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	<title>Zanax - Cardiology doctors online &#187; Myocardial Infarction</title>
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	<description>Medical diagnosis &#38; medicine &#38; health care</description>
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		<title>Does aneurysm?</title>
		<link>http://zanax.org/1015.html</link>
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		<pubDate>Mon, 24 May 2010 15:36:01 +0000</pubDate>
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				<category><![CDATA[Myocardial Infarction]]></category>

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		<description><![CDATA[Question:  dear doctor! In August 2004, my husband suffered a massive heart attack at the age of 43 years. Were appointed to such drugs (for life) &#8211; Prestarium, Preduktal, Kardiomagnil (or thrombo-ACC), Concor, statins. Until recently, felt good, just the day before yesterday felt retrosternal pain, for the first time after a heart attack. [...]]]></description>
			<content:encoded><![CDATA[<p><span class="q0">Question:</span> <span class="q1"> dear doctor! In August 2004, my husband suffered a massive heart attack at the age of 43 years. Were appointed to such drugs (for life) &#8211; Prestarium, Preduktal, Kardiomagnil (or thrombo-ACC), Concor, statins. Until recently, felt good, just the day before yesterday felt retrosternal pain, for the first time after a heart attack. Yesterday he did an electrocardiogram, received here this conclusion: &quot;sinus IP regime 80-82 S-type ECG. Moderate disturbance of intraventricular conduction. Cicatricial Amendments to the myocardium peredneperegorodochnoy, apical and anterior-lateral wall of the left ventricle. Pronounced changes in the myocardium with signs of coronary insufficiency krovesnabzheniya . can not exclude aneurysm in the rumen (anterior septal apical region). Would be aimed at an ultrasound examination of the heart. Parameters of central hemodynamics &#8211; AO-33mm, LP-37mm, IVS-12mm, ZSLZH-9mm PP-33 mm, the RV-20mm, RIC-59, DAC-43, MLC-179, CSR-85, UO-87, PV -50%, FS-26% valvular apparatus were normal, no abnormal flow. Myocardial contractile force is reduced. Revealed &#8211; hypokinesia secondary lateral basal lateral segments, hypokinesia secondary anterior segment, anterior apical akinesis, apical lateral, and top left ventricle. On inspiration falls more than 50%. Fluid in the pericardium is detected, the sheets of the pericardium norm. Conclusion &#8211; cicatrices infarction front, side walls of the left ventricle, the tops and the upper segment of the IVS. Hypertrophy of IVS in the middle and basal segments, small. Systolic ventricular function is reduced. Diastolic. disf. Type 1. About aneurysm in prison is nothing, only the doctor has ordered blood chemistry. And repeat visits in a week. Please tell me, what more can and should be done to establish the exact diagnosis? I want to understand how you can quickly and precisely, whether or not the aneurysm. After all, if confirmed, should apply to surgeons, as I understand, because aneurysm treated exclusively by surgery. Please answer as soon as possible! Very worried.</span>
</p>
<p> <span class="a0">Answer:</span> <span class="a1">(22. 02. 07) The cavity of the left ventricle increased. One way or another surgical treatment of him is not shown not shown.</span></p>
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		<title>postinfarction therapy</title>
		<link>http://zanax.org/981.html</link>
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		<pubDate>Tue, 18 May 2010 21:36:18 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Myocardial Infarction]]></category>

