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The pain of heart?

admin — Wed, 26 May 2010 21:39:56 +0000

Question: doctor, my husband 28 years. -190 Height, weight 90 kg. Constantly concerned about the pain in my heart. Especially during the exertion, ie, ko years works (furniture manufacturing). Pain crushing, stabbing character, no strength, shortness of breath. Was at a reception at the cardiologist: A / D 125/85 Duration: P = 108 QRS +124 intervals PQ 168 OT +342 QTc = 353Osi P 31 QRS = 37 T = 48 HR: 66UD. MIN. COMPUTER INTERPRITATSIYA ECG: ANALYSIS OF THE RHYTHM 40 sekundOtklonenie reductions in heart rate = 11% average deviation rate = 40msSrednyaya frequency of ventricular contractions = 66 beats / min. Normal sinus ritmKONTURNY analysis of the normal polozhenieEOS in front ploskostiIndeks left ventricular mass: 141g / m. kvDoktor said cardiogram is very good, the diagnosis: chronic fatigue syndrome, "but work is not very hard, so very overworked. It worries me. may take more kakoe_ a survey? Usche he has springs. Please advise how postiput? Thank you.

Answer: No surveys are no longer needed addition to the determination of hemoglobin in the blood. The therapist may advise bracing treatment. And you can try to improve their own well-being when asthenia OTC means. They are many. The work of our server irreversibly changed and therefore can not offer all the necessary links to the tried and tested materials and articles. Repeat one of the previous messages. 'What means Helps increase vitality. * When violations of sleep and wakefulness, the change of time zones – preparations of melatonin: Melaksen (Table to 3 mg), APIC melatonin (the same, with 10 mg of vitamin B6), 1/2-1 tab for half an hour before sleep, not more 2 tablets per day. * If you overwork and fatigue, including the process of recovery in athletes, in sexual weakness during pregnancy: Stimol – 10% solution for oral use in capsules or sachets of 10 ml, 1 vial (bag) = 1 g of citrulline malate; A single dose of citrulline for oral – 200 mg, the frequency of receiving 1-3 times a day rate of not more than 12 days. Or Rhodiola extract liquid – start with 10 drops 2-3 times a day for half an hour before a meal, then increase the dose to 30-40 drops per reception; duration of treatment 1-2 months. * When hypotension, fatigue, exhaustion, neurasthenia: ginseng tincture of 15-25 drops 3 times daily before meals. Or elixir ginseng Doppelgerts asset (Ginseng + B-group vitamins + caffeine). * If asthenic states as a result of physical and mental exhaustion, after a serious illness, with neurotic disorder with retardation: domestic psychostimulant (non-addictive) Sidnokarb – tab to 0. 005 g twice a day, no more than 3 tablets per day. * When the mental and physical fatigue, and after antibiotic therapy: Echinacea (Astragalus) in the table on 320 mg, 600 mg pills, tincture for oral administration. * When expressed postinfectious asthenia, after poisoning: kordiamin (solution in vials) inside of 20-30 drops 2-3 times a day. * And the dark chocolate, of course:) "In recent years praise Enerion Supplements Cipgan.

Increased pressure and decreased heart rate

admin — Tue, 25 May 2010 21:36:45 +0000

Question: doctor! last time I had high blood pressure 160.170 / 100 and a lower heart rate 50,40. This worries me oppressive chest pain and difficulty breathing (as if not enough air). Previously, I had an increase in pressure, but the pulse was always 60! Is it dangerous to have high blood pressure and low pulse rate? Or is it a temporary phenomenon, which may be the result of carry-over by me in January of stressful situations? Perhaps I should not pay attention to it, and do swimming and fitness? Your advice is very important for me, because I live in another country and I do not want to apply this to the doctor, not knowing a foreign tongue sufficient to describe my problem. Thank in advance, Svetlana.

Answer: You have to understand that the discomfort started 2-3 weeks ago after a stressful sitatsii. Logichnor relate to one another. Swimming useful, but just in case of ECG record stands.

