Zanax - Cardiology doctors online

Increasing pressure

admin — Thu, 11 Mar 2010 14:39:10 +0000

Question: Dear doctor! My wife of 55 years. The last two years she suffered from a spike in blood pressure 200/110, normal pressure 135/85. ECG analysis revealed no significant abnormalities. Taking daily egilok 25 mg, renitek 10 mg. Horse Racing pressure continues, it happens the day between 12 and 16 hours, they are often associated with a decrease in atmospheric pressure or change in weather. Recommend, please, anything.

Answer: You can take this additional time interval pill anaprilina. Blshego correspondence can not say.

Cough on enalapril – addition

admin — Wed, 10 Mar 2010 22:39:05 +0000

Question: Doctor, thanks for the response to my letter in the subject R150/110 Climax (50 years)! Unfortunately, the good and expensive L-va (co-diovan) I was not yet available. After the abrupt rise of pressure, about which I wrote in my previous letter – I renewed 2 times a day egilok 25 mg and the pressure has become a "norm" 130-135 90-95. My questions: 1. Continue to drink egilok "whole life"? 2. Or switch to other drugs, relatively cheap. What? (again, not to provoke cough) Which group you advise me if ACE inhibitors are not I? 3. What does the relative excess of Lower pressure over the upper (eg, 130 105-110 – ie, the difference between the upper and lower low, but the lower "off scale" more)

Answer: Continuing http://doktor. ru/qa/46889/qa. html? id = 92584. When menopausal jumps in blood pressure in conjunction with the acceleration of the pulse can drink egilok, my whole life too early to plan treatment. If you help, do not need to economize on low-cost vehicles. Preferential enhancement of the "lower" pressure may indicate, for example, fluid retention and salt in the body. The most important thing about hypertension – http://doktor. ru / qa / davlenie / article. html? id = 51966, little about hypertension – http://doktor. ru / qa / davlenie / article. html? id = 48559.

Increased lower blood pressure

admin — Wed, 10 Mar 2010 22:36:35 +0000

Question: I'm 45 years old. Often pressure of 100 to 80 (feel bad), typically – 120 to 90, etc. ie the difference is not pevyshaet 30 units. I accept hormonal treatments (continuous), and indapamide, veroshpiron (because of edema and pressure on the heart area) – due to hormonal imbalance, uterine fibroids, endometriosis. Carefully examined the kidneys – the specific abnormalities identified. 20 years have periodic pain in my heart. Results of ECG did not reveal anything special, as it was told that there are violations of the ventricles? Please advise modern drugs to reduce the level of the lower blood pressure. Thank you.

Answer: The same veroshpiron in sufficient dose.

Pressure 120 / 95

admin — Wed, 10 Mar 2010 22:00:28 +0000

Question: doctor! "I am 50 years old. I can not deal with its pressures. It rises to 145 / 110, but in the normal state and is 120/95. What is a fairly large increase in lower pressure and nearly normal upper and whether there is a difference in the medication in this case? "(I agree with increasing pressure Egilok.)

Answer: Discuss these questions useful when a person takes medication continuously.

please answer

admin — Wed, 10 Mar 2010 16:36:03 +0000

Question: doctor, I have a big request to finish and answer. . My name is Oleg, will be 12 the number 21 team, and there's my favorite person. All right, I started going to the gym, and she tells me that it would affect me to the age of 30 on the heart, that I will put you, my arguments do not suffice, in our town did not ask anyone. please tell me whether the training impact on the functioning of the heart in the future. I correct it explain what arguments lead. . Thank you very much

Answer: Suppose that before it will lead a very good reason. . .

Veroshpiron and alcohol

admin — Wed, 10 Mar 2010 16:00:01 +0000

Question: please tell me, why not when receiving veroshpirona drink alcohol? This is a very strict requirement to the drug or a little is still possible? After a fairly long course I – 3 months. May be little if it is better to any certain drinks, but some are strictly prohibited at all? Many thanks for your reply!

Answer: Please read carefully the instructions supplied with the drug. Alcoholics with cirrhosis treated veroshpironom. You only 21 years old (or even less), and the prospect is doubtful. One reason for the increase in blood pressure in young men – passion for alcohol or drugs.

Hypotonia, dystonia, etc

admin — Wed, 10 Mar 2010 14:39:02 +0000

Question: Good day! I am 25 years old. All my life I am leading an active life, had a lot went to various cities, but always present fatigue, very low blood pressure 90/45, constant drowsiness, frequent mood changes, cold extremities, pale face, dark circles. Because of this, she could not do what they wanted and this is even more depressed and ugneteaet now. In addition, it may be prolonged depression, which is how can I hide from others (work demands). Summer are often short-term loss of consciousness (for a few seconds), especially on the street and in a crowded room, if not sleep and menstrual disorders. Kardiorgamma naruscheny heart has not shown the same thing with the kidneys, everything is normal. Show you how to start treatment?

