5 sten/ 5 baloone and modrateMR
My wife with 5 sten and 5 bloone and modrateMR I want to attached CT Anjiography test report resently we did. Give me advice about her resent condition and treatment
Thoracic Outlet Syndrome Surgery
Health Q&A
Hypercholesterolemia
Im having elevated ldl cholesterol above 190mg/dl from past 3 yrs , with lifestyle modification and diet changes i have reduced my weight by 7kg and ldl cholesterol to 158mg/dl. Despite of the changes im having borderline high ldl cholesterol. I have also done lipoprotein a test which is also on the higher side . Do I require to take statins for indefinite period or I can decrease cholesterol levels further by diet and exercise alone.
Angina?? Neck n jaw burn
Since the past two days have been having some weird pressure and deep burning ache in my neck and jaw- I was also having occasional chest pressure, but I knew it was due to GERD but this neck n jaw issue is new I consulted my regular cardiologist, who did ECG, echo and some blood test, which were completely normal - I also have a history of a normal invasivea angiogram done a year ago He gave me medicines for GRD and dysphasia mentioning that GERD issues can present in several atypical ways But my mind remains fixed on cardiac side - since all the investigations have been done, I don't know if I should go for any other test
Vein Nerve
Left arm , neck, shoulder, back, eyebrow, lips NERVES TINGLING TWITCHING alot. Also when i wakeup after lying down for sometime, i feel like a worm passing from my shoulder vein to chest or sometimes to left arm. It feels like something traveling passing through shoulder veins to othe parts of left body. What is this?
EECP vs Other non surgical options
EECP vs Better Non-Surgical Options: 61F Post-Pulmonary Edema (TVD, 42% EF) 61F. Frail/thin. Hospitalized last week for 1st time with acute pulmonary edema (now resolved). Currently stable: lungs clear, SpO2 98%, Pulse 82-85, FBS 155, PPBS 198. Has intense thirst and fragmented sleep. Angiogram: Severe TVD. LMCA 30-40% stenosis; LAD total occlusion (filling via active collaterals); Distal LCX 90-95% stenosis; RCA total occlusion (retrograde filling). Surgeons advised against CABG/PCI due to frailty; recommended medical management as collaterals are compensating. 2D Echo: EF 42%, mild PAH, multiple hypokinetic LV segments. Chambers/IVC normal. Meds: Axcer 90mg BID, Aspirin AV 75/40, Bisoprolol 1.25mg, Angispan 2.6mg, Oxra 10mg, Tab Leni 40mg (1.5 tabs/day). NovoRapid (10-10-8) + Lantus (10u at 10 PM). Strict 1L fluid limit, zero-salt diet. Questions: Can EECP safely mature her collaterals, or does increased venous return risk re-inducing pulmonary edema so soon?
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Doctors
Dr. James Karas
Cardiologist (Medical School, Fellowship in Cardiovascular Diseases, Residency in Internal Medicine, Doctor of Medicine, Residency - ID, Fellowship 2, Medical degree, DO, Fellowship in Cardiovascular Medicine)
36 years experience
Cleveland Clinic
Columbus 43212, COLUMBUS
Dr. John P Kovalchin
Pediatrician (Medical School, Fellowship in Pediatric Cardiology, Residency in Pediatrics, Residency - ID, Fellowship 2)
37 years experience
The Richard M Ross Heart Hospital
Columbus 43210, COLUMBUS
Dr. John Jay Warner
Internal Medicine (Medical School, Residency)
34 years experience
The Ohio State University Wexner Medical Center General Surgery
Weinland Park, COLUMBUS
Dr. Fareed Raza Shaikh
Cardiologist (Medical School, Class of 1999, Residency - ID, Fellowship 2)
29 years experience
Mount Carmel Medical Group
Columbus 43213, COLUMBUS
Dr. Lee R Davis
Internal Medicine (Fellowship, Medical School, Residency, Internship, Residency - ID, Fellowship 2, Class of 1973)
53 years experience
Knightsbridge Int Med & Car
Columbus 43214, COLUMBUS
