Archive for January, 2010

Unstable Angina Frequency


unstable angina frequency



Douleur thoracique – Information sur la poitrine de la douleur

La douleur thoracique est simplement un symptôme, pas un diagnostic. Beaucoup de problèmes médicaux peuvent poitrine cause
la douleur, et avant que la douleur thoracique peut être traitée correctement, la cause sous-jacente des besoins réels
être identifiés. Ce qui suit est une liste de causes la plupart des douleurs à la poitrine commune, plus ou moins
ordre de fréquence vu dans la salle d'urgence. La douleur thoracique est l'un des
plus de symptômes peut être effrayant. Il est parfois difficile même pour un médecin ou
autre professionnel médical pour savoir ce qui est à l'origine des douleurs thoraciques et si la vie en danger.

La douleur thoracique est l'une des causes les plus fréquentes de l'aide médicale d'urgence.
Chaque année les médecins en salle d'urgence d'évaluer et de traiter des millions de personnes pour une douleur thoracique.
Douleur à la poitrine n'est pas seulement un problème pour les adultes. Vous pouvez également se produire chez un enfant. Bon nombre des causes
pas grave, mais peut nécessiter des soins médicaux. Suivre le diagramme pour plus
information sur la douleur dans la poitrine chez les nourrissons et les enfants.

Activité impliquant des muscles de la poitrine physique, surtout quand il est nouveau ou plus intense
que d'habitude, peut causer des douleurs dans les muscles. La douleur est plus durable la plupart des épisodes
douleur ischémique et souvent le meilleur ou de pire pour un poste en particulier. Prenant une profonde
souffle peut aggraver la douleur, et ne peut affecter une zone spécifique de la poitrine. Urgent
la poitrine dans ce domaine fait souvent la douleur pire.

Angine de poitrine: L'angine est une douleur thoracique liée à un déséquilibre entre la demande en oxygène
cardiaque et la quantité d'oxygène délivré par le sang. Elle est causée par obstruction ou
rétrécissement des vaisseaux sanguins qui irriguent le cœur. L'angine est différent d'un coeur
attaque à laquelle les artères ne sont pas complètement bloqué. En outre, l'angine de poitrine ne fait peu ou rien
des dommages permanents au coeur. L'angine stable se produit pendant l'exercice et disparaît avec
repos. L'angine instable n'est pas soulagée par le repos ou se produit réellement au repos.

La douleur thoracique est un symptôme commun qui peuvent être causées par plusieurs conditions différentes. Certains
causes de douleurs thoraciques exiger immédiatement des soins médicaux, comme l'angine, crise cardiaque, ou de déchirure
de l'aorte. Les autres causes de la douleur la poitrine peut être évaluée élective, comme un spasme
l'œsophage, l'attaque la vésicule biliaire, ou une inflammation de la paroi thoracique. Par conséquent, bon
Il est important diagnostic dans la fourniture de soins adéquats aux patients souffrant de douleurs thoraciques. Le
le diagnostic et le traitement de l'angine est discutée ci-dessous et que le diagnostic d'autres causes
douleurs thoraciques pouvant évoquer une angine de poitrine.

Heureusement, la douleur thoracique n'est pas toujours le signe d'une crise cardiaque. Souvent, la douleur thoracique n'est pas lié à
des problèmes cardiaques. Mais même si la douleur dans la poitrine que l'expérience n'a rien à voir avec
système cardio-vasculaire le problème peut être important – et la valeur du temps passé dans une
salle d'urgence qui ont évalué vos douleurs thoraciques.

Les crises cardiaques – une crise cardiaque ou infarctus du myocarde (IM), se produit lorsque une plaque gras
ruptures. Un caillot sanguin (thrombus) peut se former dans la plaque, ce qui peut partiellement ou totalement
bloc de l'artère. Ce blocage ralentit ou bloque la circulation sanguine dans la zone du muscle cardiaque alimentée par
cette artère. Si cela continue pour les plus de 15 minutes, le muscle peut être endommagé ou
myocarde (le tissu meurt dans ce domaine). Au cours d'une crise cardiaque, le
patient peut se sentir malaise qui est semblable à un épisode d'ischémie. Une crise cardiaque résultats
une période prolongée de l'angine de poitrine.

Une douleur soudaine thoracique grave simulant les symptômes d'un infarctus du myocarde ou
angine de poitrine. La douleur dans la poitrine de mon être touchés par la respiration et peut persister pendant plusieurs jours et peut
répéter. En général, la péricardite est présumé avoir une cause virale et donc faire preuve de la grippe
symptômes avant l'attaque.

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unstable angina frequency

Icd 9 Code Angina


icd 9 code angina



what is the icd 9 code for angina?

The ICD 9 code for Angina is given as under -

* (411.1) ANGINA UNSTABLE
* (413) ANGINA PECTORIS
* (413.1) PRINZMETAL ANGINA
* (413.9) ANGINA PECTORIS, NOS
You have to select it depending on the actual illness…..

