Those who have atrial fibrillation should not be taking the triptan class of medications such as sumatriptan (Imitrex). Any person who has a prior history of heart condition should reconsider taking these drugs, but in clinical trials - the only people who had atrial fibrillation from the medication, were the ones who had a prior history of it. So, taking these medications can trigger this arrhythmia in those who already suffer from it.
If patients with atrial fibrillation experience rapid heart rate (rapid ventricular response) and are hemodynamically unstable (hypotension, altered mental status) then electrical cardioversion is appropriate. Defibrillation is never utilized in atrial fibrillation.
When an individual suddenly collapses, the possibility of ventricular fibrillation should be considered immediately.
If you are a patient currently in atrial fibrillation. Generally speaking an adenosine or lexiscan nuclear stress tests are usually the best options. The other medicated stress test is Dobutamine (both echocardiogram and Nuclear). You do not want to use Dobutamine on patients at risk to go into atrial fibrillation because it is a drug that can induce it. For patients that are in chronic atrial fibrillation dobutamine can be used but is not considered to be as diagnostic as a lexiscan or adenosine stress test. The reason being (and this goes or exercise stress tests as well) dobutamine is a heart rate dependent test. This means the closer the heart rate gets to the patients age predicted max HR the more accurate the test is at detecting heart disease. The assumption in this is that the patient is in a sinus rhythm. Myocardial oxygen demand correlates directly with patients HR when the patient is in sinus rhythm. If the patient is in atrial fibrillation that correlation with myocardial oxygen demand becomes much more cloudy thus reducing the sensitivity of an exercise or dobutamine stress test with patients in atrial fibrillation. Both lexiscan and adenosine eliminate HR demands in detecting CAD which makes them the best test for a.fib patients.
Sumatriptan is a commonly prescribed migraine medication. The most common active ingredient in medications for migraines is caffeine. However this medication does not contain caffeine. In conjunction with Acetaminophen (Tylenol) it should be fine. However do not consume the maximum of 4000mg of Acetaminophen in one day while taking Sumatriptan. It is advisable to only take around 2000mg (approximately 4 tablets of extra strength Tylenol) in one day while taking a prescribed migraine medication. This is due to the toxicity that can be caused in the hepatic system (liver, kidneys, and bladder).
you should avoid foods that are high in sodium
ESWL should not be considered for patients with severe skeletal deformities, patients weighing over 300 lbs, patients with abdominal aortic aneurysms, or patients with uncontrollable bleeding disorders. Patients who are pregnant should not be treated.
Call 911 and apply an AED to see if the heart can be shocked into normal rhythm.
If you suffer from migraines, you should avoid foods that are high in sodium. Many of these foods often lead to headaches as well as other health problems.
ambulatory patients first, then wheelchair patients, then bedbound
Some foods to be avoided by people who have migraines are: nitrites, nitrates, preservatives, additives, artificial dyes. Scientific studies have shown these things to be harmful.
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Many people suffering from migraines are dealing with a food allergy. It could be anything from wheat to certain food dyes to caffeine. Keeping a food journal can help you uncover any dietary causes for your migraines. To determine if a certain food is causing the migraines, it should be completely eliminated from the diet for a few weeks. If the migraines cease then you may have uncovered the dietary trigger and found an easy way to avoid the pain of migraines.