat hypertension should be very careful, and the effectiveness of treatment depends largely on the patient's understanding of the seriousness of the situation.

Question: Dear Doctor! Can bodybuilding (and the general weight lifting) to cause vessel rupture and hemorrhage in the brain when a person initially healthy? And at what pressure is not recommended to do physical uprazhneniyavoobsche? Thank you.

Answer: To judge by outward signs that a man initially healthy, that he had no congenital anomalies of cerebral vessels, we can not. Any consistently elevated blood pressure should first normalize and then really engage in physical education with loads. Regular physical activity (http://doktor. Ru / articles / article. Html? Id = 48557) is not contraindicated for anyone.

Question: I am 27 years old. I live in Germany. Sometimes I take the hands of the dumbbell and swing. Typically not warming the heart as it should. So at this time. Cachan chest. Lying on the sofa, curling the dumbbells up. Thus, several approaches, in the end could hardly lift. . . Then he shook his shoulders a little, well, raising the dumbbell back up from the floor in a bent position. It takes 10 minutes and I begin to feel that something is not with me then. Released on the beam breathed. Wipe the dishes with his wife. Then I say that something is wrong with me. Begins to push the heart, then the whole chest and stomach as if fully grasp, I lie down on the bed, my hands pressed to his chest, I can not straighten them, even the fingers and can not say a word! I was lying, and that the mumbler in shock! My wife calls an ambulance. Until they arrived, I'm better. But hands are not yet fully relinquish can, over time, everything passes. Doctor meriet pressure. 190. Pshykaet me what is the opposite under the tongue, the pressure decreases. In his hand is a needle that they don `t know there is poured. Taken to the hospital. I like Nitsche. Blood, X-ray, EKG, everything seems to have found nothing. Plainly to say nothing, let their home say probably overtrain. then the doctor gave the hospital for 2 days. what happened to me? I still like some podavlivaet in the area of the heart, not like the prick namely podavlivaet in one place. Seems that that is compressed. I can not exactly understand the muscle is sore after a workout or heart. Then ever, watch all normal. But every day again podavlivaet. It will take it?? So state like nothing. Afraid to do anything serious. I went once on a bicycle, like anything.

Answer: No Heart disease. Psychogenic kardialgiya begins. Reasonable exercise is not contraindicated.

Question: Good afternoon, doctor! I am 34 years old, standing systolic blood pressure at 135 – 145. Diastolic almost always the norm – 80. No sport can not, though, to try twice to go to the gym. After the intense dynamic loading body for a long time "not complacent" heart beating strong, although lower pressure is kept at 80, while the upper level 145 – 150, pulse 55 – 60. To sleep after physical exertion for a long time can not, as a head filled with blood. He turned to doctors, but the real reason my pressure set no one can even wonder what it is I have (tests, EKG – all normal). Do not smoke, do not drink, no fat, good musculature. If you have to practice been similar cases that may cause such reactions and how to fight it, but can you porekomunduete who can identify the cause of this (clamping of the vessels, or the failure of some sistme), as well as pills to my view treated only simpotmy pressure.

Answer: Maybe it's just some signs of physical fatigue (http://doktor. ru/qa/46889/qa. html? id = 57219)?

Question: I am 24 years old. It is not engaged in sports for a long time, there were hints of the stomach, broke his leg – has long remained in general without nat loads. Quit smoking in one day (8 years of smoking 1-2 packs a day). I went to the pool, putting himself to be able to swim throughout the sessions (40 minutes) crawl without stopping (at the beginning of classes without stopping could only swim 50 meters). After months of training (3 times a week) swam 1 km for 25 minutes. After that, I have a few days had severe headaches, which I copied to weather changes. A week later I repeated the swim, after swimming 1.3 miles without stopping for 30 minutes. In the evening the same day, I suddenly started having problems with his vision: could not read the text on the monitor at the point of view of focus were bright spots, preventing read and concentrate. Pomerel pressure: something like 170 to 70 and the pulse 100. He saw the relationship between swimming and such pressure was surprised because have heard that swimming in any number of beneficial effect on blood pressure. Questions: 1. Have I caught the link between swimming and blood pressure? 2. How should solve this problem, does reduce the load in the pool or you can correct the situation with some additional tools / exercises?

Answer: This is a normal physical exhaustion (http://doktor. ru/qa/46889/qa. html? id = 57219).

Question: I am 21 years old. Always led a healthy lifestyle, health problems did not. Growth 187, weight 80. Earlier this year, he began to feel not very good, took a survey – diagnosed with "IRR on hypertonic type. Pressure sometimes rises up to 140-145 / 80 (ie, diastolic blood pressure did not rise). Ophthalmologist found a slight change in fundus (something I do not believe it). The question is: I have previously worked in amateur bodybuilding, can now resume their studies? The therapist and cardiologist anything intelligible about it did not say. Thank you.

Answer: physical activity is not contraindicated, which is not true about Supplements and every stimulants.