Ischemic heart disease ICD 9 Codes (410-414) -

* (410) Acute myocardial infarction
o (410.0) MI, acute, anterolateral
o (410.1) MI, acute, anterior, NOS
o (410.2) MI, acute, inferolateral
o (410.3) MI, acute, inferoposterior
o (410.4) MI, acute, other inferior wall, NOS
o (410.5) MI, acute, other lateral wall
o (410.6) MI, acute, true posterior
o (410.7) MI, acute, subendocardial
o (410.9) MI, acute, unspec.
* (411) Other acute and subacute forms of ischemic heart disease
* (411.1) ANGINA UNSTABLE
* (412) Old myocardial infarction
* (413) ANGINA PECTORIS
* (413.1) PRINZMETAL ANGINA
* (413.9) ANGINA PECTORIS, NOS
* (414) Other forms of chronic ischemic heart disease
+ (414.01) Coronary atherosclerosis, native coronary artery
+ (414.02) Coronary atherosclerosis, autologous vein bypass graft
+ (414.04) Coronary atherosclerosis, artery bypass graft
o (414.8) Ischemic heart disease, chronic, other
o (414.9) Ischemic heart disease, chronic, unspec.-

icd 9 code angina

Angina Lifestyle Changes


angina lifestyle changes




Mild chest pains within left breast, what are likely causes?

22 year old male, pack a day smoker. Born with mild heart murmur but grew out of by age five. No symptoms of heart attack or angina. Pain is not associated with excercise or eating. Pain I would describe as an ache, not sharp without feeling of pressure. Occurs axp 4 -5 times per week over the past 5 weeks. No changes in lifestyle, diet, exercise or meds. Currently no medications, low activity level. So… I think I’ve ruled out all the first things that come to mind. I am confident it is originating in my heart, not surrounding tissues. I am perplexed, help?
No signs of heart murmur since age 5, has been checked with the past year. I had a pop about 3 weeks ago, not likely. Also I fairly fit, 155 lbs 5′ 9″.
No stress, no GERD or Acid reflux. Had a peptic ulcer in lower stomach 2 years ago, treated no further related symptoms. I plan on seeing a doctor, but in my experience doctors have come closer to killing me then treating me.

Too many possibilities, you need to see your doctor and get it checked out. Anything stressfull happen lately? Have you considered the possibility of it being GERD?

In any event only an EKG, CX and labs can rule out MI … yes it’s happened before at age 22, so see a doctor even if you think it’s something mild.

Edit:
Since you gave more info the only thing I can tell you is that you need an EKG read by an experienced MD. THere are a number of arrythmias that could cause you to have these sensations, some obvious and some not so. WPW for example is rare but something that could be associated with your symptoms. No one here is qualified to make that dx so the sooner you see someone the better off you will be.

angina lifestyle changes

What Is Post Infarction Angina


what is post infarction angina




what is post infarction angina

Heart Surgery in india

Mediserve India team is vastly experienced in organizing heart surgery and angioplasty packages for patients for about fifteen years. Cardiac care is Mediserve India ‘strong hold’. Our associate hospitals have experience of over 60,000 heart surgeries with success rate that beats the best in the world. Our panel of cardiologists and surgeons are rated among the best in the world. We offer a complete range of diagnostic and therapeutic options for heart problems like :

  • Digital Cath Lab for interventional cardiac procedures

  • Most modern operation theatres.

  • Step-up and step down ICU’s

  • Mediserve India associate cardiology and cardiothoracic surgery departments rank amongst the best and largest cardiovascular speciality groups in the world

  • An amazing success rate of 99.6%

  • Over 95% surgeries are beating heart surgeries –which offer patients faster post operative recovery and extract less toll on their systems

  • Specializing in the management of heart attacks, coronary artery and valvular diseases and arrhythmias. Having covered the entire gamut of cardiac surgery –from surgery on a 2 day old infant to pacemaker implantation on a 90year old patient.The Cardiology and Cardio Thoracic Surgery Departments of Mediserve India represented hospitals are one of the largest Cardio Vascular groups in the world. The credentials of its Cardiologists and Cardio Thoracic Surgeons have been recognized world wide and their contributions to the field have won them the highest national and international awards.

Heart Surgery Services:

  • CABG , Coronary Artery Bypass Graft

  • Angiographies

  • 64 slice Insta heart scan

  • Heart attacks

  • Myocardial Infarction

  • mitral valve prolapse

  • Arrhythmias

  • mitral stenosis and insufficiency

  • Cardiology Robotic Surgery

  • Pediatric Intervention

  • Pediatric Cardiac Surgery

  • Aortic stenosis and insufficiency

  • Aortic disease

  • Atrial fibrillation and flutter

  • Coronary artery disease

  • Hypercholesterolemia and risk factor modification

  • Heart disease symptoms including angina, shortness of breath and palpitations.

  • Vascular disease

About the Author

  • Cancer Treatment
  • Treatment Of Obesity In India
  • Weight Loss Surgery India
  • What is acute inferoposterolateralMI?admitted with post infarction angina.with possible exention of infarction

    fair LV function,EF 49%RF type11DM syst HTN Dyslipidaemia.Can a strict diet prevent from another Mi?Are heart muscles capable of self repair? Any cardiologists pl.respond.Patient 50yr old,non smoker ,non drinker ,family history, sedentary work,what precaution to be done in future?No H/o EA/DOE

    An acute inferoposteriolateral myocardial infarction (MI) is a heart attack in which part of the left ventricle’s blood supply is cut off, leading to damage (infarction) of the heart muscle (myocardium). Inferoposteriolateral describes the portion of the left ventricle that was infarcted (lower, back, and to the side). Post-infarction angina means residual chest pain. Possible extension of infarction means they are concerned tissue is still hypoxic and damage may spread, or that reperfusion may cause additional injury to the myocardium.