Dysrhythmia

admin — Mon, 24 May 2010 21:39:47 +0000

Question: My husband (45 years old, 92kg) at the X-ray image enlarged heart, the doctor advised to turn to a cardiologist. Did ECG results: PQ – 0,12; QRS – 0, 10, PP – 1,1, HR – 52, Conclusion: sinus bradikordiya, nonspecific violation / ventricular conduction. Prevalence bionotekiriolov (inaudible) of the left ventricle. Results EHOKORDIOGRAFII: KDRlzh -6.1 cm; AOvosh – 3,0 cm; PV – 0,58%; KSRlzh -4.1 cm; LP – 4,45 * 5,00 cm; FS – 26%, P / f – 2,3 cm ; IVS – 1,0 cm; UO – 77 ml, SC – 3,2 cm; TZSlzh – 1,0 cm; Conclusion: The seal of the aorta, the increase of the left ventricle, reduced the contractile ability of the myocardium of the left ventricle. Treatment is not appointed. We examined the thyroid gland: no abnormalities. He feels bad: fatigue and a sense of compression of the heart. At rest, blood pressure 121/69 HR 42, after physical exertion, blood pressure 138/72 HR 46. What do you advise us? How to increase heart rate? Thank you.

Answer: (22. 02. 07) The fatigue and sense of compression of the heart is not associated with these findings. Perform self-test with physical exercise: measure the pulse rate before and after 20 squats.

Help with diagnozoi and advice

admin — Mon, 24 May 2010 21:00:03 +0000

Question: doctor! 4 months ago rose sharply pressure up to 160/100, 110/70 or below normal. After that every day attacks. Begins: spasms in the intestines, nausea, of unreality, a veil in her eyes, fear, heart palpitations (can be up to 140 bpm. / Min), the pressure breaks up, the noise in the ears, chills. Survey: ultrasound of brain vessels, cervical, kidney, adrenal gland, a shield. cancer – all OK. Blood Society. analysis, urine Society. analysis, blood hormones shield. gland, adrenal glands – all OK. Treatment – papaverine, Andipal drank regularly, the grass on the kidneys, putyrnik. Treatment by gommeopata (tested by the method of Voll) found inflammation of the right kidney, incorrect work infarction, cytomegalovirus. During treatment become easier: the pressure of 130/80 attacks, seizures are not as powerful. Also, manual therapy. After completing the course of treatment, all returned. About 6 years ago after a nervous breakdown was the first attack of panic attacks since the subway do not go. Also had a hard time in the big stores. Then gradually improved Condition. In pregnancy seizures disappeared almost completely. In 2004, got into an accident: a slight concussion, a double fracture of the jaw. They put a plate under the place of anesthesia (persuaded the doctor), the operation lasted 4.5 hours, it was terribly frightened. Go out for a new job (hard, I have chapters. Thump.), Pregnancy, caesarean section. On the eve of an attack (4 months. Ago) was a stressful situation. She continues. Excuse me for a long confused story, I wanted to complete the picture. Do not drink, do not smoke. Involved in fitness, but the last months. 30. Thank you in advance for your reply.

Answer: (22. 02. 07) On the treatment of anxiety panic disorder better to turn immediately to a psychiatrist.

heartache

admin — Sat, 22 May 2010 15:00:58 +0000

Question: Dear Vladimir Vdadimirovich! I'm 40 years old, about six months ago, I feel slack pain in my heart and tachycardia. Pains were aching character in the left shoulder blade. Initially, no notice of it vniamniya, because my chest osteochondrosis, but then these states have become more frequent. At the reception, a district cardiologist from my words diagnosed 2 FC exertional angina, ischemic heart disease, atherosclerosis. Designated course of treatment (preduktal, nitrsorbid, Panangin, Concor). After receiving nitrosorbida condition worsened severe headache, palpitations, etc. He asked for direction in the hospital. Treating physician sent the ECG, ultrasound of the heart, livingroom. monitoring, x-ray of the thoracic spine. Cholesterol is above the norm (5,3). However, according to doctors who conducted the survey of ECG, ultrasound and livingroom. monitoring of angina and coronary heart disease do not show. The same opinion beat and physician. The patient was discharged with a diagnosis of thoracic osteochondrosis basis, intercostal neuralgia. Treatment: terafleks, massage, eletrolechenie osteochondrosis. However, episodes of pain continued. From the surveys collected went to charge admission to the cardiologist the highest category. She diagnosed disorder of the autonomic nervous system gipertanicheskomu type. Recommend 1 times per day Concor-core, and at night – kardiomagnil and blood pressure control. Tablets take pressure 130 70. However, episodes of pain in numbers and changed. Now attack begins with a dragging pain in the left shoulder or the left side of the chest or pain in the left hand, worsening breathing, there is fear, shaking. Accept no-silos valokardin, validol. Long bouts of 20-30 minutes, while pressure is 140 80. Seizures not related to physical exertion, and generally occur in the evening about 8-9 pm. Stand the physical strain out of breath normally without, palpitations, etc. In recent days, such attacks are repeated 2-3 times a week in varying degrees of severity. Q: What medications do you think, could take such attacks and a survey makes sense to me to go to confirm the diagnosis? Is it possible that it angina, coronary artery disease?

