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Archive for the ‘Heart Diagnostic’ Category

Question: I am 30 years old, height 170, weight 80 kg (gained weight – 15 kg – for pregnancy, the child is now 5.5 months.). From 32 weeks of pregnancy and childbirth before, I had gestosis in the form of increased pressure to 150/110 (has "Dopegit"). After birth (Caesarean section), the pressure has decreased, but lower than 130/90 does not drop (do not take drugs, the child on artificial feeding), although to my pregnancy normal blood pressure was 120/80. What can be the reason? What advise to pass inspection?

Answer: (19. 04. 07) is connected with weight gain, probably. The survey was premature.

Question: Good morning, doctor. I'm 26 (only isponilos). I live in the north of Murmansk. Work in my sea. At the moment, height 185 weight 93. Do not feel unwell, but periodically (as is, 3) observed increased pressure. The situation is this, I come home from the sea Merya 130/85. I went to the commission 160/95 CHSS90, but I feel fine. ECG sinus, the average parameters are good. When I got home – 150/90. On the same day I go to receive a fee to the therapist, he tells me why I came because I have 130/80. The next day at the medical commission 155/90. When I got home 145/90. In all cases chuvustvuyu themselves perfectly. Novopassit not help. Recently, the commission was held in St. Petersburg to work – all subdued their knowledge during the interview, the commission 155/95 Height 185 Weight 88 (almost shudnul) EKG is normal, excellent state of health, while three days before the commission saw Novopassit (and on the advice of relatives sex pills Enap for an hour before the measurement). I came home from the morning to measure 133/82. Tell the doctor how I fight it, how to obtain normal data for at least the period of the commission or that they say nothing at all I never bothered, but because it can not get a normal job. I do not smoke, try not to drink any coffee or tea, no alcohol. Do not forget about the sport just under 200 pressing, pull 30 times. Not bad run, swim (although after jogging a little, feeling the heartbeat), a year ago was held ultrasound major organs, there is no visible anomalies. How do I deal with all this and what kind of roulette with the pressure, I never know at the moment it is normal or not. Can you tell me, doctor, tell me what to do. In any case spaibo that listened to the problem.

Answer: (23. 04. 07) This is called the office blood pressure, or hypertension, white coat. Doctor can objectively verify this fact with the help of (residential) daily automatic monitoring of blood pressure and so on. exclude the presence of hypertension. Half an hour before a stressful situation, you can take 2 tablets anaprilina.

Question: I am 30 years old. For about one and a half years I have high blood pressure. In the morning when I wake up, it almost always 125/75. Then during the day rises and in the evening a constant 140-150/90-95. Earlier, before there were jumps to 160/100. Last time when I began to follow the regime of the day, try to sleep at least 8 hours, eat less salt, jumps up to these values is not. Sometimes a headache, and pain began to localize in the head and gradually moves to the head. Most crushes temples and forehead above the nose. His eyes quickly become tired, feeling the pressure in the upper corners near the nose. Sometimes I notice that the pupils are different sizes. Sometime began to notice the failures of the heart, can be several times a day and may not appear for weeks. With increasing pressure there are bouts of fear, anxiety. He passed examinations: kidney, kidney in the normal cardiogram is normal, there is a small goiter in the thyroid gland, but the hormones are normal. In the analysis of daily urine, the level of adrenaline is normal, but slightly increased levels of norepinephrine, doppler blood vessels of the head, too, showed no pathology. Neurologist diagnosed IRR of hypertonic type. Prescribed Locri on 5mg a day, but from it the pressure remains the same, and the pulse drops sometimes to 53-55 strokes. Took him a month, then stopped. I think that there are problems with the spine, because the tires easily spin and with the feeling of vertebrae there are places where the press is quite painful. Doctor, my question is, can these symptoms be a result of disease of the spine. I do not know which doctor to contact, all can not find any changes. In recent years, feel about themselves on the notion of "quality of life." Full appatiya plus a lack of understanding what happens to the body. Thanks in advance for response

Answer: (28. 04. 07) is – a typical neurosis. Believe it or not, but further discussion will not enter. Attacks of terror, disturbing rise in pressure, but not vice versa.

Question: Doctor, tell me whether there is any advice during the daily monitoring of pressure. I am very much worried, even at the slightest provocation, even though in real life pressure is normal. I'm afraid that I'll be nervous all day and all debris. Can I drink a sedative? How to behave?

Answer: In order to obtain objective data you need at the time of monitoring is to everyday life, recording their own time certain activities (eating, fiznagruzki, etc.).