    The rest is history: EF = ejection fraction and is a bit low (due to heart muscle damage). DM is diabetes mellitus, HTN is hypertension (high blood pressure), dyslipidemia probably refers to high cholesterol. Strict diet will help but might not prevent another heart attack, depending on the extent of current atheroscerosis (probably extensive). The myocardium has no regenerative capability – that infarcted muscle is gone and will never come back.

    They’ll try to get that area of the heart reperfused, assess his cardiac function, and get him on some meds.

    what is post infarction angina

    Stable Exertional Angina


    stable exertional angina



    ANGINA PECTORIS (CHEST PAIN) – LEARN ABOUT ANGINA SYMPTOMS, CAUSES, RISK FACTORS AND HOW ARE ANGINA PECTORIS TREATED

    Angina Pectoris (chest pain)

    Angina Pectoris (Chest Pain) is chest discomfort that occurs when there is a decreased blood oxygen supply to an area of the heart muscle. In most cases, the lack of blood supply is due to a narrowing of the coronary arteries as a result of arteriosclerosis.

    Angina Pectoris Medications [Sorted by Popularity]

    Norvasc®, Calan®, Cardizem®, Inderal®.

    » View medications: Angina Pectoris

    Angina Pectoris Symptoms

    Symptoms typically start during physical exertion or emotional stress. They are often worse in cold or windy weather and sometimes after big meals.

    • A sense of heaviness or numbness in the arm, shoulder, elbow or hand, usually on the left side.
    • Increased shortness of breath on exercise.
    • A squeezing or heavy pressing sensation on the chest.
    • The discomfort can radiate into both arms, the jaw, teeth, ears, stomach and in rare cases between the shoulder blades.
    • A constricting sensation in the throat.

    Blood then clots around the rupture, and the clot may be large enough to block the artery and seal off the blood supply. This may cause unstable angina or a heart attack.

    Angina Pectoris Causes

    In most cases, the cause of angina is coronary atherosclerosis: the thickening of arteries that supply blood, oxygen and nutrients to the heart.

    Symptoms may only appear at times when your heart needs more blood supply, such as when you’re stressed, exercising or climbing stairs.

    This happens when fatty deposits, called plaques or atheroma, narrow the arteries over time and reduce blood flow to the heart.

    As your heart tries to pump faster to meet your body’s increased demands, the narrowed arteries struggle to keep up. The heart then receives too little oxygen, which causes pain in the heart that is felt as chest pain. In severe cases this can also happen when the heart is at rest.

    » Learn more: Angina Pectoris

    ……………………………………………………………………………..

    tags: angina pectoris, angina pectoris symptoms, angina, angina pectoris couses, angina pectoris symptome, symptomen angina pectoris, angina pectoris treatment, nitroglycerin treatment to angina pectoris, stable angina pectoris and nitroglycerin

    About the Author

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    Heart Attack

    stable exertional angina

    Unstable Angina Medications


    unstable angina medications




    panic attacks?

    if a woman of over 50 who has unstable angina gets frequent panic attacks is it very dangerous?
    usually she gets this when she’s eating she suddenly throws up everything she ate and starts to gasp for her breath… she then tries very hard to keep breathing and panics…… right after that she feels dizzy……. and thats followed by her chest hurting which could be because of angina or the force of vomiting…….
    she has high pressure and is being treated for that and takes medication for high cholesterol.
    het ovaries are removed but does not take any hormone tablets.
    thank u very much guys ur answers are amazing.

    Hi Elaine

    Here are some ideas to heal the issue.

    Cause
    Anxiety disorders occur in people of all ages, but appear to be more common among women. The occurrence of an anxiety or panic attack is often unpredictable, but it may be associated with certain situations such as driving a car. The exact cause is complex, involving constitutional factors, emotional stress, biochemical imbalances, and environmental triggers. In women, hormone imbalances can cause anxiety. Therefore, hormone assessment is essential. Amino and fatty acid imbalances can also play an important role in triggering anxiety attacks.

    ——————————…

    Natural Cures

    Diet: Assess your diet to reduce excessive consumption of stressor foods such as refined sugars, honey, maple syrup, or cow`s milk products. Consume vegetable soups, broths, and a wide variety of green and yellow vegetables. Add more complex carbohydrates such as whole grains, beans, seeds, and nuts.

    Flower Essences: Flower essences can prove very helpful in managing and helping to eliminate anxiety. Use Aspen for apprehension, foreboding, and fear of unknown origin while Mimulus is for fear of known things, shyness, and timidity. Red chestnut is used for excessive anxiety and over caring for others. Rescue Remedy® (combination formula) is for general stress from anxiety, and Rock Rose is helpful for coping with terror and panic from known fear.

    Herbs: Panax ginseng has a tonic effect on the adrenal glands, improving blood flow to the brain and reducing the stress associated with mental/emotional issues. Valerian root, an herbal tranquilizer and muscle relaxant, is another good agent for calming the nervous system. It helps balance mood swings and is not habit forming. Valerian-hops combination formulas are good daytime sedatives because they don`t interfere with reflex actions. Passionflower is another mild sedative that helps reduce anxiety, high blood pressure, nervous tension, and muscle tension, and encourages deep, restful sleep. St. John’s wort, a highly popular remedy for depression, has proven effective for anxiety and mood swings as well.