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		<description><![CDATA[Question: Dear Doctor! Express, please, your opinion on the next occasion. Female 70 years, 6 months ago, has survived extensive myocardial infarction, twice after that were treated (at 3 weeks) in the cardiology department. Pain in the heart no. Disturbing dyspnea, nonproductive cough. According to the attending cardiologist, the main complication &#8211; pulmonary edema. Last [...]]]></description>
			<content:encoded><![CDATA[<p><span class="q0">Question:</span> <span class="q1">Dear Doctor! Express, please, your opinion on the next occasion. Female 70 years, 6 months ago, has survived extensive myocardial infarction, twice after that were treated (at 3 weeks) in the cardiology department. Pain in the heart no. Disturbing dyspnea, nonproductive cough. According to the attending cardiologist, the main complication &#8211; pulmonary edema. Last prescription drugs: kardiket, veroshpiron, con-cor, monopril, diuver. Appointed course of tablet daily for 2 months (patient takes them six weeks). The health status of today: pressure 100/60, 110/80, occasional shortness of breath, began the morning pain in my heart (4 days ago). In your opinion, is not whether the pain in his heart appeared to be related to the reception of any of the prescribed drugs? Should I take all 5 drugs daily on and what better dosage? Over what period of medication will be needed &#8211; or is it forever? &quot;And the second question. Patient in cases arising sharp bouts of heart palpitations, and shortness of breath Takes valokordin and nitroglycerin &#8211; is roughly the amount of 4-6 tablets per week. Is this correct and are there restrictions on admission of nitroglycerin? Many thanks for the clarification and assistance. Elena. Smolensk.</span>
</p>
<p> <span class="a0">Answer:</span> <span class="a1">In my opinion, you should consult a physician. Perhaps there is no longer necessary in the daily administration of two diuretics. Perhaps kardiket too reduces the pressure. Restrictions on the Admission of nitroglycerin no.</span></p>
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		<title>only beloved husband was hospitalized with predinfarktnym state. . .</title>
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		<pubDate>Fri, 07 May 2010 21:00:35 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Myocardial Infarction]]></category>

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		<description><![CDATA[Question: Yesterday, an ambulance took away her husband&#39;s 40 th hospital (reg VDNH). were taken from strokes, and today he reonimatsii with a suspected heart attack. My favorite in February was only 40 years old. I am also 40 years old and I am in &#34;inteoesnom&#34; position on the age of 32 weeks. But about [...]]]></description>
			<content:encoded><![CDATA[<p><span class="q0">Question:</span> <span class="q1">Yesterday, an ambulance took away her husband&#39;s 40 th hospital (reg VDNH). were taken from strokes, and today he reonimatsii with a suspected heart attack. My favorite in February was only 40 years old. I am also 40 years old and I am in &quot;inteoesnom&quot; position on the age of 32 weeks. But about anyone and anything (may God forgive me) I think not Mugu. Favorite and edinstvennyymuzh always the first place. Our daughter will soon turn 17 years old, and mother&#39;s milk is absorbed, that if it were not for dad, then it would not. We have a friendly happy family. Therefore, hospitalization husband put me in a state of shock. What to do? Where to find the best doctors? &quot;Where is the course of rehabilitation and how to go on living?</span>
</p>
<p> <span class="a0">Answer:</span> <span class="a1">First of all, calm down. If the patient able to take to the hospital and put in the more intensive surveillance, the chances of an adverse outcome is low. Suspicion (not the explicit wording of diagnosis) usually indicate that the infarction is not extensive. Question about treatment alternatives addressed in the first 2-3 hours, and further management of patients performed a standardized and more expensive or scarce drugs are not needed. Moscow rehabilitation patients after myocardial sereeznogo held in well-defined cardiac sanatoriums. Attempts to solve the remaining issues are premature.</span></p>
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		<title>sex after heart attack</title>
		<link>http://zanax.org/903.html</link>
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		<pubDate>Wed, 05 May 2010 21:36:28 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Myocardial Infarction]]></category>

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		<description><![CDATA[Question: Dear Doctor! My friend (67 years) five weeks ago there was an extensive transmural infarction. We formed aneurysm. Can he have sex now, and what are the limitations? In this respect he has always been a very active person and said that abstinence does him more harm than the possible physical burden.

 Answer: (20. [...]]]></description>
			<content:encoded><![CDATA[<p><span class="q0">Question:</span> <span class="q1">Dear Doctor! My friend (67 years) five weeks ago there was an extensive transmural infarction. We formed aneurysm. Can he have sex now, and what are the limitations? In this respect he has always been a very active person and said that abstinence does him more harm than the possible physical burden.</span>
</p>
<p> <span class="a0">Answer:</span> <span class="a1">(20. 04. 07) Sex helpful in all respects (http://doktor. ru / qa / heart / article. html? id = 48529), but in such a situation, it must be evaluated and in terms of physical activity, and is under force to the patient. Note that up to 8 weeks stretches subacute infarction period &#8211; yet to happen, speaking in medical terms, complete replacement of necrotic masses of granulation tissue and the completion of the initial process of forming scar. Inadequate, excessive fiznagruzki may further provoke the formation of an aneurysm of the heart. And if the patient is not taking prescribed medications, the increased risk of arrhythmia.</span></p>
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		<title>Cardiac &#8211; question</title>
		<link>http://zanax.org/851.html</link>
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		<pubDate>Tue, 27 Apr 2010 13:39:33 +0000</pubDate>
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				<category><![CDATA[Myocardial Infarction]]></category>

