Zanax – Cardiology doctors online

Archive for the ‘Complications’ Category

Question: Moved ITA 15 September 2006 Mr. and ischemic stroke of 21 December 2006. function voostanovilis (in both cases ltkazyvali right arm and leg), now remained constant noise in my head as a seashell and some weakness. Agree for a month after discharge from hospital Meksidol, Piracetam, Vinpocetine, thrombo-ACC. Pressure steadily three times a day measure the 125 90. . . 115/85. Questions: 1) Do I take enalapril (rekomendatsich if blood pressure was 120/80 not to accept less-so I do not agree at all), and 2) how to reduce DBP and whether I do it, and 3) How long and what medicines I drink further recommend? 4) Can I get rid of noise in the head-on, ksutati, appeared on vacation in the south a month before the ITA, that e. in August. Thank you for your attention and answers to my questions.

Answer: (22. 02. 07) 1. No need, in my opinion, if blood pressure is stable does not go beyond the norm. 2. It is not necessary to decide this issue without a doctor yourself you can use the following steps: http://doktor. ru / qa / davlenie / article. html? id = 51966, primarily to give up salt. 3. Hard to say: in addition to aspirin in principle do not need this, but it can amplify the noise in my head, then it is substituted for another drug of similar action. 4. Attempts to eliminate this phenomenon does not have a standard approach: http://doktor. ru / qa / davlenie / article. html? id = 48554.

Question: dear Doctor! Please, consult on any issue here. My mother (her 70 years) so what the problem. Over the last 5 years have seen such simtomy, the reasons which nobody can not explain. She has no headaches, only occasionally occurs in the darkening of the eyes and weakness in the arms and legs. Fall does not happen and consciousness remains. To get rid of this comes after the fact, as she bends over. This goes not very long (1-3 minutes), but over time the frequency of occurrence increases. And the last six months has been jumping the pressure. In the transition to a vertical position, it drops to 80/50, and the high lying (Jo 170/80). Although she had always been high blood pressure. Periodically, she lies in a hospital. We stayed in the neurological department diagnose: discirkulatornaya encephalopathy 1 degree 2 degree hypertension, atherosclerosis, orthostatic insufficiency. But the reason for this state do not call. Transferred to the cardiology, but there are also lesions of the heart is not found, they say that age. If possible, advise what can be done in our case. What can cause this condition? Advance grateful.

Answer: orthostatic hypotension. That is considered to be any reduction in blood pressure during the transition from horizontal to vertical position, causing discomfort, usually the upper (systolic) pressure is reduced by more than 20, and the bottom (diastolic) – 10 mm Hg. Art. severity of disease evaluated according to (their 4). Reasons m. b. weight and cardiologists are known. However, most common in older people with hypertension and / or diabetes. Of the non-drug methods are useful in a dream with a raised headboard, increased consumption of salt (up to 10-20 grams a day) and fluid (up to 2-2. 5 l), effectively wearing a medical compression jersey (special stocking). drugs in the correspondence mode is not appropriate to discuss.

Question: In March, pp. city found that staying on the sunny side of the street at T air 15 degrees for 2-3 minutes. caused severe pain in the neck with a sense of "boiling water" or as it were, made a hot iron. The sun was shining in the back, was without a hat. The pain caused to hurry home. House feeling "hot water" gone, but weak local pain (always wanted to rub this place) remained within a few hours. Recently the situation repeated. I am 60 years old. A year ago, "noted" a diagnosis of TIA in the VBB. With the pressure of the past year, everything was decent, there was no need to apply to doctors. And this feeling is new to me. In our hot summer, these "bells" I was frightened. The pain is localized in the area of three fingers above the notch, mostly from the right side. Thank you doctor.

Answer: (28. 04. 07) I can only strongly advised to take all recommended medication and wear a headdress. One episode is not indicative, not informative.

Question: dear doctor, I am 26 years old. Two months ago I had a rather stressful period of life (constant time trouble at work, family matters), – in general, what doctors call "psycho-emotional stress." Once at work felt a headache, severe dizziness. I measured the blood pressure – 150/100. Prior to that, any cardiovascular disease does not suffer. During the next two weeks to feel bad about constantly – dizziness, weakness, blood pressure jumps, once even to 200. Has the district health clinic – I was told "not to worry and take valerian. In a "perfect" day of blood pressure rose to 170/130, and I suddenly felt that my numb left arm and leg. I the example of his grandfather know what a stroke, so terribly frightened. Asked the good doctor in a specialized neurological institution. CT scan showed that the frontal lobes of the right hemisphere in the white matter – two small lesions. Diagnosis – mikroinsult! In 26 years! Thanks to doctors, I podlechil and slelali lot of serious research to determine the cause of the incident. Result: vegetative-vessel. dystonia, elevated homocysteine in the blood, increased platelet aggregation, an open oval window in the heart (1 mm). Kidney and thyroid everything is normal. We accept the coronary, clonazepam, kardiomagnil, folic to-tu, Vit. gr. B. Pressure little jumps – from 100/60 to 140/100. Headache, and sometimes the heart. Left arm and leg "feel" normal. I very much want to ask you, dear doctor, how serious my problems? In fact, I would like to have a baby, because age is already running out. How can you get pregnant if all the drugs, which I accept, for pregnancy contraindicated? Thank you in advance for your response.

