Question: I never had any cardiac problems until 6 months ago when I developed a large pericardial effusion which required the doctor to drain a liter of blood. Since then, I had tachycardia and elevated blood pressure. Echos, 24 hour monitor and a stress test have been normal. In August, I had a cardiac MRI which revealed continued pericarditis and …
Diabetes and Cardiac Health
Diabetes affects nearly 26 million people, 8.3 percent of the U.S. population, or almost 100 million people if patients with pre-diabetes are included. The number of Americans with diabetes is projected to double or triple by 2050. Cardiovascular disease, and specifically, angina, is the number one killer in America. Diabetics are at a particularly high risk of developing heart attacks and stroke with …
Sudden Death in a healthy person
Question: Dear Doctor T, A friend died of a heart attack this past Sat. while on a mountain bike ride. He was 46, not overweight, lived a clean lifestyle. It came as a shock to me. Was he most likely born with a heart defect or had family history of heart disease? Cause I’m wondering how this could happen to …
An Approach to Hypertension Treatment In The Elderly
Question: Is there a difference in the treatment of hypertension in the elderly? Answer: In clinic today, I saw an 85 year old woman with Parkinson’s disease for follow-up of her high blood pressure. Her pressures have been difficult to control. Today her BP is 170/80 with a heart rate of 62 bpm. She is taking an ACEi and a …
Heart pain
Q: I have some-more pain in my left hand few days ago.that time i feel uncomfort in my chest little bit pain on one point time to time.i feel very tired in these three days ( one point where i feel pain there are suddenly make a pain and stop )is that heart attack pre?
Inferior Q-wave on my pre-op EKG
Question: After having a pre-surgery EKG, the surgeon told me I have an inferior Q-wave and wants to refer me to a cardiologist. I am working on making an appt so I hopefully won’t delay surgery but was very curious and a little concerned in the meanwhile. I am a non-smoker (quit 14 yrs ago when I became pregnant), non …
Tummy tuck surgery for a heart patient
Question: I had a heart attack three years ago. Last fall I had a complete cardio check up and everything is great. Before my HA I was extremely active and I still am. I would very much like to have a tummy tuck and was wondering what specific risks would be involved for me. I take Lipitor and Asprin daily. …
How many stents are too many
Question: Someone told me that they had 22 stents. Is this possible or should they have had another procedure? Answer: Patients like this do much better with a Coronary Bypass Procedure, live longer and spend a lot less money! I wish I could tell you it isn’t true, but from personal experience I can tell you I ultimately performed a …
Abnormal Heart Beats in an Athlete
Q: I am a runner and workout on a regular basis. I have a resting heart rate of 44 and that’s been normal to me. However recently I have noticed that when I am at complete rest sitting up or laying in bed, I have a delay heart beat once in awhile and it scares me because I’m wondering when …
My doctor tells me I may have a probable MI but not to worry about it
Question: I am a 43 y/o female, 68 in, 145 lbs. Heathy, do not smoke. Chol normal except LDL 114. HDL 52. Recently had an ECG as part of a physical and the printout read Probable Anteroseptal MI, age indeterminate. The internal medicine MD said this is a normal variation for tall, thin females. He recommends no further follow …