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Why shouldn't a patient with hypertrophic cardiomyopathy take a diuretic?
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Is cardiomyopathy patient still fit to work?
Yes if the patient can has enough functional capacity. In fact, not everone with low ejection fraction has heart failure. There are patients who have low EF, who are still active, even in terms of physical acitivity. However, there are some criteria, with which someone with cardiomyopathy can get disability.
How do you use surreptitous in a sentence?
The hypokalemia was caused by surreptitous diuretic abuse that the patient lied about. -Sammy Snyder
When a patient taking a diuretic comes to the clinic complaining of muscular weakness and fatigue a deficiency of which ion will be suspected?
potassiumPotassium
Why is it important to monitor serum potassium level in patient receiving loop diuretic thiazide and digoxin?
jamela Mae alcubilla
What will happen to urine volume in hypertension patient taking thiazide drug?
Thiazides like hydrochlorotiazyde is a diuretic and it will increase the volume of urine.
Hypertrophic cardiomyopathy?
DefinitionHypertrophic cardiomyopathy (HCM) is a condition in which the heart muscle becomes thick. The thickening makes it harder for blood to leave the heart, forcing the heart to work harder to pump blood.Alternative NamesCardiomyopathy - hypertrophic (HCM); IHSS; Idiopathic hypertrophic subaortic stenosis; Asymmetric septal hypertrophy; ASH; HOCM; Hypertrophic obstructive cardiomyopathyCauses, incidence, and risk factorsHypertrophic cardiomyopathy is often asymmetrical, meaning one part of the heart is thicker than the other parts. The condition is usually passed down through families (inherited). It is believed to be a result of several problems (defects) with the genes that control heart muscle growth.Younger people are likely to have a more severe form of hypertrophic cardiomyopathy. However, the condition is seen in people of all ages.SymptomsChest painDizzinessFainting, especially during exerciseHeart failure (in some patients)High blood pressure (hypertension)Light-headedness, especially with or after activity or exerciseSensation of feeling the heart beat (palpitations)Shortness of breathOther symptoms that may occur are:Fatigue, reduced activity toleranceShortness of breath when lying downSome patients have no symptoms. They may not even realize they have the condition until it is found during a routine medical exam.The first symptom of hypertrophic cardiomyopathy among many young patients is sudden collapse and possible death. This is caused by very abnormal heart rhythms (arrhythmias), or from the blockage of blood leaving the heart to the rest of the body.Hypertrophic cardiomyopathy is a major cause of death in young athletes who seem completely healthy but die during heavy exercise. However, certain normal changes in athletes' hearts can confuse the diagnosis.Signs and testsThe health care provider will perform a physical exam and listen to the heart and lungs with a stethoscope. Listening with a stethoscope may reveal abnormal heart sounds or a murmur. These sounds may change with different body positions.The pulse in your arms and neck will also be checked. The doctor may feel an abnormal heartbeat in the chest.Tests used to diagnose heart muscle thickness, problems with blood flow, or leaky heart valves (mitral valve regurgitation) may include:24-hour Holter monitor (heart monitor)Cardiac catheterizationChest x-rayECGEchocardiography (the most common test) with Doppler ultrasoundMRI of the heartTransesophageal echocardiogram (TEE)Not all of these tests are useful for evaluating all of these conditions.Blood tests may be done to rule out other possible diseases.If you are diagnosed with hypertrophic cardiomyopathy, your health care provider may recommend that your close blood relatives (family members) be screened for the condition.TreatmentThe goal of treatment is to control symptoms and prevent complications. Some patients may need to stay in the hospital until the condition is under control (stabilized).If you have symptoms, you may need medication to help the heart contract and relax correctly. Some medications used include beta-blockers and calcium channel blockers, which may reduce chest pain and other symptoms, particularly with exercise. Medications will often relieve symptoms so patients do not need more invasive treatments.Some people with arrhythmias may need anti-arrhythmic