    Homeopathy: Aconite, Actaea rac., Drosera, Calc carb., and Sulfur are all useful homeopathic remedies for dealing with anxiety.

    Hypnotherapy: Self-hypnosis helps to impart to the mind imagery designed to bring about deep levels of relaxation.

    Meditation: Develops the mind`s ability to stop anxiety at its source.

    Nutritional Supplementation: The following supplements have all been shown to help reduce feelings of anxiety by calming the nervous system: calcium, magnesium, vitamin B complex, 5-HTP, pantothenic acid, and adrenal and kidney glandulars. GABA (gamma-aminobutyric acid), an amino acid, can also affect mood by increasing levels of the brain neurotransmitter serotonin (a mood regulator).

    Alternative Professional Care
    If your symptoms persist despite the above measures, seek the help of a qualified health professional. The following professional care therapies have all been shown to be useful for treating and relieving the symptoms of anxiety: Acupressure, Biofeedback Training, Bodywork (especially Massage Therapy), Environmental Medicine, Guided Imagery, Hypnotherapy, Magnetic Field Therapy, Naturopathic Medicine, Orthomolecular Medicine (for a self-care approach, we recommend the book The Mood Cure by Julia Ross), Qigong, Traditional Chinese Medicine, and Yoga.

    Best of health to you

    unstable angina medications

    Variant Angina Pectoris


    variant angina pectoris



    variant angina pectoris

    Treat Angina Naturally


    treat angina naturally



    Lord Abnev and Solution Finders Manage High Blood Pressure Naturally with Master cleanser diet

    Research in China has shown it to be useful in the treatment of symptoms related to high blood pressure such as dizziness, numbness of extremities, tinnitus, headaches, and pain behind the eyes. Another useful herb is Ye Ju Hua or chrysanthemum flower, which has been shown to have a prolonged effect of lowering blood pressure through peripheral vessel dilation. It has also been shown to increase blood flow to the heart. Another herb that is used to clear Liver Heat and is commonly used to treat eye problems that may be beneficial for high blood pressure is Xia Ku Cao or prunella. It may have a sedative and tranquillizing effect. It has been shown to have usefulness for renal hypertension and essential hypertension.

    An acupuncturist or Chinese herbalist always takes an inventory of symptoms, along with looking at a person’s tongue and feeling a person’s pulse in order to determine the specific combination of points and herbs that a person needs. They may also help reduce cholesterol. It also may improve microcirculation in the body. In China, pills of Dan Shen are used in the treatment of angina and in the treatment of coronary heart disease. It also may help promote repair and regeneration of tissues by increasing the body’s metabolism.

    Certain acupuncture points are also known to be useful in the treatment of patterns related to high blood pressure. Large Intestine 4 is a point that many people know can help to control headaches. It is on the back side of the hand in between the thumb and index finger. It is also commonly used point for blood pressure related patterns. Another point at the vertex of the head, Du 20, is also commonly used. Different people with high blood pressure are treated differently depending on the pattern they present.

    During my time in China, I did clinical rounds in the cardiology department at the Chengdu Traditional Chinese Medicine Hospital. Modern drugs and diagnostic equipment were used hand in hand with Chinese herbs and acupuncture in order to treat conditions such as high blood pressure, angina pectoris, cardiac arrhythmias, heart enlargement, and stroke. I even saw Chinese herbs, such as Dan Shen, being given in intravenous and in injectable form. The conditions were diagnosed using modern science and traditional Chinese diagnosis. Drugs were used for symptom control and for emergencies. As people’s condition improved with the use of Chinese herbs and acupuncture, their doctors slowly adjusted the dosage of drugs that they received. The results I saw were better than either form of medicine could have achieved alone. We do not have the benefit of experiencing such a deep synthesis of modern medicine and ancient techniques yet in the West. Nevertheless, I believe that as people learn more about the benefits of Asian medicine, we may someday come close to achieving a more integrated system of care in the West that will be more clinically effective, more cost effective, and result in fewer side effects. Shan Zha, or hawthorn berries, have been shown to reduce cholesterol when taken for six weeks or more. It is often used in China to improve circulation and to treat angina pectoris. Another herb that is commonly used in China for cardiovascular problems is Dan Shen, or Salvia. It has also been shown to reduce cholesterol.

    In Chinese Medicine, many of the symptoms of high blood pressure, such as pounding headaches, dizziness, and pressure behind the eyes are often related to a pattern of Liver Yang Rising or Liver Heat. It is important to see a physician for proper diagnosis and supervision of high blood pressure, but acupuncture and Chinese herbal medicine may also be useful for managing your condition. Certain herbs have been shown to have an anti-hypertensive effect. Certain other herbs have been shown to be useful for controlling cholesterol levels and improving cardiovascular function. Acupuncture has been shown to have a general relaxing effect which can be useful in stress related or essential hypertension. In addition, certain points are commonly used in the treatment of patterns that relate to high blood pressure.

    One commonly used herb for symptoms and patterns related to high blood pressure is Tian Ma or gastrodia rhizome. Chinese research has shown that it has a moderate vasodilating effect. These herbs are often used in combination by practitioners of Oriental Medicine in the treatment of patterns related to high blood pressure.