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		<description><![CDATA[Question:  doctor! The following excerpt from one of your answers made me very interested: &#34;I think (in the U.S. at least) that patients with uncomplicated myocardial infarction and maximal functional capacity 8 yr (unit of energy equal to the oxygen consumption at rest) and above, are not complaining and with good exercise tolerance on [...]]]></description>
			<content:encoded><![CDATA[<p><span class="q0">Question:</span> <span class="q1"> doctor! The following excerpt from one of your answers made me very interested: &quot;I think (in the U.S. at least) that patients with uncomplicated myocardial infarction and maximal functional capacity 8 yr (unit of energy equal to the oxygen consumption at rest) and above, are not complaining and with good exercise tolerance on these special tests, medical rehabilitation is not needed. &quot;Tell me, please, and how and where to measure these meta, for me this is important &#8211; feel the power and want to increase the load after not too strong (uncomplicated) infarta. Sorry for the inconvenience. Sincerely, Boris Leonidovich, Baku</span>
</p>
<p> <span class="a0">Answer:</span> <span class="a1">The difference between the work of the car at idle (A) and a man at rest (q) as follows. I. A: consumption of gasoline and oxygen (O2) air for the reaction, which occurs as a result of the release of energy as heat, C: the cost of domestic reserves and O2 for the reaction of energy to maintain metabolic H weighing 70 kg to produce heat with an intensity of 1. 0-1. 2 kcal / min. II. A: fuel consumption is determined by design features varies widely; H: fuel consumption alone has roughly the same parameters in people of different age and sex, but depends on the build. III. A: O2 goes without restrictions, so the cost is estimated at up gasoline; H: O2 enters a state of rest and without limitation, its consumption in the rest of the build, it is about 3. 5 ml O2/min/kg body weight. IV. A: Physics called the power intensity of work done per unit of time, depending on the scope of the power can be measured in watts (watt = one joule of energy per second) or, say, the horsepower (1 liter. Pp. = 0,736 kilowatts); H: medicine uses a different unit of power, called the subject of, or with us, ME (metabolic unit). 1 MW is equal to the average adult resting energy expenditure Charles V. A: while driving efficiency of the engine is not limited to receipt of O2; B: during physical stress transfer of O2 as oxidizing agents determined by the state (1) The functions of respiration, and (2) heart (3) the regulation of peripheral circulation and (4) metabolism in muscle. When the possibility of delivery of O2 to the muscles are exhausted, reached Sc. Anaerobic threshold: a further increase in power long endure supports the metabolism without the involvement of O2 (anaerobic metabolism), but only at the cost of development of lactic acidosis and oxygen starvation. VI. A: Work well-regulated engine does not depend on the length of service; B: age-state function changes, in particular, reduced the upper limit of heart rate, its maximum value in healthy people related to age as follows: heart rate = 210 &#8211; [0. 65 x age (years)]. VII. A: when the owner is not satisfied with his work, it carries out a consistent test sites, their replacement and adjustment; B: In order to determine what limits or restricts a physical capacity &#8211; respiratory or cardio-vascular system and other programs, research with the implementation of submaximal exercise in TREDMIL tests for Bruce protocol. Ability to perform work depends on the state of physical efficiency Rights trenirovannosti, so accepted and the abbreviation of efficiency: PWC (Physical working capacity), or in Russian Fed. Information obtained by exercise testing of patients should be interpreted not in isolation but always in light of the overall clinical picture. Repeated studies in the dynamics, of course, more useful than a single measurement. IT &#8211; ANSWER TO YOUR QUESTION. Power in Metakhim defined as a multiple of metabolic query O2 alone. The annexes to the article &quot;A little about the benefits of physical culture» &#8211; http://doktor. ru / articles / article. html? id = 48557 are examples of moderate physical activity. It corresponds to the power in the range of 3. 0 to 6. 0 MET, or 3. 5 to 7 calories per minute. This category has three degrees. For example, do not ride a bicycle at a speed of 8, 11 and 14 km / h or energetic walk at a speed of 4. 5, 6 and 7 kilometers per hour. In a special table, to explain that there are no opportunities are listed and gradations lists of physical activity to conventional categories of people weighing about 70 kg &#8211; men aged 30 to 50 years and women aged 20-40 years. To achieve the recommended &quot;healthy&quot; daily energy expenditure is usually required &#8211; depending on the degree &#8211; 25-50 minute sessions of moderate intensity. The rationale power (does not apply to details such as selection and rotation exercises &#8211; a special operating time). How to calculate approximately (ie, assume that met = 1 kcal / min) consumption of energy necessary to you? For example, you want to know how much time to deal with varying load in order to &quot;burn&quot; 150 calories for obesity. Pressures estimated at Metakhim. For example, if the load has a capacity of 3 meta, then divide 150 by three and get 50 minutes. This is, so to speak, a scientific approach. Important. Almost every occupation requires some connection of all degrees of exercises, depending on the immediate tasks. To choose the levels of activity for himself, ask yourself: how many minutes each day I spend on the types of actions, described as mild, moderate, or large (aggressive)? At other tables, you can also determine which energy consumption is actually available for life. Where to study and, most importantly, get a qualified assessment of the results, an adequate set of uprazheniey etc. in Baku &#8211; say, of course, can not.</span></p>
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		<title>life after heart attack</title>
		<link>http://zanax.org/849.html</link>
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		<pubDate>Mon, 26 Apr 2010 21:36:17 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Myocardial Infarction]]></category>

