Archive for November, 2009
Not clear blood pressure – 160/60
Question: I am 56, height 155, weight 50. Until recently, the pressure was 100-110 at 60-70. Now the upper 140-170, and the bottom is still 60-75. Often a headache. Managed to find one explanation for the large-artery atherosclerosis, which happens with obesity (funny), hypodynamic (my cattle, gardening, biking – all day, sometimes not sit down), and elevated cholesterol (not tested, but I had hyperthyroidism, while This cholesterol may not be high). Then where is the pressure and that it is desirable to check?
Answer: You can be the debut of hypertension. This disease spares neither thin nor fat, so your thinness and the presence of cattle will not help here, though, and facilitate state (moderate exercise are always useful). You have so promezhdu incidentally mention that you have hyperthyroidism – so he too can cause high blood pressure. Hormones of the thyroid test should be at least T4 and TSH. Cholesterol still need to check. And I would advise to do a daily blood pressure monitoring, it is done in large hospitals and clinics.
Heart and sports
Question: doctor! My son is 11 years. Ultrasound revealed that he had an open oval window of about 3 mm, mitral regurgitation (+). Cardiologist in our town there. Can such results seriously pursue tae kwon do?
Answer: Hello, Love! "Unfortunately, too few data to give a reasoned response. As your son carries the load, whether he had any manifestations of heart disease? All this is covered with a mist of uncertainty. In principle, the echo pattern specified by you does not preclude studies taekwondo.
Neurology
Question: Help please to determine which doctor do I need to contact. I am 35 years old, after pregnancy and birth weight increased by 20 kg and can therefore started having problems with the spine: lie down on hard, and when to get up – I can not just bend: "shoot" in the center of the spine, you need a little back bend forward to let go. A year ago went numb neck from behind, (which for a long time sitting at the computer), but only on one side of the spine and occasionally in the left ear can hear the heartbeat, as though the crunch of the steps in the snow, the sound is moving away, then again increases. Thank you for your reply. Irina
Answer: Good morning. You need to Doppler blood vessels of the neck and head and neck X-ray-(functional tests) – (look for instability) in the future be treated by vertebrologist and neurologist. For more advice, please contact the Odessa 050390-00-19 Vyacheslav Yu
Hypertension
Question: I am 44 years old. Two months ago, while taking hormone OK was hypertensive crisis. The pressure rose to 230/100. A doctor was registered noliprel forte. Saw him a month, when it led a schedule pressure. Gradually began to move away from drugs, drink to the half, then once every two days. The pressure returned to normal and lasts approximately 127/74 – 135 83, without taking pills. Measurements spend the morning and evening. But now ill with bronchitis. The doctor prescribed a dropper. And after I dropper measures pressure automatic tonometer directly through sweater and reading is 180/94. The doctor insisted that I took noliprel and put me hypertension P-degree. I come home, measure the pressure in a calm atmosphere and the reading is 127 76. If the pressure comes back to normal without medication, then does it make sense to take them? So you do not want to be my age, high blood pressure.
Answer: Dear Anna, in life everything happens, will happen and "white coat hypertension." Moreover, the pressure measured by automatic blood pressure monitors, which is not very accurate, so even a sweater. On the other hand, pressure is often increased by the CCO, and if their removal to normal. I would recommend you to do a daily blood pressure monitoring, which will put everything in its place. If blood pressure really is, then Listen to my advice – are being treated, do not neglect the "chemistry". In one piece of sausage that you eat every day, 100 times more chemistry than in the tablet noliprela. A life treatment of hypertension prolongs. But you first need to understand whether there is hypertension, or is it situational increase AD
ECG
Question: The results of EKG showed that I had marked sinus bradycardia with a heart rate of 36-42 strike. The vertical position of the electrical axis of heart. I would like to know what it is, and how much all serious? Thanks in advance.
