A cardiac CT scan for coronary calcium is a non-invasive way of obtaining information about the presence, location and extent of calcified plaque in the coronary arteries—the vessels that supply oxygen-containing blood to the heart muscle. Calcified plaque results when there is a build-up of fat and other substances under the inner layer of the artery. This material can calcify …
What is Twisted Coronary Artery Syndrome?
Submitted by Dr T on October 8, 2010 – 2:55pm in Cardiac Risks I am afraid there is no such thing. There may be tortuous coronary arteries, and there is an Acute Coronary Artery Syndrome. Tortuous coronary arteries are sometimes the result of atherosclerosis and have more than usual turns in their course over the surface of the heart. This …
What does right atrial hypertrophy mean? What treatments are available?
What does right atrial hypertrophy mean? What treatments are available? Submitted by Dr T on October 8, 2010 – 2:04pm in Cardiac Risks Right atrial hypertrophy or enlargement is a result an increased amount of blood in the Right Atrium. This can be due to obstruction downstream, backwards flow across a leaking (“tricuspid”) valve, a defect in the wall between …
I woke up with severe sudden chestpain, but they couldn’t find anything
Submitted by Dr T on October 7, 2010 – 7:26am Question: Info: Age- 18, Female, Had ASD repair when I was 8 years old, normal BP and HR, Good health no other medical conditions. The other night I was woke up out of my sleep with severe chest pains, they pain seemed deep and was worse while I was lying, …
Chicken au Champagne
Submitted by Dr T on October 4, 2010 – 7:47pm Chicken au Champagne Unlike Mireille, I am not enough of a Champagne aficionado to splurge on Veuve Clicquot for food, and never drink Vermouth or Pernod. The first change therefore is to use a cheaper Champagne instead of the exalted version the CEO of that company uses. There is no question …
I cannot breathe at night
Submitted by Dr T on October 4, 2010 – 5:51pm Question: I am a 36 y.o. male and I have not been able to sleep at night due to lack of breath when I lay down and I feel like I’m drowning or can only get rapid breaths. This has only happened occasionally over the past couple of years. I …
My Mother-in-law has HOCM, Diastolic heart failure. What should she do?
Submitted by Dr T on September 30, 2010 – 4:42pm Question: My mother-in-law is 64 years old . She has HOCM for the last 3 years with mild to moderate MR and mild LV diastolic dysfunction. She has recently become symptomatic. When she was in the US 3 months back she was admitted in the emergency when she had severe …
Rolled Lasagna with fresh ricotta and smoked mozzarella
Submitted by Dr T on September 29, 2010 – 12:20pm Last week I stayed with my son and his fiancée on their farm in northern Maine. As usual when I visit, dinner becomes a food fest as well as a social adventure: (among others) he also has a graduate degree from a culinary institute and cooks like a dream come …
What is QTc and Long QT syndrome (LQTS)?
What is QTc and Long QT syndrome (LQTS)? Submitted by Dr T on September 28, 2010 – 2:10pm Question: If I have QT 380, what is the QTc duration?And what you think about overstimation of QT if U wave is present? And derive the present ECG machines conduction intervals from lead II? My first question to you is, why do …
Walnut Pizza
Pizza with Walnut Pesto, Ricotta, Spinach and Caramelized Onions, using Whole Wheat Pizza Dough (courtesy of Todd English and Figs Restaurant) Makes four 8-10 inch pizzas 1/4 cup whole wheat flour 3 1/2 cups all purpose flour plus additional for rolling 2 teaspoons (1/4 ounce) fresh yeast 2 teaspoons kosher salt 2 teaspoons sugar 2 teaspoons olive oil 1 2/3 …