Answer: vegetative disorders in this case – a consequence of disorders of the nervous system of higher order (like panic attacks), psychotropic medication may designate an appropriate specialist, additional studies are not needed.

Dysrhythmia

admin — Sat, 22 May 2010 13:39:38 +0000

Question: Doctor! "Help, please advice. I am 27 years old. I'm concerned about disruptions in the heart, weakness, dizziness. It all began in 1998, with a sudden attack of palpitations. Later, there were interruptions. Three months ago I gave birth by Caesarean section. The first month felt more or less normally, on rare extrasystoles was not paying attention. The last two months of disruptions increased. It happens most of the day they feel, sometimes 20-25 minute episodes, there is a weakness, a feeling of suffocation and fear! Sometimes it seems that the last moments of life. Examination. Diagnosis: NCD on hypotonic type. Miokardiofibroz. Mitral valve prolapse, hemodynamically insignificant. Sinus arrhythmia, ventricular extrasystoles. Before pregnancy has 1 / 4 tab. metoprolol, a rhythm was restored. Tell me please: 1. What drugs can be taken (including breastfeeding) 2. Is it dangerous to the lives of this disease? And generally how much all this seriously? 3. How to behave during an attack? How to get rid of beats? 4. Is it possible to fully recover?

Answer: 1. You can take Inderal. 2. Arrhythmia is not a life-threatening, this deterioration logically associated with an increased level of anxiety and responsibility. 3. Self can try the following techniques: a strong straining for 10. 15 seconds after a deep breath), provoking the gag reflex by stimulating the root of the tongue or the back wall of the pharynx. Sometimes the attacks are removed through coughing. The delay in the phase of breathing deep breath for 10 seconds usually slows down the pulse of 15-20 beats per minute. In general, deep, but slow breathing acts favorably. Slows heart rate and a sharp reduction of the eyes (gaze at an object located at a distance of 1 cm from the eye).

Nerves or something else?

admin — Wed, 19 May 2010 15:00:04 +0000

Question: Doctor, I am 58 years old. I live abroad. Somewhere in the 50 years I have come in bouts of tachycardia. Sometimes 1 time in 3 months, sometimes 3 times a week, for no apparent reason (heart rate 160-180). Maybe 10 minutes. May – 2 hours. Catching the ECG never succeeded. (ECG always been good). Stopped breath, and if does not help, valerian or Inderal. Last autumn, I felt that I could not make a full breath, the feeling that I want to breathe, but something interferes. Several times it seemed that, in general, suffocating. Sometimes I can not yawn. Also, as there is something inside and does not do it. While it is often a feeling that something is in the esophagus – whether spasm, or a ball, or whether the gravity of some sort. And it continues to this day, every day, to a greater or lesser extent. From exercise is not dependent. I'm a sport, I do zaradku, I feel, mostly good, (if not for these ailments), I love you and well stand the hot bath. There was a doctor: ECG – horoshayaEhoskopiya heart showed – all normalnoBiohimichesky blood – horoshiyDavlenie – normalnoeSchitovidka – in poryadkeLegkie – in poryadkeGastroskopiya showed that the esophagus in order, but there are chronic gastritis. The doctor said that it was my nerves. As they say here – "anxiety" and prescribed medicines Sertralin HEXAL 50mg, take 1 month (so far). Warned that in the beginning of it will be even worse, but then must be improved. And so I drink it for the second week, but things are still unchanged, except that the side effects were added – a general malaise, nausea, my head is not spinning, but somehow not so. And in this regard, I want to ask: Could this be nervous? In life it all, but just now I have no reason to worry. Maybe not the cure? And what would you recommend in this case? Could have influence heredity? My mother was like that, but she had high blood pressure. Is it curable? I do not want to be dependent on drugs all the time. And another thing: I have carefully read the questions, but, unfortunately, the links that they are given – not active, but they also like to read. Thank you. Best regards. Inga.

