Archive for October, 2009

Atrial Bigeminy?

Sunday, October 18th, 2009
MelSa asked:


I had an atrial bigeminy last night, it went like this: normal, normal, skip, normal, skip, normal, skip, normal, skip, normal, skip, normal, normal, normal and it remained normal but I was really scared! My doc put me on a Holter, did and Echo and an ECG and a stress test and said that i have Premature Atrial Contractions. Is this bigeminy serious???

Rheem Gas Furnace
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Warning Signs and Symptoms of a Pending Stroke Attack?

Saturday, October 17th, 2009
Barb Hicks - Clivir Team asked:


Stroke occurs when blood flow to the brain has been halted due to a clot or bleeding into the brain. Therefore, blood is unable to reach all destinations of the brain, resulting in a stroke.  The person experiencing a stroke will begin exhibit signs and symptoms.  Some signs come and go usually within 5 minutes and leaves no lasting effects.  However, symptoms lasting longer may indicate a major stroke is occurring.  Even if symptoms are short lived, it is imperative to get medical help immediately.  If not treated as soon as possible, major brain damage and life long disabilities could result.

What are the signs?

Tingling sensation in the face or extremities

Paralysis or weakness on one side

Difficulty speaking

Inability to understand speech

Blindness

Dizziness

Pain

Nausea/vomiting

Sudden intense headache

If you or anyone around you is having these symptoms, call 911 and get emergency medical help right away.

Stroke risks:

Age - After age 55, the risks double every 10 years.

Family history and ethnicity.

Gender:  Women are less likely than men to suffer a stroke.  

Previous stroke

Atrial Fibrillation

Fractures of the long bone resulting in a fat embolism

Reducing your risks:

Take blood pressure medications as prescribed and monitor your blood pressures.

Reduce high cholesterol and triglyceride levels.

Monitor blood sugar levels daily before meals and at bedtime.

Increase exercise

Eat a healthy diet

Quit smoking

Diagnosis is determined via CT, MRI, or angiogram.  These tests help to determine what type of stroke has occurred, it’s location, and the extent of damage caused.

Treatment involves clot busters, such as tPA that must be given within hours of onset of symptoms.  Surgical intervention is an option for ischemic and hemorrhagic strokes.

After Care:

Patients who have survived a stroke may require rehabilitation utilizing speech, occupational, and physical therapies. Recovery can take a few days to a year or more to regain lost functions.  

Medications include:

Thrombolytics - Clot busters the lyse or break up blood clots.  the debris is cleaned up by phagocytic cells.

Antiplatelet - Prevents platelet from sticking together, thus preventing clot formation.

Anticoagulants - Stops clots from forming, particularly those with A-fib who are prone to blood clots due to the rapid contractions of the atria of the heart.

If you have other chronic disease present, such as diabetes or hypertension, keeping these values in the normal range will help to prevent, or lessen the likelihood of a stroke event.

Regular exercise 3 days per week will help to reduce hypertension.  High blood pressure is the major cause of stoke and is a factor in hemorrhagic strokes.

Healthy eating consists of a diet containing whole grains and nuts, fresh fruits and vegetables, lean meats, and foods low in fat and high in fiber help to lower your risks that cause strokes.



Pet Cpr Training
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Complete Information on Ebstein’s Anomaly

Saturday, October 17th, 2009
Juliet Cohen asked:


Ebstein’s anomaly, also known ebstein’s malformation. Ebstein’s Anomaly is an extremely rare heart defect of the tricuspid valve. It firstly includes the lower right chamber of your heart and the tricuspid valve the valve between the upper right chamber (atrium) and the right ventricle. In Ebstein’s anomaly, your tricuspid valve doesn’t work correctly, so blood leaks back through the valve and into the right atrium. As a result, your heart works less effective. Ebstein’s anomaly may also lead to increasment of the heart. In addition, about half the people with Ebstein’s anomaly have a hole in their heart, and one in four has occurrence of fast heartbeats.

Males and females are affected alike. Ebstein anomaly is more usually in children of white females. Ebstein’s anomaly may happenwith other heart lesions, such as pulmonary valve stenosis or atresia, atrial septal defect or ventricular septal defect. In addition, several patients with Ebstein’s anomaly have an accessory (extra) conduction pathway in the heart leading to episodes of abnormal fast heart rate (supraventricular tachycardia.). There may be an increased risk of Ebstein’s aberrance in infants of women taking lithium during the first trimester of pregnancy, and in those with Wolff-Parkinson-White syndrome.

People with a mager form of Ebstein’s anomaly may not experience any signs or symptoms until later in adulthood. Signs and symptoms may develop moderately over many years and involve shortness of breath , fatigue, especially with exertion , leg swelling , heart palpitations or abnormal heart rhythms (arrhythmias) and a bluish discoloration of the lips and skin caused by low oxygen (cyanosis). The treatment of this disorder depends on whether or not the person with it has any symptoms. Surgery is sometimes required early in life. Various different processes have been used in the patients with the abnormality Ebstein.

The most common includes a repair of the tricuspid valve. The valve can’t be made normal, but often surgery significantly decreases the amount of leaking. Fontan completion is mostly performed when the patient is aged 2-4 years. Medication may be prescribed to improve heart contraction and manage abnormal heart rhythm. Some ways electrical workers strangers also can be dealt using the ablation of the catheter. Endocarditis prevention is always argued in patients with Ebstein’s anomaly. A low-sodium diet is suggested for symptomatic relief from fluid overload.



Give Me The Steps Of CPR
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Are premature atrial contractions (PACs) always harmless?

Monday, October 12th, 2009
kristen asked:


Doesn’t it depend on the cause? It seems doctors always dismiss it by saying “Oh, it’s nothing, don’t drink coffee,” but they don’t think about the fact that somebody’s blood sugar or electrolytes could be low at the time.

And I don’t care what anybody says; it is extremely uncomfortable to be out of breath and feeling as though one’s heart is not beating properly, so one should not simply be told to ignore it. Coffee rarely causes such symptoms, especially 1-2 cups of mild coffee a day.

Furthermore, the more you tax the heart, the quicker it will wear out.

Why is it that I know more than doctors and I have no medical degree? Is it b/c they are so busy trying to shove you out so they can get the next patient in? This is the feeling I get.

Trane Gas Furnace

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