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Dr T Cardiac Risks, Chest Pain, Treatment 1 Comment

Question:    I’m 61 and on my last visit to my cardiologist, he wanted to do a heart cath to see if anything was going on in my heart.  I had been to the emergency room 2X in the prior two months with high BP 200/110 on one occasion and 180/100 on the other.  In both cases my heart rate …

Negative Pressure Wound Treatment

INTRODUCTION — Negative pressure wound therapy (NPWT), also called vacuum-assisted wound closure, refers to wound dressing systems that continuously or intermittently apply subatmospheric pressure to the surface of a wound. NPWT has become a popular treatment modality for the management of many acute and chronic wounds [1]. Subatmospheric pressure has multiple beneficial effects on wound healing in animal models. However, clinical evidence …

Malodor

Why malodor occurs Critical colonisation/local infection can delay healing, cause complications and significantly affect daily living for patients, with increased pain and anxiety, exudate with the potential for leakage and odor (Wounds UK Best Practice Statement, 2013). This is caused by the development of non-viable or devitalisedthat results when a wound becomes infected, which provides an opportunity for anaerobic and aerobic bacteria to grow (Wounds UK Best …

Coronary Artery Disease Treatment

Medical Treatment Medical treatment for coronary heart disease includes drugs that alleviate symptoms by slowing the heart down, so that a limited blood supply matches less demand, or relax (dilate) arteries so that more blood can pass through, lower blood pressure so that the heart has to work less, lower cholesterol etc. etc. It also includes lifestyle modifications (diet, exercise …

Diet and Exercise

Prevention of Heart Disease Diet Weight control Exercise In the United States and most developed countries, CardioVascular Disease (CVD), which includes coronary Artery Disease (CAD), stroke, and peripheral arterial disease, is far and away the leading cause of death. Healthy diet Individuals who consume a healthy diet have significantly lower risks of Cardiovascular Disease, including both CAD and stroke. Components …

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 Dr. F. Henry Ellis, one of the giants of esophageal surgery in the US. Yet even he confessed …

Azithromycin and cardiac side effects

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Submitted by Dr T on June 23, 2011 – 9:21am in Your heart rhythm Question:  Hi Dr T, I have PVCs which were determined normal by my doctor, and I have learned to deal with them. I was recently prescribed the antibiotic azithromycin, and I noticed it said not to take if you have a heart rhythm disorder. Since my …

Concerns about Nitro patch and Nitro Spray

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Submitted by Dr T on February 8, 2014 – 10:17am Question:  As brief as can be history   I am writing this out of concern for my husband Male age 54  heart attack 1 year 4 months ago  right side arteries blockages had 3 stents inserted, there was some percentage blockage on left side but not enough for surgery.  Has family …