Answer: Of course nervous, since there are feelings, not corroborated by objective methods. Psychotropic means possible to find a suitable did not immediately; sertalin – not the best choice. Get to medical respiratory gymnastics – http://doktor. ru / qa / heart / article. html? id = 48588. The question of heredity is not essential. The work of our server irreversibly changed and therefore impossible to offer real links to the tried and tested materials.

heart rhythm disturbance (2)

admin — Tue, 18 May 2010 21:39:15 +0000

Question: Thank you doctor for the answer, but I particularly do not understand! Anaprilin advised, but I have not tried, how it should be drunk? donate blood gemoglabin normal! pressure 120/90 130/100, which can be drink under such pressure. ECG and ultrasound showed nothing, they said that I had a good heart but I do bad! What else should check out! I heard that the tachycardia does not lead to such a bad state of health, like me!

Answer: Continuing http://doktor. ru/qa/35685/qa. html? id = 56174. Do not perform basic medical advice. What meaning screened?

interruptions

admin — Sun, 16 May 2010 13:39:12 +0000

Question: My mother, her 45 years a year ago started having problems with his heart. It all started with high levels of stress at work and have it delivered to an incorrect diagnosis of thyroid gland (node), a month later it was found that with the thyroid's all right, and no node no, but she was nervous the whole month. My heart started to twitch, then the heart palpitations, then quite slow, the beats. At night nchalis fits very strong heartbeat at 2-3 times per night, summoned an ambulance. Doctors prescribed injections, the symptoms were recorded, but not for long. Then prescribed sedatives (fenazipam) and something else, too, such as helped was to sleep at night, and then all over again. Then he prescribed Magne B6 also helped by ekstrasistul, but again in a long time, helped the tincture of calendula, then stopped helps. Last cardiogram showed 2 focal ekstrasistul, voobshchem no surveys no nazancheayut, prescribed pills again, only briefly relieve the symptoms of what she should do some surveys to pass. what could be the reason, it all started a year ago, before such problems was not.

Answer: The reason you have identified yourself, to conduct a further survey is not necessary. We must carefully select effective treatment that can not be done in absentia.

question

admin — Wed, 12 May 2010 15:00:57 +0000

Question: Good day! I read a few letters of your readers, and I became very interested, you give deytvennye answers. The fact that I almost always palpitations, constant chuvtsvo excitement, fear, feeling of something not-designed, an eerie sense of responsibility to whom it is not clear, even when absolutely no reason for excitement. Sometimes beating so hard that I was tossing on the bed in the literal sense of the word. Sometimes it comes so suddenly that I feel a wave from the bottom of the stomach rises to head in a split second, it becomes very scary, I try to take a deep breath, I cease to understand everything around me, wild eyes, a few minutes later releases, the breast is pulled down, but still I myself does not control (the latter being terribly hurt his left side just under the rib to the back, warm and muffled, the doctor said the kidney). In general, at this moment I drink a drop Valoserdin, 10-15 min. I become deathly quiet. Do reply to your very hopeful.

Answer: 27 years. The question is not specified but the problem is not cardiac. There is a border violation, which is called generalized anxiety disorder. Anxiety is an unmotivated anxiety, sometimes even pointless fear, and from the minimum to the manifestations of persistent, global tension. Psychologists used to measure even the so-called well-being. scale of subjective anxiety Spielberg – Hanina (20 ratings, 80 gradations). Some people have heightened anxiety caused genetically. Their concern in response to any minimum stress reaches such severity, that is an obstacle to concentrate on other areas of life. Possible complaints in anxiety states (in alphabetical order): anxiety, chest pain, fueled, internal tremors, agitation, headache, dizziness, Trapped, fear, giddiness, obsessive fears, tension, nervous tremors, nervousness, restlessness, shortness of breath, concern, concern, lack of appetite, panic attacks, constant premonition of disaster, timidity, vulnerability, fear, palpitations, weakness, abdominal cramps, shyness, fear, nausea, anxiety fears, choking, fear, sense of impending danger.