All aspects of cardiovascular diseases

Shortly after I had my pacemaker implant, 6 months ago, I noticed a couple
of "bumps" at the edge of the incision.  My cardiologist says that
although the lead wire was the shortest available, it is too long for me
(odd, because I’m not a small person); and that it had to be looped.  The
loop has popped out of the pocket and I can see the bumps.  He says there
is no danger of it eroding, but that perhaps I should have a plastic
surgeon redo the pocket and situate it better.  My feeling is that if
it is not dangerous, I should leave it alone. Has anyone else had this
experience?  Is this a potentially dangerous situation?  Should I go to
the plastic surgeon?  Anita

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Would any one have information on fink equation in relation to
cardiovascular output.    I need it for university project.

Thank you .
Katrina Lynch

i would like to know is normal to have right &left side bp, not the
same.
i have lots of chest pains i have a raceing heart . but would like to
know if my bp, it right not to be the same on each side  thank you for
all of your time from darla

Where can I get some more information on setting up a dosing algorithm for
Warfarin use?

Thanks!

My 6 year old girl has an enlarged right side atrium due to moderate
tricuspid regurgitation.

What are the long term effects of an enlarged heart?  Can it be
tolerated indefinitely?

Dear sirs, me call Katerina Sitskaya, I am a cardiologist from
St.Petersburg and be busy in research butorphanol in treatment acute pain
at myocardial infarction at elderly ill. Unfortunately I have not found in
Internet any information on a question interesting me. Could not you help
to me to find the items of information on similar researches in this area.
A thank.  

I have left ventricular hypertrophy as a result of hypertension, which my
doctor (an internist but not a cardiologist) said showed up on my EKG. He
hasn’t ordered any other tests and I’m wondering if it’s customary to
order at least a chest Xray or an echocardiogram to determine just how
much my heart is enlarged.

My blood pressure is running at 200/80 and I’m taking atenolol (a beta
blocker). With a systolic pressure this high, wouldn’t a referral to a
cardiologist be in line? I find it odd that he hasn’t referred me to a
cardiologist, especially being that he said that I’m at a very high risk
for a heart attack. (I’m a smoker… and yes, I know I need to stop… and
I have a moderately elevated cholesterol of 234.) I also suffer from leg
cramps (that sometimes involve the entire leg from foot to thigh) so bad
that I often give up on sleeping at night (along with intermittent
claudication) and was told by another doctor a few years ago that I have
weak and missing pulses in my legs. From what I’ve read on the Web, these
are supposedly symptoms of peripheral vascular disease which also
increases the risk of a heart attack. Yet, all my doctor told me to do was
take quinine/calcium/potassium (which doesn’t always prevent the cramps).
OTOH, my father, who has similar but not as severe symptoms, was referred
by his doctor to a vascular surgeon for a Doppler test.

 Oh, and while I’m at it in terms of describing risk factors, I’m
African-American and post-menopausal (surgically), not on estrogen
replacement. He also said that my lungs sound terrible (I wheeze
constantly and am so short of breath that others have noticed it when I
speak). However, he didn’t order a chest X-ray for that either and just
said that I’m developing emphysema. (Can that be diagnosed just by
listening to ones chest?)

Am I over-reacting or am I getting less than optimal care from my doctor?

Thanks for any advice!

Lynn

Would someone who knows say a bit about these GHB threads? For instance, how
about starting with a definition of GHB? This group really needs a FAQ!

Does anyone else experience this? I get pvc’s randomly also, but I can
usually be sure that if I take a very deep breath, I’ll get one.

 Also, for you experts out there, why does one sometimes get a very "hard"
beat after a pvc (I know this is because the heart is fuller than usual)
*but sometimes the after-beat is hardly noticable.*

peancel

I am an internist working on an Unstable Angina critical path committee at
a 50 bed rural hospital in Vermont.  We are in the process of trying to
adapt the AHCPR Unstable Angina guideline to our setting by translating it
into boilerplate orders which can be modified by the attending physician,
to suit the case at hand.

This is laborious!  Does anyone have a set of physician’s orders (ie ICU,
telemetry, outpatient management) which we could use as a starting point?
I’d also be interested in hearing how this approach has worked at other
hospitals.

Thanks in advance.

Ted Cody, MD
Springfield Hospital
Springfield, VT 05156

(fax # on request)