Answer: Dear Patient, "vertical axis of the heart" means that the electric vector of the summation of your heart is directed vertically downward. Perhaps you are tall and thin man, then it is just the norm for you. Do not pay attention.
Hypertension
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
Increased pulse rate
Question: I am 28 years old, 13 weeks of pregnancy. Began to notice increased heart rate to 115 beats / min. And in the morning without any physical activity (accompanied by a mild headache, pressure in the temples), helps to reduce the pulse infusion motherwort to conventional 80-90. ECG showed tachycardia, but the doctor said it was a common sight during pregnancy and does not require intervention. Is this true?
Answer: Yes, it is. In pregnancy, increased heart rate, and it is considered physiological. Discuss with your doctor the possibility of appointing a minimum dose anaprilina When you have unpleasant sensations. The drug is rapidly excreted from the body, but must be taken under medical supervision.
Hypertrophy of the left ventricle
Question: I am 27 years old, height 181, weight 107. Doctors recognized the hypertrophy of the left ventricle. Sometimes increased pressure of 140/90 or 100, strange pressure in the heart and tachycardia. Use different drugs, such as took place, and after a year or two again. Usually begins after physical exertion. Cardiologist appointed to drink half a year Concor 2.5 mg and 2.5 mg Charter. Pressure like normal heart rate has leveled off and even 75-90. Posovetuite, whether you need to drink half a year? Pugh has 3mesyatsa.
Answer: Dmitry, if you do not lose weight, the pressure you and will rise and drink the tablets have all my life. I do not scare, but stating a fact. If you abruptly stop drinking now, Concor, you may develop a withdrawal syndrome – quickening the heart rate and raising blood pressure. If you lose weight 10 kg, has a big chance that your blood pressure to normal and you will be able to completely abandon the pills. Also, you should tell your wife to stop her from eating salt, and most stop using canned goods and other products that contain a lot of salt. Salt generally throw away in the deep Evpatoria. The combination of weight loss and a sharp reduction of salt will produce a wonderful effect. Otherwise, the pressure and will gallop. And you only 27 years old. . .
High blood pressure
Question: For the fourth year I have been doing serious choreography. This is a high physical activity 3-4 times a week. About three years ago began to feel the heart. Almost at the same time after the angina has increased the pressure. My heart began to "hear" more often. A year ago, went to a cardiologist, has appointed ultrasound of the heart. The result: mitral valve prolapse of 1 degree and additional trabecula left ventricular cavity. Pressures are not banned. The pressure may remain high during the week (a couple of times – up to 150 and 100), it may be felt even a tremor in his left hand and discomfort, heaviness, tingling sensations around the heart. After training in the main pressure to normal. Summer was a cardiologist – ECG showed a fairly strong sinus arrhythmia. From AD appointed Enam. But the heart and alone, even when rules. AD worries me reverberating blows, a left side struggling at the bottom though separate from the rest of the hearts of a small piece. What is it? And whether you want to stop loading?
Answer: Daria, have you seen as a syndrome of mitral valve prolapse. It is difficult to treat disease, not fully understood, but not life-threatening. It is believed that in its development play the role of various neuro-psychological factors, so try to treat the disordered nerves. If, after you load all normal, do not drop the load. And it makes sense to look neurologist to check the spine.
Tachyarrhythmias
Question: Tachyarrhythmia, supraventricular arrhythmia, AV block of 2 degrees. WeƔcan please pulse dropped to 28-37, than to lift it (severe shortness of breath), but drops Zelenin?
Answer: Oksana, such issues are not solved on the internet, we need to investigate the cause of the blockade, to exclude all products that might cause it (beta-blockers, verapamil, for example). Preparations for treatment of AV-blockade – atropine, izadrin – serious, they are used only under medical supervision. And another surprise – you write "tachyarrhythmia, and this increase in heart rate over 100 per minute, and then write" pulse of 28-37. Perhaps it is an overdose of anti-arrhythmic drugs? If you feel unwell, then call an ambulance, but do not write on the Internet. Get better!