Answer: Clonazepam are soon to be canceled, and other drugs during pregnancy is not contraindicated (in the instructions to the coronal said: during pregnancy use with care). In this condition – autonomic dysfunction – is really important not to worry (this will help clonazepam). Reason circulatory disorders remains not clear, and this is very important when planning pregnancy. There are a number of hidden congenital defects of blood clotting, which recognize special methods. In Moscow, a special survey may be reached at Rossiyskom hematology center. Not sure, but it seems folic acid and B vitamins can reduce the accuracy of the results.

Question: Edravstvuyte, doctor! "My mother (64 years) in March this year, suffered a stroke on gemorrogicheskomu type. Did not work right side. Now restored, walks, itself serves to clean herself in the bathroom, something that the kitchen prepares, in an apartment makes it easy to tidy, itself erases, reads a little (a little tired), a little writing. But until a satisfactory condition, of course, still far away. Impaired memory and vision was not. It is restored, but some words are confusing, though, as said in the mind perceives prosebya all true. Pressure in the morning around 135/85 pulse 70. Accepts Enam, kardiomagnil, Indap, nootropics. Has become necessary to transport her to him. Path is – the train for 8 hours, a car for three hours and a flight for 8 hours, once a car for three hours. What could be the recommendation? Doctors do not say anything specific, kind of like at your own risk. Or better train? But in this case a lot of transplants – the train for 8 hours, the car for three hours, the ferry daily, once a train five or six days, once the car for three hours. In lyubm variant of the usual road jitters. . . Carry must necessarily. Thank you.

Answer: According to the World Health Organization, the risk of deep vein thrombosis of the legs all doubled for travel lasting more than 4 hours by any mode of transport. In this case, there is no predisposition to thrombosis, and PREMIUM indices (heart rate and blood pressure) is normal. I think that air travel is better, because it is more climatically and psychological comfort, and the direct protivokazany him no (Heart and airplanes – http://doktor. Ru / qa / heart / article. Html? Id = 48556). Under either option requires lengthy intermediate stops to rest.

Question: doctor! "My husband (30 years) for 1,5 months happened on 4 ischemic stroke. After the 3rd, he went to the amendment and has already started to go (was initially paralyzed the right side, but on the second day everything was restored, and after the 2-th stroke paralyzed the left side). Now for a week he lay in a coma, connected to a respirator, swelling, fever, pneumonia began. The question is: what are our chances of life? What are steroids in this case?

Answer: The situation is dramatic and predictable. Steroids (glucocorticoids), indicated for the reduction of swelling of brain tissue.

Question: Mame (61god), hypertension type 2, 18. 06. 07 diagnosed with GLS, did not lose consciousness, paralysis was not, small loss of coordination and speech-impaired, the pressure was 220 160. They appointed Cerebrolysin 5,0 -? 10 in, nicotinic acid, 1% 2,0? 10 m, vitamins B1, B6 1,0? 10 m, 2,0 Meksidol? 10 m, Diroton 10mg 2 times, Egilok 50 mg 1 / 2 2 times Panangin 1t 3 times, Indapamide 1.5 1 times, Piracetam 1t 3 times, Cavinton 1t 3 times. After a 10 day course of injections of pressure dropped to 170 97. Further appointed Actovegin 5,0? 10 at 5,0 and Piracetam? 10 at. Also, diabetes mellitus type 2 (morning sugar 8-9), appointed Manini 3,5 1t 2 times and Siofor 500 1t afternoon. After the designated course Tiogamma 600mg? 20 in a, 2,0 Milgamma? 20 in m and 5,0 Cerebrolysin? 10 in and after a course of injections tablets Tiogamma within 2 months. Now take all the prescribed pills + overnight TromboAss 100mg. Consciousness is a clear, precise movements, it almost completely recovered. Morning sugar from 5,5 to 7,0, the pressure of 121/137 – 69/88 pulse 51-69. (Three years ago, lay in the therapeutic department with hypertensive crisis, was discharged with normal pressure 160 140 100 90). Can she go in September for 10 days to the sea to rest, or better wait? Thank you.

