Zanax – Cardiology doctors online

Archive for December, 2009

Question: 84. 16. 226. 40

Answer: 84. 16. 226. 41

Question: 84. 16. 226. 40

Answer: 84. 16. 226. 41

Question: I was diagnosed with prolapse anterior mitral valves. Features: Dimensions oral LP on the upper boundary of the mass-height indicators. Prolapse anterior mitral valve leaf at 4.2 mm. In the cavity of the left ventricle visualized More chord (falshhorda). This is how it is treated and whether or not worried at all because of this diagnosis?

Answer: do not worry, it can not be cured. Additional chord – variant rules. Once in 3 years do re-echo study, be sure to save the results of previous studies to be able to compare the size and degree of prolapse.

Question: I am 46 years old, I have a bad heredity – his father died 51 years from a second heart attack. I've come leaps pressure sport. Six months ago, when blood donation has been received. Total cholesterol – 5. 2; LDL – 4; HDL – 1. 2. He sat on a diet, taking handfuls omegu3, lecithin and aterklefit. A couple of months, total cholesterol jumped to 6. 5, LDL to 4, HDL to 1. 7. On the advice of the doctor began to take Lipitor, and after 3 months of total cholesterol increased to 7. 3 But his father after opening, the words of doctors, all arteries were clogged. Help advice please!

Answer: Unfortunately, about triglycerides You do not write, we will assume that you are normal. You probably hyperlipidemia type IIa, the family. Every day should be not less than 30 minutes of active physical activity, such as brisk walking. As for hypolipidemic diet – I hope you know about the strict compliance. Lipitor in what dose you take? Perhaps there is a need to increase it to 20-40 mg per day, add drugs from other classes protivoateroskleroticheskih means, such as fibrates. And more importantly – to exclude the presence of concomitant diseases that may hinder the normalization of cholesterol, for example, hypothyroidism, nephrotic syndrome, biliary cirrhosis, cholestasis. To do this, pass the blood chemistry, urinalysis. Specific surveys will appoint full-time therapist after admission.

Question: My daughter is 4 years. Diagnosis of the IRR, the pain in his head, raising blood pressure to 130/78 and pulse of the case that comes to 140. An examination of pathology in the kidney, thyroid and adrenal glands do not. In the heart There are 2 chords themselves so they can be? M what to do?

Answer: No, because the chords themselves can not exercise. The child must examine in more detail for the cause of hypertension, the Council requested a specialized children's cardiology hospital, so as not to lose time. I think the reason can be found and it is curable, but the delay is not necessary.

Question: Son, 17 years. Few days working on mowing (mowing), two days ago, headache, measure blood pressure 125/85 (normally 110/70). This morning, complained of pain in the chest during inspiration, sent to the hospital. Results of ECG: sinus rhythm with occasional supraventricular arrhythmia, incomplete blockade of the right branch of n. Gisa. From the previous questions and answers understood that this is the norm. I wonder whether he could mow now – my head hurts less, the pressure is the same, I forbid it, but he does not listen. Sharable it inherited (in my youth was the same cardiogram, arrhythmias are still under loads) and tell us about prevention. Son does not drink, does not smoke, independently engaged in physical activity (horizontal bar, dumbbells, weights), often physically. Maybe some grass?

Answer: Dear Rima, "pain in the chest as you breathe" – this is not the heart and spine. Son of your own his own mowing spoiled, you should find a good manualschika or neurologist for the first time. If you continue to mow – will hurt even more. No grass will not help. Prevention – to do special exercises to strengthen back muscles and not overwork.

Question: A child is diagnosed with an extra chord. Cure is not appointed. What is it and whether you want to be treated?

Answer: Learn chord – a congenital anomaly, which requires absolutely no treatment, not life threatening, no matter what no effect.

Question: dear doctor. Son is now 7.5 years old, diagnosed with mitral valve prolapse (deflection to 2 mm) is observed at the cardiologist for more than 6 years. 9 months ago, a child suffered scarlet fever, after treatment pediatrician detected noise in the heart (previously absent) and sent to a cardiologist. According dopplerehokardiografii was detected relative valvular insufficiency of the pulmonary artery of 1-2 degree and recommended monitoring the dynamics. Repeat the same survey conducted in 7 months, concluding: aneurysm of the right coronary sinus Valsalva (protrusion into the cavity of the RV dimensions at the base to 7-8 mm depth of 8-9 mm, leaf aortic valve are sealed at the edges, regurgitation of the valve does not exist) valvular insufficiency LA 1-2 degree. According to the cardiologist, the noise characteristic of such a state is not monitored. Please tell me there is a need in the operation? The child feels well, for the time between surveys was sick and injury did not receive complaints on the heart never was.

Answer: Helen, I strongly recommend that you contact the surgeons, this pathology is treated surgically, and this better not delay.

Question: The results of biochemical analysis (lipid fraction):-Cholesterol – HDL-5,1 – 1,15-LDL – 2.84-LP0NP – 0,45-atherogenic ratio – 3,4. Ie, all normal. But according to the formula Klimova such figures can not be. Or have I misunderstood something?

Answer: I think this is an error in the measurement apparatus. Coefficient atherogenicity correctly determined by the formula (ObHS-HSLVP) / HSLVP, but the amount really does not converge. One can only assume that the OX was determined separately from the other indicators. You know, if part of the same blood sample placed in the analyzer in a few minutes after the measurement, and re-examine, it is 100% the result will never match. Another thing – that such a variation of measurement error 0.6 mmol / l do not understand.

Question: I am 62 years old, hypertension (160-100), tachycardia and sclerosis of brain vessels. By prescription accept diroton 5 mg and Egilok of 12 mg daily for 3 years already. Pressure was kept 140-95. Recently, the doctor ordered additional Indap one ampoule daily. Pew month, the pressure was 110-80. How you can take a long Indap? Do we need a break? Can I take it like 2 times a week?

Answer: And how you feel at such a pressure? If normal, then so and take a while. Indap intended for daily administration, is a weak diuretic with a very good influence on the cardiovascular system. See how you do not have enough diuretics. In terms of prevention of heart attacks and strokes, the lower the pressure, the better (up to certain limits, of course, to zero, no need to shoot down). So the focus should be on their own experience.