Zanax – Cardiology doctors online

Archive for the ‘IBS’ Category

Question: <br> about 16 years I have tachycardia, with no health problems I experienced. In June 2008, the first time, increased blood pressure (160/110). Been appointed riboksin, Magnesia, Nebilet, thrombo-ACC. Approximately 3-4 days after the state returned to normal. <br> In March 2009, the newly risen blood pressure – 160/100. Provedeno ECG monitor system were recorded: single atrial ekstrosistoliya with predektopicheskim interval 898 msec – only 5 (during the day – 4 night-1), tolerance to the load average. Prescribe Concor. <br> After receiving the improvements did not happen, but instead appeared stabbing pains in the heart, any interruptions in the work of the heart (it seems that the heart stops), shortness of breath, numbness of fingers and chin. <br> In April 2009, while examining all of the tests are normal, blood pressure 140/100, pulse about 90. Osteochondrosis of the cervical and thoracic spine, scoliosis, right, chronic gastritis, exacerbation bulb. Was hospitalized. They put kapilnitsy: glucose, insulin, reboksin, megneziya. Also given tablets Concor, Noliprel forte, Grandoksin. Pressure returned to normal. However, the condition has not improved, the weakness in the body, but also appeared ventricular arrythmia. We spent <br> ergometers, with a load extrasystoles disappeared, detained a high tolerance. However, the feeling is not improving. Be re-monitor system ECG were recorded: single Supraventricular extrasystole with predektopicheskim interval from 390 to 515 msec. Total 3. Single ventricular, including sutural, extrasystole with predektopicheskim interval from 296 to 734 msec. Total 4519 (an average of 203 per hour). Happy 2989, night 1530. During exercise – 73. Group ventricular beats with heart rate of 94 strokes / min. Total – 1. Arrhythmic syndrome presented single nadzheludochkovyh extrasystoles; single ventricular, including interpolated extrasystole in pathological quantities; Group ventricular premature beats (Lown class 4A). Tolerance to the load is high. This study was conducted while taking Concor. <br> Can the occurrence of extrasystoles be related to Concor, osteochondrosis, gastrointestinal disease? Or is it still is connected with the heart. Beats – this is dangerous? Please, suggest what to do, how to get rid of extrasystoles?

Answer: Hi Joe! <br> extrasystole in the absence of organic pathology of the heart is not dangerous. Consulting cardiologist (internal) can help to optimize the way of life, elimination of trigger factors, etc., but drug therapy is likely to need would not arise. Ask your therapist, functional extrasystole, including emotion, occurs frequently. Treat osteochondrosis.

Question: Women 79 years. Myocardial infarction has borne through-defeat, does not work 20% of the heart. The remaining tests all normal. The hospital dripped glucose and calcium. And for some reason valerian. Five years ago, suffered a stroke. At the hospital, the woman getting the flu. Headaches. Discharged home. What?

Answer: Hello, In this situation, I can advise only one thing – call a doctor at home.

Question: Dear Doctor, hello! I was diagnosed in 1989, the All-Union Scientific Center of Surgery, AMS USSR: Dilated cardiomyopathy dysrhythmia type atrial fibrillation NK-IZheludochkovaya extrasystole. Cholelithiasis. Nephrolithiasis. Interruptions in the heart area since 1986. Pray sobschit where do I go for surgery.

Answer: Dear Valery Petrovich! It is not clear what kind of operation you are talking about. If surgery for cholelithiasis, then go to any surgical hospital, is now doing endoscopic surgery to remove stones from the gallbladder / duct. If over nephrolithiasis, the question must be addressed urologist. If you're referring to surgery, your heart disease, a heart surgeon decides the issue. He must evaluate the condition of your heart at the moment, and not 20 years ago.

Question: My father came Infark infarction with stroke at a time. The hospital is on 29 June. He edema. Doctors told his paralyzing the right side. In the mind, only his eyes moving. . . I want to know whether he will survive? What is the probability that it will be disabled? Please answer Chesney, and clear. Thanks in advance for your response.