Answer: A : If confident enough talk about depression, it is known who is engaged in her treatment. Hemoglobin should be checked. Measures in the main hypotension: http://doktor. ru/qa/46313/qa. html? id = 89533.

good evening

admin — Tue, 09 Mar 2010 22:39:59 +0000

Question: Here is my case. One evening as I sit at home and suddenly a sharp pain behind the breastbone, and giving the type of tachycardia, I can not sit – walked down the street like the calm, the next day the same way – well, I keep thinking that something serious – went to the hospital – thinking may infarction (before Angina was) had come there, even at first did not want to take well eventually adopted – ECG was removed because everything is quiet nor any deviations, checked the blood – also normadavleni e measured his vnchale 120/100, and when the pain began to leave was 140/90. They said go take walks all normal. Then he turned the chair to a cardiologist – it osmtrela – passed the tests – all good! Passed Holter-ECG (38 monomorphic ekstasistol a day without changing spike ST) passed Daily monitoring of AD there is also the average normal)) passed VEG (exercise stress test with 85 % of the maximum – the result is negative) ultrasound Serce no izmeneniyPochki in normeOsteohondroza netTravm head not byloSdal blood again everything is perfect!! But this month has passed and I was not much better than no – galloping bouts of pressure to 150/100 and at rest and when I a well chuvstuyu 110/60. At first, I was plagued by headaches, then the modern began to bore the pain behind the breastbone but like right now bolemenee ask, but a sense of numbness in the feet and hands and slaost growing! Came to the doctor Neurology – he laughed and said, NCD – but this dagnoza no! Meanwhile, almost everyone speaks NDCs but neither of the treatment is not indicated! Someone says Astenonevrotichesky syndrome. In general help – what is nerazvberiha simple – how many doctors and so many opinions!! And me that does not help – something neither the clinic where not disappear!! ! begin !!!!!!!!!!! 1. TSH 2. 182. From the kidneys and other organs of the abdominal cavity: Organic pathology not vyyavleno3. About BiohimiyaBilirubin 13. 3P 0H 13,3 Total Protein 74. 8AST – 19ALT – 1Glyukoza – 4.9 Urea 4. 7Amilaza syv edVLP 111 – 3. 7HS – 3,3 A 46. 1G1 28. 7A / G 1.61 overall analysis kroviSOE – 5Limf – 33% Mon – 4. 9% grand – 52. 4% erythrocytes – 4. 94gemoglob – 146leykots – 6. 8HCT – 431PLT – 292PCT – 262MCV – 87MCH – 29. 5MCHC – 339RDW – 13. 2% MPV – 9PDW – 15. 7% Urine: no changes – nomalnye pokazateliGTT: 8. 00 – 4,910. 00 – 6. 8 mmol / Luzi – heart: the conclusion – mitral regurgitation 1 tbsp (but within normal limits) ECG – at the time of the survey – sinus bradycardia 57 – 63, the electrical axis is not rejected. Holter ECG – conclusion: During the period of observation was recorded siniusovy rhythm with an average heart rate 79 bpm. minute. During the night the rhythm changed from 50 beats per minute in peak hours to 150 beats per minute in the morning with a load. From the ST segment and T wave without significant izmeneniyVo fragments registered individual single monomorphic ventricular extrasystoles (38 times knocks) Daily blood pressure monitoring (without signing) but are loaded failVeloergometriya: the result of the sample – "negative" reason for termination of the sample – achieving submaximal heart rate. Reaction AD – adekvatnayaEKG rest: heart rate 75 AD 110 AD syst diastemata 80Izmeneniya during load: ST-segment ischemic changes in not zaregistrirovanoIzmeneniya REGENERATION period – ischemic changes were not registered, restoration, adequate heart rate, restoration of blood pressure adequately. Tolerance to physical exertion vysokayaPri nagruzke75 Tues HR – 97 110/80175 Tues HR – 165, 160/80EzofagogastroduodenoskopiyaPischevod pass freely without izmenenPriznaki SGPOD 1 tbsp (rengenologicheskoe conducted a study did not confirm SGPOD. But gastroenterologists say that there is a) Stomach normal shape and size, empty stomach contains a significant amount of gastric mucosal sekretaSlizistaya and WA hydropic. giperimirovana, granular, Vulnerable, edematous folds, perestaltika active, porter smykaetsya. Conclusion: gastroduodenitis SGPOD 1 tbsp. HB – is not detected, superficial inflammation! SGPOD – x-rays did not podtveriliPosle eth all tests so far concern the pain in the left half of sternum, a shovel and podmykoy-sometimes give the left side – the pain started to come more often, but the FIR of this kind of pressure normal. Sometimes podtashivaet – but sometimes omechayu pain behind the breastbone and belching are – but poyavlyayutsya the trigger zone in the pectoral muscle – after his pass sponttanno. 'll Show what can be and what to diagonostiku – and it is already tired. Age 26 letsluzhil in the army (Chechnya) after being wounded – lay in the hospital 7 months – shot in the leg. Root had not been.

Answer: Diagnosis is not needed. NCD is now called "F45. 3 Somatoform dysfunction of the autonomic nervous system." That look on the Internet. I at http://www. doktor. ru / qa / heart / in the "NDC" is some information. Alcohol is contraindicated.