Question: I am 22 years old. 2 years ago I was hospitalized in karidologicheskoe department with pressure 190/110. After extensive surveys and analysis of diagnosis – the extra blood vessels in both kidneys. Chief physician offices, when I subscribed, said that in the Far East for such an operation on both kidneys are not one surgeon did not take it. She said that the pier on the West moezhet and make for tens of thousands of dollars, and even then not yet known. In general, its verdict was as follows: The rest of life hold on tablets, and the older the stronger drugs. Therefore ntchego 2 years I did not take, but the pressure continues to rise (jump) to 180 to 190. Agree Inderal 0,04 for half tablet, and then when the pressure rises. My father also additional vessels, but in one kidney, the pressure he was never worried. What can I do, where to go, and how much it will cost about? I live at in the Amur region, the city of Blagoveshchensk. Really hope for an answer! Sincerely, Igor.

Answer: In renal vascular hypertension, blood pressure is not "jumping". It is necessary to consider these echocardiography, daily monitoring of blood pressure and fundus examination in order to think about further care. I think that all is not so dramatic.

Question: Good time of day, doctor, I am 46 years old. I applied to clinic about 1,5 months ago, complained that every night, lays his ears. After waking up and getting up on my feet sometimes at once laid out, sometimes for a long time there. Started a survey, incidentally, had a cardiogram and received the opinion of "left ventricular hypertrophy, began to treat high blood pressure, putting 2 tbsp. The risk of development 3. I knew before that I had pressure rose, but felt fine. Moreover, the pressure increased to 160/90-100, sometimes dizzy. Constantly I have never measured the (earlier). Started to treat the pressure, said keeping a diary. Veda a month already. Took indopamid (0,25), metoprolol (0,5), lisinopril (1 tab). Pressure after 2 weeks was kept at 110/80 (a maximum), was even drop to 95/65, I was shaking, there was a strong tinnitus (constant). They said – from the low pressure, while doses of each drug reduced in 2 times. Pressure still on some days drops to 95/65. At the reception after a week. On its own initiative has made ultrasound of the heart. The result – the norm, the doctor said that there was no left ventricular hypertrophy, I have no heart and do not like the heart of high blood pressure. Optic fundus – without pathology. It is not all – still hypertension and whether, as I said, all the rest of his life applying these drugs (plus Cinnarizine, betaserk, kardiomagnil). I began to feel unimportant. The head is sort of became, I do not know, heavy, or something. . Tinnitus does not pass. Ears laid (did audiometry, said that everything is fine). Sometimes the pressure jumps up 145-160/95-100, but I think this is from experience. How can I be? Is there still Hypertension? And should we take so many drugs on the pressure? Yours, Elena.

Answer: hypertension (essential or primary hypertension), in my opinion, no. The conclusions on ECG often writes: "Signs of left ventricular hypertrophy, but in fact there are only two ECG criteria that can be considered more or less sensitive and specific. Persons of your age with such figures is not recommended to assign antihypertensive drugs immediately after the primary treatment for honey. help. I would confine the simplest: http://doktor. ru / qa / davlenie / article. html? id = 51966 and http://www. doktor. ru / qa / davlenie / qa. html? id = 53610.

Question: Zdravstvuyta doctor. I'm 28 years old; secondary hypertension had for four years. The exact cause of the doctors find it difficult to call. This is due either to the kidney. Omission of the kidney (Nephroptosis first degree of the right kidney) and the curve of the right renal artery UZDG (at arteriography has not been confirmed), or blood disease 220-240 increased hemoglobin and red blood cells (the remaining blood parameters within normal limits). Agree normodipin, noliprel, Courant and tromboas. Pressure 140-150/110-100 fairly stable while taking medication. (without lekarsv to 180/130). At the doctors hope not. Suggest go to Moscow for examination. What for me is not real. Would it not be harmful at these rates harden oblivatya every morning with cold water and up to dipping in the hole for a few seconds in the winter? Plus, not a big exercise charging, exercises to develop muscles not associated with large loads. Parents are strongly against quenching. I would like to hear the opinion of a specialist.

Answer: The number of red blood cells, platelets and serum ferritin are not included. Under the conditions of your regional center may exclude two benign blood disorder. So far from sharp changes in temperature and additional fiznagruzok should abstain.