Answer: These questions need to ask doctor. Reply absentia, without seeing the patient, not knowing its associated diseases, is impossible. One thing I can say – the prognosis of these combined lesions is very serious.

Question: My mother went to hospital with a double fracture of the leg, said that he needed surgery. But when did a cardiogram revealed that 4 months ago she had a heart attack. What is the probability that during the operation fails the heart, and can generally do the operation? She was 40 years.

Answer: Hello! The situation is serious enough. This question should be asked physician or anesthesiologist, the hospital where you are going to the operation. If the risk of surgery is high, it will not hold.

Question: I ask for guidance in the right choice when Lipitor giperholesterimii – until he took Zokora 10, but effectively reduce cholesterol was not; now 2 months. take Lipitor 10, appeared in muscle weakness, tremor, and the impact is obvious, cholesterol was = 4. Can it act Lipitor? Back to the low efficiency of Zokora? My choice? Thank you for your reply.

Answer: Atorvastatin – one of the most effective current drugs for lowering cholesterol. Unfortunately, perhaps the relationship between intake of atorvastatin (Lipitor) and the development of weakness in the muscles (myopathy). I recommend you pass the biochemical analysis of blood to the definition of CPK. If the activity of this enzyme increased by more than 10 times, then, unfortunately, this drug you should not drink. This side effect is relatively non-hazardous (to be held after the cancellation). There is option to suspend (a month) to drink the drug, and then again to resume. In any case, you need to report suspected side effect of the doctor who prescribed you the drug.

Question: Is it true that egilok and betalok affect the potency? What to do?

Answer: Can influence.

Question: I am 32 years old. Height 178 cm Weight 90 kg. Pressure on average 140/90. No clear reasons have pain in the chest – most stinging pain and a little oppressive. Severe weakness in the legs. The whole body is thrown into the heat and cold. All this lasted 40 minutes, was quiet, and after 10 minutes again. Took 2 times nitromint helped a little, and began again. Chest pain (burning) appears discomfort burning pain (swelling and palpation in the region of the stomach and navel hurt). Burning may be subject to the right. Burning of the day may be just 5-6raz or regular short intervals. Burning sensation in the chest does not depend on anything. Burning is very strong. At night and early in the morning everything is fine – nothing. Give that it is. In the Internet say that it can be spontaneous angina or spine or the gastrointestinal tract. What CAS is not excluded? 1) echo Doppler. PV-66%. 2) Pathology net3 ECG) treadmill test (3 times did) otritsatelnyy4), Chap. bottom – norma5) Holter-isolated supraventricular and ventricular ekstrosistoly. brief pause due to sinus tahikardii6) X-ray light-without focal infiltration patologii7) MRI of the brain-goal without signs of focal patologii8) FGS-difuzny gastritis. functional insufficiency of the cardia. chronic gastritis with erosions. hernia under. 9) echo-es mixing net10) duplex scanning e-artery disease net11) hollow. Scanning the abdominal aorta and its branches-pathology net12) EEG alone, without pathologies. cortical rhythm sohranena13) REG-dimensional pulse blood supply has not changed at all basseinah14) MRI of the spine-cervical-thoracic osteochondrosis with multiple Schmorl's hernia. thoracic kyphosis expressed. Skalioz. 15) vessels of the lower extremities, seals and atherosclerosis net16), thyroid gland, smooth contours. structure differentiation. Neodnorodna17) X-ray WGC-without focal and infiltrative izmeneniy18) Ultrasound of the kidneys and abdominal organs, without osobennostey19) cal I / fluke-not obn20) electrolytes-4. 6mmol / l sodium-14521) biochem anal blood creatinine-urea-100-5. 4mmol / L bilirubin-19. 3mkmol / l ast alt-17ed-19ed obsh protein 81g / L amylase-73 sugar-5. 1mmol / l cholesterol-6. 00mmol/Triglitseridy-1. 75mmol / l LDL-3. 99mmol/llpvp-1. 2mmol / L CA-4. 022) TSH for 16 months (4. 0 5. 8 6. 6 12. 1mmmol) t3svob (11. 2 12. 2 11. 7 11. 4) 23), coronary angiographic signs of coronary bed, no