Halt the development of encephalopathy without drugs

admin — Tue, 09 Mar 2010 22:36:16 +0000

Question: My son (43 years), now in prison, during the test in clinical diagnosis: – CHD, angina pectoris I-II FC-II degree arterial hypertension, the risk of III-Chronic heart failure I degree (I FC) – discirculatory encephalopathy I, subkompensatsiyaVypisan in satisfactory condition, capacity for work under the order number 90 MZ and MP-14. 03. 1996Pozhaluysta, show you how you can halt the development of the above diseases (and especially encephalopathy) in prison? The problem is compounded by the fact that prisoners are given only to those drugs that are assigned to the prison doctor. A The local doctors did not want to admit the existence of these diseases and not prescribe any treatment. Even get directions to the hospital for a check-managed with great difficulty. Have to rely only on their own.

Answer: You see, the existence of complex pathology among men 43 years is really doubtful. Formally, the reason for such changes and factor in the prognosis, is arterial hypertension. That is, the main and primary in the treatment is to stabilize blood pressure. Usually this is achieved by the reception inside the conventional antihypertensive drugs. Leaves high blood pressure, normal condition of the heart and brain. TV on. if the doctor, who had previously examined, appoint a rational treatment of hypertension (as a rule, only two drugs), then this issue can be addressed and in place. About nondrug: http://www. doktor. ru / qa / davlenie / article. html? id = 51966.

pressure and rapid pulse?

admin — Tue, 09 Mar 2010 22:00:24 +0000

Question: Dear Doctor. I beg you to give me a plausible answer as a pair of cardiologists completely confused me. I am 24 years old. in the spring of that year saw the instability of the pressure rose to 140/95 in the morning (usually it was 120/80 110/70), fatigue, headaches with pressure, and the feeling of heaviness in my heart. examined the kidneys (ultrasound) – normal, UZDG vessels of the neck and head in the norm, in general, all examinations were normal. Optic fundus relatively normal. Parents – high blood pressure suffer from age 35. (счас 55). Last year I did RCHA AVURT, initially had sinus tachycardia, I explain that since being established sinus node. счас feel in terms of heart pah pah excellent, no paroxysms. Overall feeling unstable. My head aches, pressure jumps. Cardiologist advised decides to start non-drug hypertension – swimming, limit salt and t d, and under pressure to take Capoten under the tongue at a dose of 12.5 to 25 mg depending on the figures. Recently the condition (3-5 times in the last month) when the eyes dull and point pressure 150-100,165-100, sick, throw it in the heat to cold and reduced pressure kapotenom. crises stoped only magnesium intravenously. Did hell and Holter monitoring. Results of Holter: daytime average heart rate 94 (min 60), night 70 (min 60), with loads of 120 (min. 95). extrasystoles and arrhythmias no circadian index of 132%, the overall average heart rate 84 beats / min, tolerance to stress is high variability in rhythm is preserved, the ratio of high-and low-frequency components of a balanced, the load did not lead to the appearance of ischemic ECG changes. Work hard, stressful, often at the monitor and on the road, load large (bag over his shoulder at least), emotionally unstable. He came to the district cardiologist who said, 'Drink from Concor otherwise frustrate frequent pulse rhythm "(?????), betablokatory it besides that I can not stand at all! (Up RCHA to prevent paroxysms that not only tried Inderal, Locri, sotaleks, Concor, which is what all even min. doz – decrease in heart rate to 45-50 bpm. min (1,25 Concor was) and bronchospasm. I went to a second cardiologist frightened (PhD resublikansky Cardio Ufa) that assessed Holter said that curtail normal pulse is not necessary, but simply to drink valerian, saying that the days off pulse is good (I myself have noted, too, but when calm and at home, closed, positive emotions and pulse about 70-75 times) and the pressure is advised to adjust Lozapom 50 mg / d. e. my questions. 1. Can a rapid pulse to disrupt the rhythm?? harmful if sinus tachycardia? yes and what if the slow path in the heart was giving AVURT removed, no paroxysms and no worries in my heart. 2. Do I have to drink if beta-blockers and a rapid pulse of at least one evening, getting back to normal (for the hell of a monitor 63 and above depending on the action and loads) 3. Should I start treatment of hypertension, or to wait a while LOZAPOM crises began to appear already, and the pressure prevents work. 4. is it possible to swim. 5. what is the pulse rate at rest for my age alone? and if it is a load of A in the normal rest a bad thing??

Answer: Does the fact these recommendations for medicinal effects (http://doktor. ru / qa / davlenie / article. html? id = 51966, incl. autotraining!)? 165-100 did not require intravenous administration of magnesium; hypertensive crisis such states can not be called (unfortunately, the pulse rate during an attack is not specified). Capoten is in the doses and 50 mg, takes effect within an hour, how much time waiting before calling an ambulance? Valeryanku drink? That is, before answering the first three questions I want to understand whether you comply with previous recommendations. You can swim and you have advised. Holter showed that "the ratio of high-and low-frequency components of a balanced"; normal values of pulse from 55 to 90.