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What does one do if she experiences major chest pains and medical examinations reveal no heart or BP abnormalities? This is a particularly good question because it applies to all fields of medicine, and to all people who at some time in their lives will become patients (Yes, even doctors). If a person is experiencing symptoms that are not accompanied by signs of disease, or evidence in the form of an abnormal test, the diagnostic work-up will sometimes cease. Yet the patient still has the symptoms. What should be done? First, were all the elements of your complaint dealt with? Please see my prior posting about preparing for a visit to a cardiologist . It is appropriate for a visit to any physician. Second, what constitutes a full work-up for chest pain? This is actually different depending upon the likelihood of different processes causing the discomfort. Arteriosclerotic coronary artery disease is quite unlikely in very young people (but congenital disease may be more ...
Congestive heart failure - right-sided
Heart failure requires periodic monitoring by your health care provider. The goals of treatment include controlling the symptoms, reducing the heart's workload, and improving your heart's ability to function. Any underlying disorders and causes should be treated, if possible.
The most common therapy for right-sided heart failure is treating left-sided heart failure.
Valve replacements and procedures such as bypass surgery (CABG) and angioplasty are the solution for some people.
Generally, you must reduce the salt in your food and the amount of liquids you drink. You should also consider losing weight if you are overweight, stopping smoking, and avoiding too much alcohol.
Diuretics (water pills) can help reduce fluid accumulation. Furosemide or bumetanide can help moderate to severe symptoms. Hydrochlorothiazide, chlorthalidone, and chlorothiazide may be used for mil...
Cluster headaches are often said to be the most painful of all headaches. They have been described as "boring," bearing, burning," "like a hot poker in the eye," and as "suicide headaches." Verapamil, a calcium channel blocker frequently used for Migraine and headache prevention – increasingly for cluster headache, was recently studied in high doses for cluster headache prevention. Study Background The use of high dose verapamil has become increasingly common for the prevention of CH, with higher doses than used for heart conditions and hypertension needed. Side effects include atrioventricular block* and bradycardia**, although how frequently they occur in CH patients is not clear. There are no formal guidelines for the use of verapamil for CH. The authors of this study have developed a protocol, keeping in mind the potential for cardiac complications and reviewed the use of the protocol and the changes seen in EKG readings. ...
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