Submitted by Dr T on August 25, 2013 – 4:59pm Question: I am 65 year old. I felt slightly unstable a couple of time during the day. Immediately got the done. My readings are Rate 86; PR 140; QRSD 82;QT 396; QTC 474 AXIS P 69; QRS 6 T 4 Speed: 25 mm/sec Limb: 10mm/mv and Chest: 10 mm/mv. The …
Heart murmur, PVCs and multiple cardiac risk factors
Submitted by Dr T on August 23, 2013 – 9:25am Question: 24 years ago I was told that I had a heart murmur. Within a month of that time I found out I was pregnant. Following up through the pregnancy and after I had the child the doctors still could hear the murmur and could see it on the heart …
CT cardiac calcium score
Submitted by Dr T on August 22, 2013 – 9:34am in Cardiac Risks Question: I had a CT cardiac calcium score report indicating I had a right coronary artery score of nearly 18000, while each of my other coronary arteries was 400 or less (left 58, left anterior 400; left circumflex 144). This gives a total Agatston score over 18,000. …
Ehlers Danlos Syndrome and POTS
Submitted by Dr T on August 22, 2013 – 9:18am Question: Hi Dr T, My daughter is 21 years old and has a Connective Tissue Disorder called Ehlers Danlos Syndrome. She has had ongoing gastrointestinal issues since infancy, which have been diagnosed recently as Irritable Bowel Syndrome. She has also had 2 episodes of syncope, and multiple episodes of pre-syncope …
Mediastinum
Posted on August 20, 2013 – 10:21pm Ask Doctor T. Blog Ask A Question Three vessel coronary artery disease Question Three vessels disease with 100 % RCA AND CX 90%,LCA95% WHAT SHOULD DO WITH PAITENT AGE 65 yr Plz give advise Read Dr T’s Answer Stent and Failed Removal Question Prior to extensive surgery a stent was placed as a …
Mediastinum
Posted on August 20, 2013 – 10:11pm Ask Doctor T. Blog Ask A Question Three vessel coronary artery disease Question Three vessels disease with 100 % RCA AND CX 90%,LCA95% WHAT SHOULD DO WITH PAITENT AGE 65 yr Plz give advise Read Dr T’s Answer Stent and Failed Removal Question Prior to extensive surgery a stent was placed as a …
Heart Stents Are Still Being Overused in 2013
The expected benefits of stenting in stable coronary artery disease (a reduction in the risk of death or heart attack), is not supported by its widespread usage and non-medical factors sometimes play a major influence on physician decision making. On August 15, 2013 the NYTimes published an article in tune with a number of articles we have previously published on this website, most recently in a …
Remeron & heart attack
Remeron & heart attack Submitted by Dr T on August 6, 2013 – 10:41am in Cardiac Risks Question: I am a 56 yr old male. I had a major heart attack 4 months ago and also have atrial arrhythmia. A psychiatrist recently prescribed Remeron for mild anxiety and loss of appetite. I hear rumors that heart attack victims should avoid …
A high INR
Submitted by Dr T on August 2, 2013 – 9:49am Question: What are the chances of survival if a patient has an INR of 24.4 or greater from taking Coumadin? Are there any documented cases that I can read about with someone with such elevated INR level? Hi Jessica, A high INR (24.4 is extremely high) with coumadin therapy for an illness …
POTS or cardiac tamponade?
Submitted by Dr T on August 1, 2013 – 9:27am Question: I am 59, weigh 110, and am 5’2″. I recently found out I have chronic mild pericardial effusion of unknown origin – at least three years. (In Nov 2012 I found out about this when I got a copy of all my medical records from the VA). I was …