Q: I am a 51 year old woman who is fit and healthy, low cholesterol, low fat diet, no food before bedtime, low to average BP and pulse. Grandfather died of heart attack at 53 the other at 73, father died early of trauma, grandmothers died of heart disease in 80s & 90s. Have Raynauds, GORD nexium 40mg daily. long …
What do my cardiac ECHO results mean?
Q: Can you tell me in layman term the findings of my 2D echo result showed as follows: Concentric left ventricular hypertrophy with segmental wall hypokinesia Adequate overall systolic function Doppler evidence of decreased left ventricular compliance Mildly dilated left atrium Compared to the study done last January 2010, the current 2d echo now showed segmental wall hypokinesia. the reset …
Anesthesia and arrhythmias
Q: Hi, my dad is 56 years old with diabetes and high blood pressure. Yesterday he was supposed to have a bipolar hip replacement and after the anesthesia as they turned him over to start the incision his heart stopped for 2 seconds and they had to revive him with CPR then they told us that he had arrhythmia, so …
Long Term Survival of Adenocarcinoma of the Esophagus
Carcinoma of the esophagus is a relatively rare but very lethal disease. 50% of all patients diagnosed will have adeno carcinoma, which has been associated with a very poor long term survival. During my residency, I had the honor of working with F. Henry Ellis, one of the giants of esophageal surgery in the US. Yet even he confessed that …
My Aortic valve is leaking badly
Q: Three years ago I was diagnosed with severe aortic regurgitation due to a Bisucspid Aortic Valve. I am now 31 years old with a blood pressure stats around 145/50. I’ve always been extremely active playing basketball and lifting weights regularly. Before diagnosis I felt great and had no idea anything was wrong with me. However, since being diagnosed I …
New onset of tachycardia
Q: About 6 months ago i started having fast heartbeat(110 to 130bpm) while just sitting around or in bed. My internist doctor did stress/blood/holter/pulmonary tests, said I have psvt and prescribed Cardizem, a calcium blocker. i took it for three weeks and stopped because it didn’t stop the symptoms and it made me dizzy. I am a 70 year old …
Slow heart rate and palpitations
Q: I am 43 and have concerns with my heart. I have a VERY slow heart rate. It goes as low as 44 at times. I also get heart palpitations. i do not exercise and I smoke a pack a day. I also have low blood pressure. When I get palpitations I get very scared. I have been told everyone …
My doctor tells me I may have a probable MI but not to worry about it
Q: 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 up. …
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 …
Roasted Beet Risotto with Goat Cheese Gouda and Arugula Pesto
Risotto is one of those entrees you wonder how you lived without for so long. It is not a minor meal, in that it takes both time and effort to make. Today’s recipe has it made with vegetable stock; I prefer chicken on this occasion (left over whole chicken in the fridge). It takes more time, but the results are …