    Other herbs may be useful for improving heart and circulatory function.
    About the Author

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    Unstable Angina Signs And Symptoms


    unstable angina signs and symptoms



    unstable angina signs and symptoms

    Angina Cordis


    angina cordis




    angina cordis

    Sudden Cardiac Death in Sports: Pre-participation Screening of Athletes

    Definition

    Sudden death in sport (SD) is defined as natural death that occurs within one hour of onset of symptoms in a fit individual participating in, usually, an elite level sport. Sudden cardiac death contributes to 93% of all sudden deaths in sport. This apparently occurs in a person without previously recognized predisposing cardiovascular conditions. In some instances, pre-existing symptoms may already have been present, but the time and mode of death are unexpected. This excludes cerebrovascular, respiratory, traumatic and drug related causes which are the origin of the other 7% of sudden deaths”. A significant cause of death in contact sports is commotio cordis, which is referred to in one of my other articles.

    Incidence

    The incidence of SD is estimated to be about one death in 1 in 200000 per year with an average of 300 deaths per year, but the incidence could be higher according to some European studies. An Italian study suggested an incidence of 1.6 – 2.3 per 100000 athletes per year (2.1 per 100000 per year due to cardiovascular causes) and 0.8. This clearly reflects an increased incidence in athletes.

    Symptoms

    most of cases are asymptomatic

    in the rest, symptoms occurring prior to with SD are

    i. angina (chest pain)

    ii. dyspnoea (breathlessness)

    iii. palpitations (awareness of one’s heart beating)

    iv. pre syncope or syncope (light headedness or fainting)

    Etiology

    Cardiovascular causes of sudden death

    - Hypertrophic Cardiomyopathy (HCM)non obstructive, obstructive, ischemic, etc – Valvular disease: Aortic stenosis, Mitral Valve Prolapse

    - Coronary artery disease

    - Congenital anomalies of coronary arteries

    - Idiopathic concentric left ventricular hypertrophy

    - Aortic rupture

    - Right ventricular dysplasia (ARVC)

    - Myocarditis: viral, sarcoidosis, amyloidosis

    - Arrhythmias and conduction defects Congenital heart disease: Marfan’s, WPW syndrome

    - Pulmonary embolisation

    Drugs

    - QT interval increasing: cisapride, domperidone,chlorpromazine, haloperidol, pimozide, erythromycin and clarithomycin

    - epinephrine, ephedrine, cocaine, etc

    - performance enhancing: erythropoietin (hyperviscocity & thrombogenesis) anabolics

    Commotio cordis (CC)

    sudden impact on the precordium, during a vulnerable period of the cardiac cycle cause ventricular fibrillation and sudden death without any visible injury to the sternum or ribs, e.g. contact sport. In 80% of cases of sudden cardiovascular death in athletes, the cause has been identified to be either hypertrophic cardiomyopathy or arrthymogenic right ventricular cardiomyopathy.

    Age considerations

    In general, in athletes > 35 years of age, atherosclerotic coronary arterial disease is the leading cause while in those < 35, it is often caused by HCM, a silent cardiac condition which gets unmasked during performance.

    Geographic considerations in etiology

    In the US, hypertrophic cardiomyopathy is the major cause of SD. In contrast, in Europe, cardiac arrhythmias and abnormal cardiac arterial anatomy is supposed to be the leading cause. An interesting statistic is that of all the sudden deaths in the US, 50% were found to be amongst athletes of Afro-American origin. In Asia, on the contrary, (the Philippines, Thailand, Japan), Brugada syndrome seems to be the most common cause of natural death in men younger than 50 years of age. This relates to cardiac arrest occurring during sleep or at rest and not during a sport performance . An importance observation is these cases had been the reports episodes of nightmares occurring prior to the event. This might suggest a role of the sympathetic nervous system.

    Risk Stratification of Sudden Cardiovascular Death

    Clinical

    a. Double apical impulse with each ventricular contraction

    b. Carotid jerky double pulsation, called pulses bisferiens

    c. Ejection systolic murmur

    Laboratory Investigations

    Non-invasive

    a. ECG: suggestive of LVH, in addition, there is ST segment depression, gross T wave inversions, pathologic Q waves, and suggestion of LBBB, left axis deviation

    b. 2D Echocardiography: to measure the thickness of the Left ventricular wall, and the anatomical variations of the Mitral valve

    c. Angio–CT

    d. MRI

    e. Doppler Study: to access the blood flow through the chambers

    f. Ambulatory Holter monitoring Invasive Cardiac catheterization: to assess the pressure gradient between the LV and the ascending aorta, in normal heart there being no such difference

    Pre-participation screening / exercise testing of athletes

    Overwhelming majority of sports researchers agree on the need for preparticipation screening in sports. it is mandatory in the US and Italy. In Australia, it has been made compulsory in some sports. The American Heart Association has laid down specific recommendations for the screening of athletes. These state that ‘some form of pre- participation cardiovascular screening for high school and collegiate athletes is justifiable and compelling, based on ethical, legal and medical grounds’. Noninvasive testing can enhance the diagnostic potential of the standard history and physical examination; however it is not prudent to carry out routine use of tests as 12-lead ECG, echocardiography, or graded exercise for detection of CV disease in large populations of athletes. The Laussane recommendations have also laid down specific guidelines for pre-screening. However, guidelines by different bodies have given rise to a lot of debate and no single guideline can be considered satisfactory.