Answer: In the morning sugar from 5,5 to 7,0, a pressure of 121/137 – 69/88, 51-69, in principle, the pulse train can go, but it is better to give preference to a sanatorium in your life, the usual climatic band, because before and after acclimatization lasts for 1 week. Heart and airplanes – http://doktor. ru / qa / heart / article. html? id = 48556.

Question: doctor! I really hope that can help me. I live in Israel, my father 70 years and has extensive bouquet of diseases, including here and hypertension. It regularly measures the pressure and more or less take care of their condition. This weekend, he felt bad (for no apparent reason, "as he puts it) – it dramatically" swayed "to the side when turning the head, and the pressure he immediately jumped up to approx. 230/110 (possibly from fear – usually had the pressure is high, but not so – approx. 170/90 without taking the medication, about 145/85 with medication). He became a headache ( "knock", but not in whiskey, and in the upper part) when it turns, and was "given" in mind when, for example, flicking his feet on the floor. He went to sleep and took a pill normitena / atenolol (and did so several times during the weekend), but after getting up the first measurement of pressure always gave approx. 190-200/90, and subsequent measurements in a few minutes gave progressively declining results – down to 140/80. Yesterday evening (Saturday), the pressure had suddenly dropped to 120/78 (!) – An extremely unusual state for him – and then, after about twenty minutes, again, rocked, and the pressure jumped to 190/90, and was kept at this level. He lay down, but pressure does not drop below 190/90, and my mother and I tried to gently persuade him to call an ambulance and go to the hospital for an emergency general survey, but it seems to have scared him even more, and the pressure jumped to 209/110 . He started "jim-jams", which he said was his last time only dientsefalite (Ch. below). He then took normiten and sedative (diazepam), and the pressure dropped to 158/89. General history of the disease is as follows: in the 25 years he was ill with severe flu, which gave him a complication in the form of diencephalic syndrome. In 37 years, he suffered a myocardial infarction (apparently because of unrest at that time work). He suffers from hypertension, angina, and disruption (arrhythmia) is already a very long time. In the past 7 years he has appeared more and enlargement of the prostate. Suffers and cataracts. But with all this, he managed to keep themselves "within" – he took elenium, then Inderal, then clonidine, and Israel returned to atenolol. I was mostly scared that in the past, despite all the problems, it can not "drill" that's so sharply, and several times over the weekend, and he did not "give" in his head turns and of tight contact with the extremities to a solid surface, at He also had no such spike in pressure (from 120 to 200). I am very afraid for him, but do not hesitate to fully share with him their fears because of the reaction, which I watched yesterday (this, incidentally, is also unusual for him – although he is a man in poor health, but quite sober). He is afraid to go to the hospital for another reason, he did not know whether the doctors will take into account as should all the many side effects that may have prescribed medicines (mostly in my head) – is afraid that will not understand because he does not know Hebrew, but I , although I know do not understand in spetsifichetskih medical terms. Keep from placed on cardiac catheterization (here it's called "tsintur"), although he had suggested such a possibility. However, he agreed to get tested, but "gradually". Family background also does not add tranquility – my mother very very sick man, and I am not free from problems (27 years, depression). Pope, former programmer and trying to find my materials to work (I am also a programmer), for a long time sat at the computer (maybe it's bad, too). In terms of diet – eats very responsibly for many years (eat very little salt, not eating fat, eating in the morning steadily oatmeal). He is sometimes a headache due to weather changes (as it was this weekend), but these "swings" and "knocks" was not. Please explain the situation, if it is in your power, and advise how to behave. Why is it "rocked"? Is there not Gd forbid risk for the brain? Is it possible that while the situation stabilizirivat isolation from disturbances and sleep? Sorry for the long story and thank you in advance.

Answer: It can be assumed that the patient is, unfortunately, too self-involved in their health: do not take medicine continuously in stable doses, often trying to regulate blood pressure taking different medications a day, from which it is only a "swinging" . Perhaps there was a so-called. transient ischemic attack, a temporary and reversible disruption of blood supply to the brain as a result of spasm of blood vessels. The phenomenon itself is not dangerous, but it may be a harbinger of more serious violations. Of course, the calm psychological conditions and the long sleep are useful, but should consult a doctor.

Question: I am interested in your feedback about the drug Tserebrokurin. Does he EffectivEat for repairing the lost voice box, stroke? Question relates to the temple cost of the drug (at 450. E.)

Answer: As the name and value, it is not medicine, and food additive, dietary supplement. Dietary supplements are not discussing.

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.