medications. If the arrhythmia is due to atrial fibrillation, blood thinners may also be used to reduce the risk of blood clots.Some patients may have a permanent pacemaker placed. However, pacemakers are used less often today than they were in the past.When blood flow out of the heart is severely blocked, an operation called surgical myectomy may be done. This procedure cuts and removes a portion of the thickened part of the heart. Patients who have this procedure often show significant improvement. If the heart's mitral valve is leaking, surgery may be done to repair or replace the valve.In some cases, patients may be given an injection of alcohol into the arteries that feed the thickened part of the heart (alcohol septal ablation), essentially causing a controlled heart attack.An implantable-cardioverter defibrillator (ICD) may be needed to prevent sudden death. ICDs are used in high-risk patients. High risks include:Drop in blood pressure during exerciseFamily history of cardiac arrestHistory of cardiac arrest or ventricular tachycardiaHistory of unexplained faintingLife-threatening heart rhythms on a Holter monitorSevere heart muscle thicknessExpectations (prognosis)Some people with hypertrophic cardiomyopathy may not have symptoms and live a normal lifespan. Others may get worse gradually or rapidly. The condition may develop into a dilated cardiomyopathy in some patients.People with hypertrophic cardiomyopathy are at higher risk for sudden death than the normal population. Sudden death can occur at a young age.Hypertrophic cardiomyopathy is a well-known cause of sudden death in athletes. Almost half of deaths in hypertrophic cardiomyopathy happen during or just after the patient has done some type of physical activity.If you have hypertrophic cardiomyopathy, always follow your doctor's advice concerning exercise and medical appointments. Patients are sometimes advised to avoid strenuous exercise.ComplicationsDilated cardiomyopathyHeart failureLife-threatening heart rhythm problems (arrhythmias)Severe injury from faintingCalling your health care providerCall for an appointment with your health care provider if:You have any symptoms of hypertrophic cardiomyopathyYou develop chest pain, palpitations, faintness, or other new or unexplained symptomsPreventionIf you are diagnosed with hypertrophic cardiomyopathy, your health care provider may recommend that your close blood relatives (family members) be screened for the condition.Some patients with mild forms of hypertrophic cardiomyopathy are only diagnosed by screening echocardiograms because of their known family history.If you have high blood pressure, make sure you take your medication and follow your doctor's recommendations.ReferencesMaron BJ. Hypertrophic cardiomyopathy. Zipes DP, Libby P, Bonow RO, Braunwald E, eds.Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 8th ed. St. Louis, Mo: WB Saunders; 2007:chap 65.Wexler RK, Elton T, Pleister A, Feldman D. Cardiomyopathy: An overview. Am Fam Physician. 2009;79:778-784.Bernstein D. Diseases of the myocardium. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier;2007:chap 439.
What is cardiomyopathy status post AICD?
cardiomyopathy=disease of heart muscle status post AICD=indication that the patient had an AICD put in ("Status post" means something possibly related happened before. So "fever status post tonsillectomy" would suggest that the health care provider believes the two are related.)
What type of employees are needed for a fashion designers?
people who are creative and do as their told. You need to be patient and shouldnt expect your design to go out in the market straight away
How can you treat dilated cardiomyopathy?
Dilated cardiomyopathy is usually treated with combination of Beta Bloockers (Coreg, Cardevilol) and blood pressure lowering medication (Enalapril). Also in order to stabilize heart rhythm Digoxin could be prescribed. In some severe cases, when patient's body is reatining water, water pill must be admistired (Furosemide, Lasics). In this case patient also needs to take Potassium pill to compensate possible potassium deficinecy. Blood work need to be performed regurally checking Potassium level in blood. American cardiologists look scepticly at nutritional supplement CQ 10, however their Europian collegs highly valued CQ 10 as essential medicine for patients with dilated cardiomyopathy and congestive heart failure. http://www.medgrip.com/cardiomyopathy/cardiomyopathy_medicine.html
What can be the outcome of edema?