    Treatment

    Usually, the underlying mechanism of sudden cardiovascular death is ventricular fibrillation; hence, as such can be treated with defibrillation. Thus in elite sport, up gradation of sport first aid infrastructure, with routine employment of automated external defibrillators (AEDs) is the need of the hour. Keeping in mind the ABC of resuscitation, the surviving sports person is then transported to a referral heath unit for investigation into the causes of the event. Admission to an ICU for observation or management is usually warranted.

    Discussion

    In general, a lot of research has been done and a lot written about sudden cardiovascular death related to sport, but thanks to different outcomes of various studies, confusion still prevails about the exact definition of the condition, and indeed, what exactly causes it. Although, we know of conditions which may predispose to sudden death, we cannot as yet, on the basis of screening tests or procedures available, say for sure what condition(s) will definitely lead to sudden death. Hence, the major dilemma surrounding banning athletes from competition. On the one hand, there is the ethical issue of preventing risks that can lead to death, while on the other, there is the thought of banning the athlete when you are not sure if his/her heart condition is indeed a pathologic state. One may argue that taking risks is an inherent part of sports, esp. boxing, car racing, etc but life threatening risks should be a strict ‘no-no’. To conclude, exercise or sport may lead to sudden death but the benefits of exercise far outweigh the risks involved. Even in elite athletes, the risk-benefit ratio is to be taken into consideration when disqualifying him or her from competition. It is of paramount importance to judge whether the left ventricular wall thickness is a measure of physiologic adaptation to exercise or relates to a cardiac pathologic state. Physical exercise per say does not cause cardiovascular death. Does it, then, unmask a cardiac condition to cause a heart attack which otherwise would not have occurred had the person not been exercising or playing sport? That is the question for the medical community to answer. With a society dealing with ever increasing medical conditions associated with a sedentary lifestyle and unhealthy dietary habits, humanity can ill afford to be discouraged from participation in sport or exercising under any pretext unless irrefutable proof of exercise causing death exists.

    About the Author

    Dr Deepak S Hiwale
    Sports Medic Aberdeen UK
    drdeepakhiwale@aol.com

    angina cordis

    Acc Aha Angina Guidelines


    acc aha angina guidelines



    acc aha angina guidelines

    Angina Powerpoint


    angina powerpoint



    angina powerpoint

    Atypical Angina Pain


    atypical angina pain




    atypical angina pain

    The Risks of Coronary Heart Disease

    Coronary heart disease is often called coronary artery disease. A coronary artery is blood vessels, which are narrow tubes that carry blood to your heart. Your arteries can get built up with plague blocking the flow of blood and oxygen through them. Plague is a fatty substance made from cholesterol. It can happen in ay artery but it is much more serious if it is the coronary artery. Coronary heart disease can lead to very serious health risks such as angina and heart attacks.

    If you are overweight or have diabetes you are more at risk of coronary heart disease. High blood pressure and high cholesterol will also put a person more at risk. Men and women can both get coronary heart disease and it can develop as a person gets older. It can also be a heredity disease.

    Lowering your blood pressure if you have high blood pressure can reduce your risks of getting coronary heart disease and the same goes for cholesterol levels. Smokers are more at risk as well, nicotine raises blood pressure. After 2 or 3 years of not smoking your risk will be as low as the risk of someone who does not smoke.

    Eating a healthy diet will lower the risk of coronary heart disease. Adding foods to your diet that are low in cholesterol and saturated fat will help reduce the risk greatly. Saturated fats are bad because your body turns saturated fats into cholesterol. Getting regular exercise can make your heart stronger. Exercise can also lower blood pressure. Taking an aspirin everyday helps prevent heart disease but there are risks of taking it every day. Ask your doctor if it is the right treatment for you.

    Taking a vitamin supplement can lower a person’s risk of having a heart attack. Vitamin E is really good for lower the risk. Alternative Health Supplements offers a product called Super Cardio Program; it combines two important steps for better cardiovascular health. The heart support has Coenzyme Q10, hawthorne extract, citrus bioflavonoid, and vitamin E to support the health of your heart. The artery support has folic acid, cayenne pepper, vitamins B1, B6, B12, and magnesium to maintain healthy blood flow.

    Symptoms of coronary heart disease are most of the time very noticeable, but sometimes you can have the disease and not even know it. Chest pain or discomfort is the most common and noticeable of all the symptoms. The pain happens because there is not enough blood and oxygen getting to the heart. The pain will vary from person to person.

    Symptoms may be very noticeable, but sometimes you can have the disease and not have any symptoms. There are two types of chest pain atypical and typical. Atypical is often sharp pain and will come and go. You will feel it in the left chest, abdomen, back, and arm. It is more common in women. Typical chest pain feels heavy or like someone is squeezing you. You feel it under the chest bone and the pain occurs with activity or emotion. Other symptoms include shortness of breath, heart attack, and fatigue with activity or feeling over exerted.

    Treatments depend on your symptoms and how severe it is. Sometimes treatment can include one or more of the following; medicine, angioplasty, and a stent. By pass surgery could be required if heart attack was the symptom.