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		<description><![CDATA[Question: Men 47 years, before he suffered a massive heart attack the front wall, led an active sex life. Сейчас считает, что с сексом нужно полностью &#34; завязать&#34;. What advice would you give? Thank you.

 Answer: (08. 02. 07) is wrong. &#39;Sex &#8211; is coaching. Or you know a pleasant exercise for the heart and [...]]]></description>
			<content:encoded><![CDATA[<p><span class="q0">Question:</span> <span class="q1">Men 47 years, before he suffered a massive heart attack the front wall, led an active sex life. Сейчас считает, что с сексом нужно полностью &quot; завязать&quot;. What advice would you give? Thank you.</span>
</p>
<p> <span class="a0">Answer:</span> <span class="a1">(08. 02. 07) is wrong. &#39;Sex &#8211; is coaching. Or you know a pleasant exercise for the heart and circulatory system? &quot; (Http://doktor. Ru / qa / heart / article. Html? Id = 48529). After a heart attack often and naturally develop a neurosis or depression &#8211; they even reduce sexual desire and, consequently, activity. ФИЗИЧЕСКАЯ АКТИВНОСТЬ ПОСЛЕ ПЕРЕНЕСЕННОГО ИНФАРКТА. As the healing of heart attack patients recommend to encourage in 3-4-week term BACK TO DAILY LIFE, without exposing the myocardium loads exceeding the maximum tolerable (threshold). It is advisable to use such loads, which increases the rate of heart rate to 110-120 per minute, which allows to restore the physical form and return to active life. It is believed (in the U.S. at least) that patients with uncomplicated myocardial infarction and maximal functional capacity 8 yr (unit of energy equal to the oxygen consumption at rest) and above, are not complaining, and with good exercise tolerance on these special tests, medical Rehabilitation not need. The patient is at high risk should undergo rehabilitation under intensive medical supervision. 3-4-th week of the Q-myocardial (ie, transmural) are virtually safe period for the tests of physical endurance (samples with measured physical load). The positive effect of exercise on parameters of tissue respiration, blood clotting, blood lipid spectrum, observed increase in the intensity of blood flow, and most importantly &#8211; change for the better psychological condition of patients. P. S. Physical work capacity from 3 to 6 metov (or 3. 5 to 7 calories per minute) is called a moderate. In turn, this category is subdivided for ease of loading on the three degrees. For example, riding a bicycle at a speed of 8, 11 and 14 km / h or energetic walk at a speed of 4. 5, 6 and 7 kilometers per hour. To achieve the recommended &quot;normal&quot; daily energy expenditure is usually required &#8211; depending on the level &#8211; 25-50 minutes of moderate-intensity training, examples of which see the article &quot;A little bit about the benefits of physical education, and the usual treatment» &#8211; http://doktor. ru / articles / article. html? id = 48557.</span></p>
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		<title>Myocardial infarction</title>
		<link>http://zanax.org/367.html</link>
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		<pubDate>Thu, 04 Feb 2010 16:00:51 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Myocardial Infarction]]></category>