Is the use of a Diuretic medicine daily dangerous? What are the side effects? Can the diuretic having Amiloride Hydrocloride hidro IDthiazomide be used daily? V.S.Vishnubhotla (A patient with diabetics type2 for past 20 years) Secunderabd(AP) INDIA Pl email the answer to: dr.vishnubhotla@hotmail.com
Interesting Facts About Cardiomyopathy?
Approximately 50,000 Americans suffer from a serious health problem that is called cardiomyopathy. This is a condition that is affected by the size of your heart and how it functions as well as weak heart muscles. Of the many types of cardiomyopathy that exist, the most common forms include dilated cardiomyopathy, hypertrophic cardiomyopathy and restrictive cardiomyopathy. These heart disorders may affect any age group and some are inherited or found in families. Cardiomyopathy also affects other body organs and systems, including the liver and lungs.Common CausesAlthough some of the causes of cardiomyopathy are unknown, a few are due to defective genes that affect the growth of the heart's muscles. However, since cardiomyopathy is often unpreventable, knowledge of the major causes will help in reducing some of the risks factors. Common causes may include:Cocaine and alcohol useDeficient nutrition such as calcium, thiamine and seleniumHeart related diseases, including coronary artery disease and congenital heart defectHigh blood pressure and diabetesAmyloidosis, which is abnormal protein that affect how the body worksUse of chemotherapy drugsLate stages of kidney diseasePregnancy and systemic LupusViral infections resulting from diseases such as Lyme and HIV.SymptomsThere are exams that may be used to identify cardiomyopathy. These include chest x-rays and MRI, ECG, coronary angiography, echocardiogram as well as some lab tests such as blood work and coronary risk profile. Some of the symptoms may not be noticeable during the beginning stages of the disease; however, over time they may worsen. Some of the symptoms may include irregular and fluttering heartbeats, abdominal swelling and shortness of breath even during rest, dizziness, fainting and fatigue and swelling of the ankles, legs and feet.TreatmentThe main goal of treatment is to reduce the risks of heart failure and the form of cardiomyopathy will determine the type of treatment plan pursued. One of the common treatment methods used is a heart transplant. Other treatment options include medications, education of the patient, changes in your diet as well as treating the cause of the disorder.Overall, cardiomyopathy is a serious and chronic condition that may deteriorate rapidly, due to factors such as alcohol consumption, illegal drug use and refusing to take medication or taking them improperly. However, the outlook will vary depending on the type and cause of the disease, your response to treatment and the extent of your heart problem.
What is the diagnosis for cardiomyopathy?
Unfortunately, there is no treatment for cardiomyopathy itself. The treatment is to treat the underlying cause. Cardiomyopathy is not a disease entity unto itself, it is a manifestation of an underlying disease. There are many potential causes of cardiomyopathy. Heart attacks cause a significant proportion in the US population, especially those over the age of 50. Viral causes are also common. Other causes include drugs, some infections, some autoimmune disease, some vitamin deficiencies, and pregnancy. Sometimes we never find out why cardiomyopathy occurs. Treatment, as I alluded to above, is to treat the underlying disease, if possible. An echocardiogram should be performed after the condition is stabilized to make sure the heart function is adequate to support activity and insertion of a pacemaker/defibrillator may be necessary if the heart is too weak. If the ejection fraction is below 20-25 percent, there is a higher risk of arrhythmia and death, which is why a defibrillator may be necessary. In extreme cases, a heart transplant may be necessary. Dilated cardiomyopathy is usually treated with combination of Beta Bloockers (Coreg, Cardevilol) and blood pressure lowering medication (Enalapril). Also in order to stabilize heart rhythm Digoxin could be prescribed. In some severe cases, when patient's body is reatining water, water pill must be admistired (Furosemide, Lasics). In this case patient also needs to take Potassium pill to compensate possible potassium deficinecy. Blood work need to be performed regurally checking Potassium level in blood. American cardiologists look scepticly at nutritional supplement CQ 10, however their Europian collegs highly valued CQ 10 as essential medicine for patients with dilated cardiomyopathy and congestive heart failure. http://www.medgrip.com/cardiomyopathy/cardiomyopathy_medicine.html
