I cannot tolerate using Statins. What should I do?

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Submitted by Dr T on November 11, 2010 – 9:48am in Other Question:  I am 57, 5’10, 160lbs non-smoker RN.  I exercise 5 days a week. and eat a very low fat no beef diet.I have borderline hypertension which I treat with Ramapril 10mg daily.Father had CAD at 65 had his first of 2 bypasses.My cholesterol is 250  LDL 140 …

Was CPR the right thing to do?

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Submitted by Dr T on November 9, 2010 – 9:12am in Other Question:  hi I did cpr on man about 60yrs on sunday, he fell his head was split and he was chasing boys at the time he has had heart problems before , i did it never stopped.  ambulance eventually came about 10 -15 mins i thought he was …

I have had two stents and I am told my heart is weak

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Submitted by Dr T on November 8, 2010 – 9:25am in Cardiac Risks Question:  I had gone thru two Angioplasty procedures and now, I would like to know what I should do next after the below Echocardiogram Investigations: No LVDD, IVS Thinned out. LVEF 30%, Akinetic apex, LVID 54/41.   Your ECHO shows evidence of an old myocardial infarct, as …

How do I perform CPR?

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Submitted by Dr T on November 7, 2010 – 6:43pm in Your heart rhythm CPR (cardiopulmonary resuscitation) is indicated in those who are unresponsive with no breathing or only gasps. The most common cause is a cardiac arrest and ventricular fibrillation (VF) after a heart attack, but there are many other reasons. Before you start CPR it is important to …

How does ventricular fibrillation occur? What are the causes?

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How does ventricular fibrillation occur? What are the causes? Submitted by Dr T on November 7, 2010 – 1:44pm in Your heart rhythm Ventricular fibrillation (VF) is an uncontrolled twitching or quivering of the muscle fibers of the lower chambers of your heart. During ventricular fibrillation, blood is no longer pumped out of your heart. The most common cause of …

Can Beta blockers cause shortness of breath?

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Submitted by Dr T on November 7, 2010 – 12:58pm in Other Yes. Beta (β) blockers stop the action of epinephrine (adrenaline) and norepinephrine (noradrenaline) on your lungs.  Adrenaline helps to relax the small airways of your lungs and make breathing easier. With adrenaline blocked, you may experience symptoms similar to asthma, such as wheezing and trouble breathing. Beta-blockers present …

CTCA for screening of acute chest pain syndrome (ACPS)

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CTCA for screening of acute chest pain syndrome (ACPS) Submitted by Dr T on November 5, 2010 – 3:26pm in Professionals The accuracy of 64-slice computed tomographic coronary angiography (CTCA) and its ability to direct revascularization in patients with acute chest pain syndrome (ACPS) was investigated in an article published in The American Journal of Cardiology on 08/09/2010. Compared with …