Raynaud’s

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Raynaud’s disease is a condition that causes smaller arteries that supply blood to your fingers and toes to spasm (narrow), limiting the local blood circulation. Women are more often affected than men. It’s also more common in people who live in colder climates. Some people have a very sensitive vascular system with arteries that constrict more quickly with cold. In …

Extra heart beats, palpitations and stress

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Submitted by Dr T on October 21, 2012 – 4:47pm in Cardiac Risks Question:  I was diagnosed last night in the ER with Trigemy. I have been under pleny of stress for several years. I take 2.5-7.5 mg. valium in divided doses daily, (rarely as much as 7.5 up until now) for anxiety. Could this be the cause of trigeminy? …

Cardiac Risks of obesity

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Submitted by Dr T on October 20, 2012 – 2:33pm in Cardiac Risks Question:  I am 335lbs,a high risk cardiac, on simvastatin, low salt, low fat diet. How much and what kind of exercises are best for me. U am high energy, and want to be around awhile  The best way forward is to calculate your risk for heart disease. …

Chest Pain after stenting

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Submitted by Dr T on October 19, 2012 – 10:20pm in Chest Pain Question:  I am a 51 year old post menopausal female who had a moderate heart attack six months ago. My Circumflex artery was 100% blocked and stented three days after the event. I also have 60% blockage in the  Ramus artery which is being treated medically.Post event …

The future of healthcare in the US

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On Healthcare: What is the alternative to ObamaCare?  None has ever been proposed by the Republicans other than canceling it altogether. The Affordable Care Act has been talked about widely in the media. However, an issue yet to be discussed is what happens with those patients w/o insurance if ObamaCare legislation is repealed. In the past and probably also these …

Beta blockers and slow heart rate

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Submitted by Dr T on October 19, 2012 – 1:11pm in Your heart rhythm Question:  Do beta blockers lower the rate of an already normal to low heart rate. I have been prescribed propranolol 20mg twice daily for very frequent pvcs. I’m somewhat nervous to take them because I read everywheres that they lower your heart rate, so since my …

Bicuspid aortic valve and MRSA

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Submitted by Dr T on October 19, 2012 – 12:53pm in Cardiac Risks Question:  Is it possible for MRSA to attack a bicuspid aortic valve, damage it so much hat a AVR is required, and yet not leave vegetative growth on the NAR?  Does MRSA always leave a detectable visible or microscopic growth on a damaged heart? Hi Kathy,MRSA (Methicillin …

Atrial Fibrillation and Diltiazem

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Submitted by Dr T on October 18, 2012 – 10:51am Question:  I am a 62 male and was recently diagnosed with atrial fibrillation by my cardiologist.  He did a Holter test that showed t I go in and out of atrial fibrillation. He also did an echo and echo/stress which showed  slight lvh (I am a runner). The only time …

Fainting, palpitations and mild tricuspid insufficency

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Submitted by Dr T on October 18, 2012 – 10:06am Question:  Hello. I am 30 years old and was admitted to the hospital after suddenly passing out and having heart palpitations with chest pain that radiated to my neck. I have strong family history for CAD and my dad had a heart attack at 49 which resulted in a bypass …

Early repolarization on my EKG

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Submitted by Dr T on October 14, 2012 – 10:02am in Cardiac Risks Question:  Dear doctor,i am 29 years old now, and i was diagnose last  January 31, 2012.early re polarization pattern.this is normal for my age? now i had maintaining medicine  trimetazidine 35mg/tab. once a day.this is good for my heart? Early repolarization is not an uncommon finding on …