    About the Author

    Steven Johnson is interested in maintaining a vital and healthy lifestyle. For more information on various health products and other life-enhancing nutrients please visit his website
    Alternative Health Supplements

    atypical angina pain

    Angina Young Adults


    angina young adults



    angina young adults

    Stable Angina Cure


    stable angina cure



    stable angina cure

    Rose Angina Questionnaire


    rose angina questionnaire



    rose angina questionnaire

    Angina Care Plan


    angina care plan




    angina care plan

    Treatment Of Heart Attack And Home Remedies For Heart Care

    The pediatric cardiac center at Miller Children’s Hospital provides total prenatal, infant, pediatric and young adult heart care for patients with congenital or acquired heart disease or who have a family history of heart problems.

    These heart evils include children who are born with hole in the heart, irregular heart valves, irregular blood vessels and small or immature chambers of the heart.

    The pediatric cardiac center also has treatment and pre-emptive care plans for heart problems that enlarge later in childhood such as chest pain, faint, palpitations, high blood pressure and high cholesterol level.

    The human touch and advanced technology go hand in hand at the Center for Advanced Heart Care.

    Because the watchful eye of a nurse always plays a major role in a patient’s recovery, nursing units are only steps away from each patient. This allows nurses to spend more time at the patient’s bedside.

    Causes of Heart Problem

    Over time, cholesterol buildup can occur in these blood vessels in the form of plaque. This narrows the artery and can imprison the amount of blood that can flow from end to end it.

    If the artery becomes too narrow, it cannot bring enough blood to the heart muscle when it becomes stressed.

    Just similar to arm muscles that start in on to hurt if you lift too much, or legs that ache when you run too fast; the heart strength will ache if it doesn’t get sufficient blood supply. This ache is called angina.

    Symptoms of Heart Problem

    1.    Shortness of breath
    2.    Palpitations (irregular heart beats, skipped beats, or a “flip-flop” feeling in your chest)
    3.    A faster heartbeat
    4.    Weakness or dizziness
    5.    Nausea
    6.    Sweating
    7.    Extreme weakness, anxiety, or shortness of breath

    Treatment of Heart Problem

    Treatment of heart attacks and cardiac disease requires careful monitoring and experience in complex surgical techniques.

    Our medical staff is knowledgeable in the following treatments for crisis or elective patients.

    1.    Aortic and femoral stent graphs
    2.    Aortic aneurysm resection
    3.    Cardiac valve repair and replacement
    4.    Congenital cardiac repair
    5.    Coronary angioplasty and stenting
    6.    Coronary bypass surgery

    Home Remedies for Heart Diseases

    Diet for heart diseases – Being a natural source of vitamin C, Emblica myrobalan (amla) prevents all heart problems.

    Daily use of lemon also prevent heart problems as it prevents the buildup of cholesterol in the blood vessels. This is one of the heart care cure.

    Honey is considered as one of the excellent home remedies for heart care. Mix a tablespoon of honey and the juice of half a lemon in a glass of water, before going to bed.

    Beet juice is considered as the most effective for heart ailments.
    Daily intake of two piece of garlic boiled in milk is optional for the prevention of heart problems.

    Parsley is another effective heart care remedy that keeps the heart in a healthy condition. Parsley tea can be taken 2-3 times a day.

    This is very effective home remedy for heart care.
    Fresh grape fruits are exceedingly beneficial in the treatment of heart disease as they tone up the heart. Home Remedy for Heart Care.

    Heart care remedy – Apples have heart-stimulating properties. Apple juice and apple jam can be taken in liberal amounts.

    A prolonged immersion bath at room hotness taken at bedtime on alternative days is also helpful for the heart patients.

    About the Author

    Read more on <a href=”http://www.himalayahomeremedies.com/homeremedies_heartcare.htm”>Home Remedies for Heart Care</a> <strong>and </strong><a href=”http://www.himalayahomeremedies.com/homeremedies_cholesterol.htm”>High Blood Cholesterol</a> Home Remedies and <a href=”http://www.himalayahomeremedies.com”>Herbal Remedies</a>

    angina care plan

    Unstable Angina Heart Attack


    unstable angina heart attack




    unstable angina heart attack

    Tips for Heart Month: Cause and Treatment of Heart Attacks

    “Knowledge…should sharpen our ability to scrutinize more steadily.” – Margaret Mead

    Like the other organs of the body, the hardworking heart requires oxygen and nutrients to function. This need is met by the coronary arteries, two small vessels on the outer surface of the heart muscle. The right coronary artery supplies the undersurface of the heart. The left artery runs for about an inch at the top of the heart before dividing into two main branches called the “left anterior descending,” traveling to the front of the heart, and “circumflex” supplying the back of the heart. These three arteries (right, left anterior descending and circumflex) and their branches send smaller tributaries into the substance of the hart muscle to supply it with the oxygen and nutrients needed to contract and pump normally.

    The coronary arteries are more susceptible than most other arteries to athererosclerosis (also known as arteriosclerosis), a buildup of cholesterol with the walls of the vessels. When severe, this buildup may obstruct the artery. Under resting conditions, the blood flowing through the diseased coronary artery may be sufficient to supply a specific area of heart muscle, but under more demanding conditions, such as exercise, when the heart is working harder and requires oxygen and nutrients, the obstruction may not allow sufficient blood through to meet the needs of the heart area it supplies. An imbalance of oxygen supply and demand (called “ischemia”) is created. When this occurs, the afflicted individual often experiences symptoms of chest discomfort called “angina pectoris.”

