Zanax – Cardiology doctors online

Archive for the ‘Complications’ Category

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.

Question: Dear Dr. Weácan please. My dad, he was 50 years. Doctors can not determine what happened to him. While at work, he has a very heavy work schedule. At sleep only 3 hours, and very nervous work. Seaman. In the flight became ill and paralyzed the left side, it is not affected. He was taken to hospital but doctors could not determine what happened. They carry out a complete survey, audited the brain, heart, but no deviation was found. Hand and foot, too, getting back to normal on Day 3. In your opinion can it be micro stroke or mikroinfarktom? Since doctors There is this view Thank you for your reply

Answer: this is a stroke? – Ischemic stroke with a small reversible neurological deficit, in the terminology Institute of Neurology RAMS, ie "mikroinsult. Broken functions are restored not less than one day for a maximum of three weeks of the disease.

Question: The young man (29 years) three months ago suffered a stroke. Denied the left side. The pressure is good. Motor function and speech were restored. Can he fly a plane into the warm country?

Answer: No need, is not yet clear reason.

Question: doctor! 2 weeks ago I lost someone. For 5 days before he fell ill during the night-paralyzed left side, it was indistinct. At the hospital, diagnosed with ischemic stroke, and put in intensive care. One day he fell into a coma and resuscitation reported that there was inoperable bleeding in the ventricle of the brain temperature of 40, excess salt, they are doing everything possible. After 3 days without leaving the coma he died (33 years). A week earlier, had an onset of arrhythmia, shortness of breath, could not sleep, pressure of 130 to 110 pulse 150. Ambulance made magnesium and Lasex. In the hospital refused to go, saying that in therapy the night still will not help, and in cardiology go himself, when it will be better. Indeed, it was better: the pressure of 130 to 90 pulse 70. And a week or a stroke. Doctors said the cause was blood thinners because of the uncontrolled receiving warfarin. A year ago, after a heart attack and resuscitation was diagnosed with atrial fibrillation and discharged warfarin prestarium, kardivelol. Be used separately during the year. Probably could neither smoke nor drink, nor so actively engaged in sex? Because of what happened immediately after a hemorrhagic stroke, ischemic? Is it really impossible to do the surgery? Very heavy metal from the thought that something was not done myself, the thought that something was not done by doctors.

Answer: Warfarin causes bleeding and hemorrhage, if there is an overdose, but it may occur when you receive a constant dose of the unexpected effects of many internal and external factors (even from the use of garlic). Therefore recommend to control the special rate (MND) every 1-2 months.

Question: My mother 66 years. in January, suffered a stroke with a partial left-hand paresis. Face restored, limps on the leg, but the left hand does not work at all, even the shoulder can not lift. The results of MRI in June showed that: "In a series of MRI of the brain in modes T1, T2 and PDW in the sagittal, axial planes in the white matter of frontal, parietal, occipital lobes, subcortical areas of the pons are determined by multiple foci, hyperintense on T2, PDW, size 2 – 7 mm. In cortical and subcortical regions of the frontal, parietal, temporal lobes on the right has cystic glial changes in the size 100 * 40 mm. convexital cerebrospinal fluid space expanded to 44 mm. craniovertebral junction and chiasmatic-sellar region was normal. Data for t – r cerebri is not obtained. Conclusion: The signs of focal angioentsefalopatii, cerebral atrophy, 1 degree. postinfarction cystic glial changes in the right hemisphere. "Local neurologist said that the changes in the old, and not even this year, and that the chances of recovery is not at all. Please comment on the result of MRI.

Answer: the effects of stroke in the right hemisphere, and the whole brain is poorly untreated high blood pressure with the experience. If you are not actively started to gymnastics after a stroke, then the function of the hand is unlikely to begin to recover.

Question: I am 43 years, working pressure of 135/95. Recently suffered a hypertensive crisis, when the pressure jumped to 160/120. At the same time to feel pain in the left ear. Now the pressure is stabilized at the working numbers 135/95 and maintained in this rule by receiving Cavinton and injection SERMION. Nevertheless, there is a partial hearing loss, as if the cotton is a cork in the ear or water, constantly fonit. When testing hearing Laurent clinic learned that the membrane is intact, no otitis media and the fact that, most likely a spasm of the nerve of the ear after a hypertensive crisis. Q: Is it treated? And if so, what and how long it be treated?

Answer: Hello, Just to say whether the hearing is restored, it is very difficult. Audiometry should be undertaken to determine the degree of hearing loss at this time. We need to continue taking medication that you have used so far as they contribute to the normalization of blood flow. Giving recommendations for the treatment of absence – is impossible. Of course, consultation with a neurologist, but for now you can add to the treatment of B-vitamins: B1, B6, B12 (neyromultivit, milgamma, etc.). The sooner you seek medical attention, the more likely the most complete restoration of hearing!

Question: I have high blood pressure, I am 58 years old. For a long time, take the pressure every day: 1. Enalapril, 10 mg 2 times a Day 2. Egilok to 12.5 mg 2 times a Day 3. IndapamidDavlenie constantly 180/90, pulse 40-46. There was a constant loud beating of his heart. Please advise, effective treatment may pulse decreases due to any of the above medications? What they can be replaced? The doctor advised to reduce the dose egiloka, the pulse has not changed.

Answer: Dear Irina, indeed, Egilok may cause a bradycardia. Make ECG primarily – if there AV-blockade. Your doctor may substitute egilok to another beta-blocker in the minimum dose or in general to appoint another agent, anprimer, a group of calcium blockers. On the internet I have given you a drug dose can not recommend, as to give specific advice without seeing the patient, I have no right to legally