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		<description><![CDATA[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 [...]]]></description>
			<content:encoded><![CDATA[<p><span class="q0">Question:</span> <span class="q1"> 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?</span>
</p>
<p> <span class="a0">Answer:</span> <span class="a1">Hello, In this situation, I can advise only one thing &#8211; call a doctor at home.</span></p>
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		<title>What is the prognosis?</title>
		<link>http://zanax.org/306.html</link>
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		<pubDate>Mon, 25 Jan 2010 14:39:12 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Myocardial Infarction]]></category>

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		<description><![CDATA[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, [...]]]></description>
			<content:encoded><![CDATA[<p><span class="q0">Question:</span> <span class="q1">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.</span>
</p>
<p> <span class="a0">Answer:</span> <span class="a1">These questions need to ask doctor. Reply absentia, without seeing the patient, not knowing its associated diseases, is impossible. One thing I can say &#8211; the prognosis of these combined lesions is very serious.</span></p>
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		<title>Operation after myocardial infarction</title>
		<link>http://zanax.org/256.html</link>
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		<pubDate>Sat, 16 Jan 2010 22:36:47 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Myocardial Infarction]]></category>

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		<description><![CDATA[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: [...]]]></description>
			<content:encoded><![CDATA[<p><span class="q0">Question:</span> <span class="q1">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.</span>
</p>
<p> <span class="a0">Answer:</span> <span class="a1">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.</span></p>
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		<title>Elevated bilirubin while taking statins</title>
		<link>http://zanax.org/35.html</link>
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		<pubDate>Mon, 30 Nov 2009 22:39:05 +0000</pubDate>
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				<category><![CDATA[Myocardial Infarction]]></category>

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		<description><![CDATA[Question: Good day! 10. 07. 09 I had a heart attack. Agree Concor 5 mg, omakor, kardiomagnil 150 mg, preduktal-MB 2 x 35 mg, 10 mg tulip. Periodically, I hand over a blood test. Growing bilirubin total: 8. 09. 09 &#8211; 23,8; 19. 10. 09 &#8211; 26,3. Bilirubin direct &#8211; 3,2 and 4,5. ALT and [...]]]></description>
			<content:encoded><![CDATA[<p><span class="q0">Question:</span> <span class="q1">Good day! 10. 07. 09 I had a heart attack. Agree Concor 5 mg, omakor, kardiomagnil 150 mg, preduktal-MB 2 x 35 mg, 10 mg tulip. Periodically, I hand over a blood test. Growing bilirubin total: 8. 09. 09 &#8211; 23,8; 19. 10. 09 &#8211; 26,3. Bilirubin direct &#8211; 3,2 and 4,5. ALT and AST were normal. The doctor said a month not to take tulip, then re-check the bilirubin. Seems tulip planting the liver. If you do not take tulip, what is the probability of formation of plaques in the vessels of the heart and the recurrence of a heart attack?</span>
</p>
<p> <span class="a0">Answer:</span> <span class="a1">Dear Victor, a sign of toxic liver injury is not increased bilirubin and increased AST and ALT. You are normal, so to speak of &quot;planting liver wrongfully. Statins should be taken, it prolongs life. When you receive a statin is considered normal AST and ALT levels increased up to 2 rules. Believe me, in the food we eat every day, much more &quot;chemistry&quot; than in the statin pill.</span></p>
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