Heart burn or angina and palpitations

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Submitted by Dr T on January 3, 2014 – 12:27pm Question:  Your Question: 37 y/o male with Sudden onset of palpitations w/SVT episode 6/mo ago.  Second SVT 1/week ago.  Normal echo, stress echo and EKG. PVCs and few cases of heart block. Chest pain with/without exercise, comes and goes in waves.  Sensation of heartburn not relieved by antacids.  Am I …

Hypertension treatment

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Submitted by Dr T on December 11, 2013 – 1:02pm in Cardiac Risks Question:  im 80 year old male with diabetes and hypertension,and atrial fibberation.my blood pressure was controlled by 20mg of linisopril at day and 5mg of amlodipine at nite.for the past 3 weeks around 900pm my blood pressure would start to rise  and  go as high as 170/80.i …

How long do cardiac bypasses last?

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Submitted by Dr T on December 9, 2013 – 10:32am in Cardiac Risks Question:  It’s been 12 year since  my bypass operation, and the arteries were removed from my right leg, what I would  like to know is how long do they last before they need to be  replaced?  Thanks, Ed Hi Ed, Your bypass was done using veins from your …

Pain after open heart surgery

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Submitted by Dr T on December 2, 2013 – 3:29pm in Chest Pain Question:  Dear Dr T,Following a CABG X3 in Sept 2012 I have had ongoing chest soreness. I had an echo done in the summer which showed slight heart damage and an EF of 50-55%. At my own request I also had a treadmill stress test about 2 …

Premature Ventricular Contractions or Coronary Spasms

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Submitted by Dr T on November 27, 2013 – 10:50am Question:  I am 44 female, don’t smoke, no BP, no diabetes, no cholesterol.  I have always had pvc’s but they were once in a while. Since the beginning of 2013 I have them more frequently and sometimes the heartbeat is so painful, it’s like a knife stabbing me from inside. …

Chronic Kidney Disease, Hypertension, Heart Damage?

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Submitted by Dr T on November 18, 2013 – 11:12am in Cardiac Risks Question:  Dear DoctorMy husband is 64 years old and was diagnosed with Chronic Kidney Disease (CKD) about 2-3 years ago. He lost one kidney due to a rugby injury many years ago. He has had a lot of downward swings in his GFR this year for various reasons …

leaky heart valve

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Submitted by Dr T on November 12, 2013 – 1:06pm Question:  Hi, I was diagnosed with having a leaky heart valve some years ago and it was recommended that I have a detailed heart scan every two years. However, they stopped sending for me and i had to visit my G.P just to query why. He advised me to contact …

Enlarged Aorta

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Submitted by Dr T on November 12, 2013 – 12:42pm Question:  What are the specific foods to stay away from and what are specific foods that would help ?I am 67 year old male  and going thru testing on my condition now. My health is good to excellent and I exercise now.Should I rise the heart rate to standard norms …

What heart valve operation is best?

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Submitted by Dr T on November 7, 2013 – 5:04pm in Cardiac Risks Question:  Is there one mechanical aortic valve (St Jude, or ATC etc) better than another? The question is not what mechanical heart valve is best. That’s your surgeon’s decision, and it depends on his personal experience.  The real question is whether a mechanical valve is preferable  over …

Canakinumab for prevention future heart attacks

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Submitted by Dr T on November 1, 2013 – 4:52pm Question:  Dear Doctor, As a heart attack p-t (and having arrhythmia)I’d like to know your opinion about significance of experimental(approved for different problems) canakinumab injections  to fight inflammation in the body; whether the issue of inflammation for cardiovascular health itself is overstated, and if not, what inflam. levels are considered …