All aspects of cardiovascular diseases

19 year old male, original diagnosis – after tilt table test (he was on
it 30 seconds and had an episode) was vasodepressor syncope.
Prescribed lopressor and theo-dur.  Was still getting feelings of
faintness and although not passing out, was troubled by heart pounding
and rhythm speeding up.  Also nausea and diarrhea now.  Physician
advised to stop theo-dur and increase lopressor.  

His mother is beside herself.  The dr. has not told him to limit any
activities (such as driving) and she is very apprehensive about his
welfare.  When she calls the drs. office, the nurse takes the info and
then she calls back with instructions.  The boy is away at college
right now but will be returning in the next few weeks.

Are there any other possibilities here?  

I have had cardiac surgery at 17 for a congenital stenosis on a
bicuspid aortic valve.
When I was 7 years old the pressure gradient was 55; at 16 a catheterism
failed to measure the gradient because they "weren’t able to make the cath
passing the valve" and suggested a replacement.
In another hospital a cardiac surgeon said that there was the possibility of
repairing the valve with an operation of commissurotomy (hope the english
traslation is right), operation that was successfully executed six months
later.
I never took any medication.
Now I’m 30 years old and while i’ve have a noticeable cardiac murmur, the last
check i did three years ago (a cardiogram and an echo) resulted "at the
limit of the norm".

This is in short my cardiac history.
My question is about smoking. One years ago i started to smoke about 15
cigarettes per day. Please don’t blame me, there are reasons that make me do
that.

What I want to know is:
1) what are exactly the effects of smoking on the aortic valve.
2) Can it accelerate the process of calcification?
3) Is it true that the calcification is provoked by the turbolent flow of
blood through the valve?

Thanks to everyone who will reply

Can anyone give me some more information on why a female patient who had a
previous history of Rheumatic Fever,be an unsuitable candidate for oral
contraception…is it an absolute contraindication…and if so…why ?

Thanks in advance!

Regards,

John A.Currie
jacur…@nbnet.nb.ca

I’m trying to find e-copies of articles (Am.J.Cardiol.,

J.Am.Coll.Cardiol., Circulation etc.,1988-1995). May be

you know where can I recieve it?

Thank you.

Vadim Yanshin. Moscow. Russia.

vyans…@glas.apc.or

Greetings –

A woman friend of mine has been prescribed 40 mg of apo-propranolol
for an irregular heart rhythm and was wondering if anybody had any
experience with this drug.

The label says:
"Do not stop without Dr approval. May cause drowsiness, dizziness.
Chec with Dr before taking any other medicine. Inform Dr/Dentist
prior to any type of surgery. Blood sugar levels may be altered.
Promptly report unusual symptoms/effects to Dr"

Anybody have any experience with this pharmaceutical?

Thanks
Howard

I am an italian cardiologist Navy Officier working in the NATO
hospital of SHAPE (Belgium).
As most of patients are black,I whould be glad to compare my experience
whit other Collegues.
Do you think it is possible a fisiologic inferior (III and aVF) or
antero-lateral (I,V5,V6)negative T wave in black males?I found it in 3
asympthomatic patients during routine E.K.G. for annual check without
possibility of comparison of previous E.K.G.
I whould like you know that I scheduled them for a treadmill test but
I have not the result yet.
Thank you for your answer; sincerly: Riccardo
Please answer me to e-mail address Riccardo.Gi…@ping.be

To: DJENK…@MIDLAND.CO.NZ

d>From: djenk…@midland.co.nz (Stephen Gerred)
d>
d>We have a young lady with end stage primary pulmonary hypertension
d>with severe cardiac impairment. What is the opinion of the readers of
d>sci.med.cardiology on current treatment?
d>
d>
d>–
d>| Dr Stephen Gerred                (\_  | The Hippo-man
d>| 6 Rimmington Dr, Hamilton   –>   )+) |
d>| New Zealand.                   /\(_/  |
d>|  +64 7 839 3693               / /     |
d>|                              (_/      | email djenk…@midland.co.nz

It’d seem to me that a heart/lung TX is the only way to give her a
chance of progressing from "young lady" forward..-Rod-

Rod & Susan Venger, Venger’s Orchids
Homepage address http://www.usa.net/venger/
Listings Available – Email us for your copies
Order Line 1-800-483-6437

–

Could someone help me by posting some information on Peripheral Vascular
Disease?  I need info such as Symptoms, Cause, Treatment, Nursing
Intervention, Diagnosis, Signs, Medical, Surgical, and Nutrional
Treatment, Care…etc…  Any or All information would be greatly
appreciated.  Please send e-mail to my address FCBP…@prodigy.com

Thank you!

Chad D. Groharing

My wife, Peg, age 49, no prior risk factors, continues to battle nausea
following her January massive myocardial infarct. EF has continued toward
the mid 20′s.  Right cath revealed fairly normal pressures 2 weeks ago.

With the absence of all meds (coumadin, Beta, and Ca blocker [for
vasospasm] having been removed since they were suspected causes of her
nausea) but ecotrin and digoxin and ativan, the pattern had resolved to
nausea in the AM, not beginning until she actually got out of bed,  but
clearing up by 10am.

Last week a GI consult at Lahey clinic in Boston added nothing new. To
this point in time Pepcid, and Prilosec and Tagamet have not been helpful.
Nor have Reglan, compazine, or Phenergan.

An attempt on 4/3 to add half of a lowest strenght Paxil to deal with the
depression and poor sleep that has followed the coronary,(but I think the
nausea has been most depressing aspect, because until 10 days ago it
didn’t lift til late afternoon, or never lifted) was followed 3 hours
later by a return of the afternoon nausea that we thought was conquered.
She only took the one, so the fact that it hasn’t cleared as of morning on
4/5  

All GI  studies have been negative. CAT scans of brain, abdomen, negative.
Gastroscopy negative. Liver panels normal.

So, at this later stage, I am asking once again if this pattern is
familiar to anyone, and what treatment may have proven successful.

Thanks again in advance. Being nauseous all the time (no vomitting) is
misery.

Jim Cogan

Maybe this is not the right newsgroup to ask, but I need this
information desperately for my Dad.

1.      On average, how much does it cost to perform open
        heart surgery in U.S.? Note: without health insurance.
        In Singapore, they quoted about US$500,000. Is it
        a reasonable figure? It’s too high for middle income
        family like us, we cannot afford it. He went through
        catheterization twice and the result showed that
        about 70-80% of the blood vessels have been blocked.
2.      What are the risks involved? Success rate, etc.
3.      What are his options being health-insurance-less? I don’t
        think any insurance company will accept his case.

Please help me, I’m really confused and worried…

Please reply to: tors…@enuxsa.eas.asu.edu

Thank you very much for your time and attention.
I really appreciate it…