    A diseased coronary artery can also become unstable, resulting in ulceration or total disruption of a cholesterol deposit. This often leads to major problems. An ulcerated or disrupted coronary artery is susceptible to blood clots forming on its exposed surface. When this occurs, the vessel can become completely occluded. As a result, the portion of heart muscle supplied by that artery becomes starved for vital oxygen and nutrients. If the occlusion persists for more than an hour, the affected muscle begins to die. This is usually accompanied by severe, persistent crushing pain over the center of the chest, the prime symptom of a heart attack.

    When this symptom strikes, it is urgent to get to the nearest hospital emergency room– immediately! Cardiologists can now thread a balloon catheter from the groin into the blocked area and open it up, salvaging precious heart muscle, which can substantially improve long-term prognosis. Remember: your heart is a remarkably resilient organ. It can suffer significant damage before impairment in function occurs. The outlook for patients with coronary atherosclerosis depends on the extent of heart muscle damage from a heart attack and on the extent of blockage in the coronary arteries. Reducing the initial damage, as well as taking the vital steps to reduce your risk factors for a second attack (i.e. lowering your cholesterol, normalizing blood pressure, supervised exercise, diet and weight reduction, reducing stress, etc.) are the keys to living a long and healthy life after suffering a heart attack.

    About the Author

    Richard Helfant, MD, is a Harvard-trained cardiologist and developer of cardiac technologies. His book
    Courageous Confrontations
    , is about how the mind-body relationship can prevent and help one recover from a
    heart attack
    .

    Do I have unstable angina? Please help?

    Last night I do not know when but I vaguely remember Having a sharp pain that was pulsing randomly but frequently 1-4 seconds while I was sleeping or slightly awake.Its fine today and this also happens sometimes when im awake. I have alot of anxiety and stress but can that cause it in the middle of the night?

    I had an 2 ekgs within the last 8 months most recent maybe 1 and 1/2 to 2 months ago for heart palpations. The results came back fine but I had Tachycardia sinus(fast heart rate) but that was only b/c I was extremely nervous They said it was anxiety and they slowly went away.

    Its 4:30 am and im scared to go to sleep because i heard unstable angina says a heart attack is close.

    Please help
    ps im 19 but I used to ear very unhealthy not I eat healthier I weigh 190 I am 5 foot 11 1/2.

    Hopper,
    An EKG may not be sufficient to diagnose the problem. I would recommend a heart stress test or heart cath, or starting a medication like Plavix. Your problem, if it exists, does not originate in the heart. It originates in the veins and arteries leading to the heart. Here is the url of a web page that explains it a little better.

    http://heartdisease.about.com/cs/coronarydisease/a/unstableangina.htm

    Hope this helps. Good luck!

    Insidermedicine in 60 – January 29, 2008

    unstable angina heart attack

    Chronic Angina Drugs


    chronic angina drugs




    Please interpret this angiogram report that recommends (triple) heart bypass surgery. Thanks.?

    NIMS – Hyd, India
    Male | 56y
    –Page1–
    History : CAD- Chronic Stable Angina, DM+ HTN+
    Angina: N
    Episodes/day: N
    Dyspnoea: N

    PND: NPALP:NSyncope: N
    MI:N
    Thrombolysis:NH/O TIA/Stroke:NCHE:NAsthma:N
    Drug/Contrast Allergy:N DM:+HTN:+

    Smoking:-HLP:-Obesity:-APD:-PVD:-
    Blindness:Nitrates:NormalB-Blockers:NormalCa Blockers:Normal
    Others:NormalPallor:NOedema:N

    Eczema:NPulses:Normal
    JVP:NormalPR: BP:Normal mmHg CVS: CEN S3:N S4:N MR:N AS:N
    Others:NormalChest:NormalCNS:Normal Abdomen:Normal

    –Page2-
    Echo : No RWMA. Good LV Function
    GXT : TMT Negative
    RNV : Not done
    Thallium: Not done
    DIAGNOSIS: CAD- CHRONI STABLE ANGINA
    DM/ HTN
    Pressures: PCPW-MPA:- RV:-
    LV:- PA1/4 -
    LMCA: Normal
    LAD: Type III, Proximal 99% lesion
    Diagonal : D1 Small Diseased
    RAMUS: –
    LCX: Proximal Tight Lesion
    OMs: OM1 Diffuse Disease
    RCA: Dominant, Proximal & Mid Diffuse Disease
    LV ANGIO: Not done

    CATH Diagnosis: CAD- Triple Vessel Disease
    Advice: CABG

    LAD: 99% lesion means there is barely any discernable flow of the Left Anterior Descending artery. That may go 100% blocked and you could lose 40% of your heart.

    LCX very well blocked
    RCA many lesions.

    Yeah, triple CABG as soon as possible.

    After my angiogram, with three mains at 99%, 99%, and 80%plus other diffuse disease, they operated on me the next morning. Putting this off would be a mistake, maybe fatal.

    But if you are not having unstable angina. you can wait a bit longer.

    chronic angina drugs

    Co To Jest Angina


    co to jest angina



    co to jest angina

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