Question: Dear Dr. doctor! "Without your involvement in your health I do not understand, I beg for help, TC from a healthy youthful woman turns under the influence of suspicious circumstances in a sick old woman. I am 49 years old, 163, 64. Autonomic disorders tormented me from 36 years, I was gasping for breath, then feared the light, and so coped with – first drug, then the sport (and now 3 p / n AQUAROBIC) and shift work for more intensive. Two years ago, suffered severe stress associated with personal and prfessionalnymi ambitions. Came out of it in great shape. Feel good, everything returned to normal. A year ago started bad headaches with normal blood pressure, and after a few months has been tormenting the pressure, the figures reached 170/100 and very difficult to fell. With difficulty picked therapy 1t. co-rinitek 0.5 plendil. As if established. Then it became sharply lower. Periodically, I can not understand why the pressure rises (accompanied by a faint states of the states and numbness of hands, fear – in short, extremely unpleasant). I very much changed, depression, reluctance to nothing. Home-work – it's what I was missing. The survey showed the following. Res. Eyes – with a dense wall of the artery, tortuous moderately ds beg. angiopathy. ECG – normal. Endocrinologist – TSH 4,360 (was) – after 4m. Course eutiroks 0,5 – now TRG 0,941; AT TG – 3178; TPO antibody 249.9. As a result of ultrasound serdtsakardiolog wrote DS hypertensive b-Hb 2 tbsp. , Stenosing atherosclerosis IAH. Atherosclerosis of the aorta. Prolapse MK 1 tbsp. Fatty hepatotoxicity. AIT gepertroficheskaya form euthyroid. (this is for insurance in the clinic, ultrasound scanning in the other respected institutions available livingroom. plaques are not revealed.) GGT -200 (I do not drink alcohol), cholesterol 211, HDL cholesterol -66.1 TRIGLA 128,3. 85 LP (a) 9. 9 viscosity 4,32 endothelial function is preserved. Feeling is not very stable, mostly want to lie. To improve somehow has to take HRT, seemed to have become pobodree. Recently, again for no apparent reason, even against the background of the drug rose 170/100, with all its (was behind the wheel – very afraid) – but, 2 katpotena to 0.25 and went on. I read it (when really bad) your advice and I understand that I was treated as something separate in each body, and you have a holistic approach to treatment, and look forward to your correspondence and, if possible, and full-time consultation.

Answer: Now, as before, the situation can be overcome physical exercise and other non-drug measures, plus antidepressants (three months). That which does not affect the ability to drive a motor:) Come if you want, phone number here: http://doktor. ru / articles / article. html? id = 52532.

Question: I have here a story, I am 22 years old, nearly reached the 10 months back strongly hit his head (right above the forehead), the next day feeling normal, and the day after the attack on the morning began to bleed from nose, was a long time and could not stop, then apply ice to the nose and slowly bleeding has passed, the pressure was 160/90-100. Since then, over reached the 10 months sometimes happens that the nose is bleeding, but stops is not difficult. At the site, which turn is a small bump, feels to the touch. The pressure is almost always 155-165/80-90, that is improved only the top, I feel fine, my head does not hurt. . . But such pressure is not normal, until then he never had no problems, turned to the therapist (the new, does not understand anything), did a blood test (slightly elevated hemoglobin, about 175-ty), held an ophthalmologist examination, ECG, EEG, REG, there is a slight change in brain circulation, but still within normal limits. . . The therapist said that nothing I say can not, send it to one, then another. Someone from the doctors (it seems to REG), said that the need to still have something like MRI, can not remember, now is no time, as soon as I think as soon pass. Maybe because of all the cones that remained, and circulatory problems are not insignificant. . . . . Maybe I'll be able to tell what it was actually a return pressure to normal?

Answer: First of all, to objectively record the mere presence of high blood pressure and / or intensity of its fluctuations in the daytime and nighttime, the relationship of blood pressure with certain situations (sleep, exercise, nutrition, etc.). This can be accomplished through daily monitoring of blood pressure or independently (http://www. Doktor. Ru / qa / davlenie / qa. Html? Id = 54884). This will create the optimal lechbno-diagnostic tactics.

Question: I know that I have white coat hypertension. Ultrasound and ECG in normal sinus. Houses, if not a pressure wave 120. Though a bit worried about 150. I do not know why you think during the measurement Th suddenly wrong and this is reflected in the pressure. Even if you think about something else at that moment subconsciously all the same I'm afraid. He passed the daily monitoring of pressure there and I vycheslil periodically as it measures the time and everyone was waiting for this, esestvenno mandrazhiruya. Each time as if someone shot me to such a reaction, like a shot. Night did not sleep at all, could not, and in poudreme jumped up, again, like a shot every time with a huge serdebieniem not understand what was happening. In general, sleep did not work. They removed the device, the doctor said, a clear hypertension 1st, there is only half a dozen normal values. Home came up for lost sleep to measure (at different tonometer) 120-130 not more. What to do, but some. 27 years old, lean, do not drink, do not smoke, for myself so engaged in sports, for 3 hours before sleep do not eat, stay in shape. But doctors do not prove that hypertension? I can not be nervous – so react to the device. And all because of that, I'm suspicious, and passing the commission at 18 years of something they did not like the pressure, the detailed analysis and found nothing, but now I react this way when I measures the doctors or physicians. As for myself – all OK. I thought I'd spend on drink course of tablets for prevention, but they are almost all the instructions, or impair the ECG or something nibu. And I, too ECG every time I hand over without him is impossible. I pass the commission on aging and increasingly need to prove that I'm not an ass – until they believe, but how long can. Are there any tips, doctor?

Answer: 27 years. Increased excitability of the autonomic nervous system, high mobility of brain processes. Drink of not less than one month from the elementary tools (http://www. Doktor. Ru / qa / davlenie / qa. Html? Id = 53610), seen in this background, the dynamics of indicators (not earlier than 2 weeks). You can also rate harmless pirroksana.