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Heart Failure Questions

What medicine can I take in place of vymada-50 mg. I am taking half (25 mg) please advise me. Thank you.

Dr. Jatin Soni 93% (36385 ratings)
MBBS
General Physician, Mumbai
What medicine can I take in place of vymada-50 mg. I am taking half (25 mg) please advise me. Thank you.
If there is a significant left ventricular hypertrophy than we can plan for a diuretic with a beta blocker medication after clinical examination
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Why is cidmus 200 given when the patient is already taking cidmus 100. After a stent operation is done is another angiography required after one year.

Dr. Anoop Agrawal 88% (63 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Internal Medicine, DM - Cardiology, Interventional Fellow- Interventional Cardiology
Cardiologist, Hyderabad
Why is cidmus 200 given when the patient is already taking cidmus 100. After a stent operation is done is another ang...
Cidmus is given for heart failure treatment. It is started at a low dose (50 to 100 mg) and slowly increased to a target dose of 200. If a person is doing fine, and NO ACTIVE issues are present, routine angiography after 1 years just to take a look at the stent is not recommended. While this is generally true, each individual case is unique in itself and deserves a dedicated assessment before a decision for angiography is made. Take care.
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Doctor, thank you so much for your response. I am regularly monitoring my BP (I have BP machine) and at rest it comes down to 120/75 sometimes even lower. I do annual health check ups and the tests are all fine except for borderline cholesterol. I don't smoke and drink wine once a week. My food intake is minimal, once a week non veg, otherwise vegs, rice, roti, lentils. I have history of heart attack, my mother died due to cardiac arrest and my grandmother too. Maybe thrice or four times a year I get this kind of high BP. I am extremely active and working. Do I need to be cautious because of my history.

Dr. Paramjeet Singh 93% (1392 ratings)
MBBS, Dip.Cardiology, Fellowship in Clinical Cardiology(FICC), Fellowship in Echocardiology
Cardiologist, Ghaziabad
Doctor, thank you so much for your response. I am regularly monitoring my BP (I have BP machine) and at rest it comes...
Yes of course Live a Healthy Lifestyle Eat a healthy diet. Choosing healthful meal and snack options can help you avoid heart disease and its complications. Be sure to eat plenty of fresh fruits and vegetables. Eating foods low in saturated fat and cholesterol and high in fiber can help prevent high blood cholesterol. Limiting salt or sodium in your diet can also lower your blood pressure. Maintain a healthy weight. Being overweight or obese can increase your risk for heart disease. To determine whether your weight is in a healthy range, doctors often calculate a number called the body mass index (BMI).  Exercise regularly. Physical activity can help you maintain a healthy weight and lower cholesterol and blood pressure. Don't smoke. Cigarette smoking greatly increases your risk for heart disease. So, if you don't smoke, don't start. If you do smoke, quitting will lower your risk for heart disease. Your doctor can suggest ways to help you quit. Limit alcohol use. Avoid drinking too much alcohol, which causes high blood pressure.  If you have high cholesterol, high blood pressure, or diabetes, there are steps you can take to lower your risk for heart disease. Have your cholesterol checked. Your health care provider should test your cholesterol levels at least once every five years. Talk with your doctor about this simple blood test. Monitor your blood pressure. High blood pressure has no symptoms, so be sure to have it checked on a regular basis. Manage your diabetes. If you have diabetes, closely monitor your blood sugar levels. Talk with your health care provider about treatment options. Take your medicine. If you're taking medication to treat high cholesterol, high blood pressure, or diabetes, follow your doctor's instructions carefully. Always ask questions if you don't understand something. Talk with your healthcare provider. You and your doctor can work together to prevent or treat the medical conditions that lead to heart disease. Discuss your treatment plan regularly and bring a list of questions to your appointments
2 people found this helpful
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Several clots in brain and multiple blocks in heart. Patient condition is deteriorating continuously.

Dr. Jatin Soni 93% (36385 ratings)
MBBS
General Physician, Mumbai
Several clots in brain and multiple blocks in heart. Patient condition is deteriorating continuously.
Plan for symptomatic treatment and clots can dissolve within three weeks with neurologist medication and plan for treating the coronary arteries disease through a cardiologist and hope for the best and plan treatment with high risk factors.
4 people found this helpful
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Please suggest. Which medicines are useful for normal heart muscles damage problem for a person his age between 20-25?

Dr. Sajeev Kumar 88% (24828 ratings)
C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
Please suggest. Which medicines are useful for normal heart muscles damage problem for a  person his age between 20-25?
If you mean to protect heart muscle you need to take well balanced diet and do exercises at least five times a week , eat fruits and avoid fatty diets and stop smoking and drinking
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My mom keeps fast on 2 days a week as a religious practice. Recently, the last Friday, she fainted and was taken to hospital, due to cardiac arrest, the doctors gave 3rd degree shock. In the hospital, mom once again got cardiac arrest and was given 3rd degree shock. Mom is on ventilator now, it's been a week her BP, sugar levels everything is normal but the heart and pulse rate is 145 and she is not getting into conscious. Doctors are saying brain might of damaged due to inefficient supply of oxygen to brain and there are less then 10% chances of recovery.

Dr. Sameer Mehrotra 91% (1304 ratings)
MBBS, MD - Internal Medicine, DM - Cardiology, Cardiac Device Specialist (CCDS - Physician )
Cardiologist, Delhi
My mom keeps fast on 2 days a week as a religious practice. Recently, the last Friday, she fainted and was taken to h...
When patients collapse and do not receive timely CPR then the blood supply of the brain gets compromised and this leads to irreversible damage to the brain and its functioning. If the damage is too large then a patient becomes brain damage and the chances of recovering are very less. Your treating doctor's are best judge of that, so discuss with them and follow their advice.
3 people found this helpful
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Last week took lipid profile fasting test. The result is Total cholesterol 244mgs, direct HDL 45mgs, direct LDL 146mgs, VLDL 33mgs, triglyceride 166mgs, CHO/HDL 5: 1. Is my heart having cholesterol block in blood vessels? Pls guide.

Dr. Rajiv Bajaj 92% (1067 ratings)
MBBS, MD - Internal Medicine, DM - Cardiology, Fellowship in EP
Cardiologist, Delhi
Last week took lipid profile fasting test. The result is Total cholesterol 244mgs, direct HDL 45mgs, direct LDL 146mg...
Report is very good. Avoid cholesterol medicines. Lipid tests are popular but not very helpful, avoid such testing in future, as it can adversely affect diet and long term health. Best wishes.
2 people found this helpful
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My dad had a cardiac arrest and had a 90%block which was later removed by doing angiogram and angioplasty. Just 10 month before we had done a ecg, echo and no abnormalities we're found. Soecg and echo does not help or is it good to do angiogram every year to be on a safer side. If not then wat would be alternative.

Dr. Jatin Soni 93% (36385 ratings)
MBBS
General Physician, Mumbai
My dad had a cardiac arrest and had a 90%block which was later removed by doing angiogram and angioplasty. Just 10 mo...
We should make it a routine to get a stress test done every year which will confirm the working status of the heart.
1 person found this helpful
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My grandmother's left heart chamber V6 completely blocked is this a serious problem and how much time she can live?

Dr. Jatin Soni 93% (36385 ratings)
MBBS
General Physician, Mumbai
My grandmother's left heart chamber V6 completely blocked is this a serious problem and how much time she can live?
Get her vital parameters of the body checked from a nearby doctor and follow up with findings and always ask your doctor about what can be done to make her life peaceful.
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