Answer: We examined you, Sergey, specifically. Can you say with a high probability the following. 1. You do not have CHD. 2. Your symptoms – from hiatal hernia. Sleep with a raised head end, is not 3 hours before sleep, lose weight 10 kg, avoid fatty foods, chocolate, peppermint, alcohol, coca-cola, red wine, orange juice, smoking. Avoid compressing clothing. When you receive full-time physician you designate a group of drugs proton pump inhibitors like omeprazole. This should help. 3. If you lower your cholesterol, then in 10 years will really hurt my heart. This – the first bell. Hypocholesterolic diet (found on the Internet), exercise – brisk walking, biking, swimming, lose weight (!). 4. Spine bad, look for a competent specialist in degenerative disc disease, manualschika can be (but Target and reviews of friends, but not for advertising, it does not help everyone).

Question: Hello Doctor! I went ehoobsled and Doppler. Diagnosis: coronary heart disease angina, dysmetabolic cardiomyopathy, AG 2 tablespoons risk 4. Appointed: veroshpiron, kardiket – for pain in the heart, egilok – until the end of life, kardiomagnil – until the end of life, preduktal to drink – the beginning of the pressure drop. The lowest was 64-45, and stopped taking kardiket veroshpiron-was better, but the pressure began to jump – is 169/91, then 97/72. Pain in the heart are not as long and strong, but still there. Please advise what else you can take?

Answer: Dear Ariadna, a diagnosis of angina by echocardiography and Doppler not put this clinical diagnosis. For angina unusual with nagging pain in my left side lasting all day, I recommend that you seem neurologist. As pressure surges, they are linked to neotregulirovannostyu regime supplementation. Kardiket not need to drink until you. There must Egilok 25 mg 2 times a day, then be up to 50 mg, kardiomagnil, preduktal – it's all necessary. If possible, do a daily blood pressure monitoring, then we will adjust the dose. Unfortunately, not seeing you, I can not advise on anything else so little information that you provided.

Question: Please advise what pain behind the breastbone and a sense of lack of air in the clinical diagnosis: coronary artery disease, angina pectoris 2.3 FC, postinfarction cardiosclerosis krupnoochagovogo perednerasprostranennogo after acute myocardial infarction, left ventricular / December 2007. A course of treatment from October 5, TG:-Injections: Actovegin, Mildronate, Pirotsetam 5 ml – 10 days. -Tablets: thrombo-Ass 50 mg, Monochinkve 50 mg, Prestarium 4 mg, 1.2 g. riboksin-patch: Депонит 10 in 3 days. However, the pain behind the breastbone decreased, but still worried, feeling of lack of air left. Inform the survey data for 20 October this year:-EKG-sinus rhythm of 56 beats / min. EOS is not rejected. Ventricular extrasystoles. Diffuse violation of repolarization. Are changing. -Echocardiography: Atherosclerotic Manifestation in the wall of the AO, valvular apparatus, are changing, BPH. Dilatation LP. Lack MK – 1 degree, the AK-1 degree. -Pressure 140/75 mm Hg. Art. Please give your practical advice on the continuation of treatment. I am 70 years old, the usual pressure of 120/70 mm Hg. Art.

Answer: Dear Edward, something I do not see you on the list of designated drugs beta-blockers. So many nitrates (monochinkve, plaster депонит) are useless, they can develop tolerance. I recommend you discuss with the doctor the appointment of beta-blockers (metoprolol, bisoprolol).