g*****j
发帖数: 1211 | 1 You description is fine. Other words that you can use are palpitation,
skipping beats, irregular heart beat, arrhythmia etc. Coronary artery
disease (冠心病) is rare in young people. A fib (atrial fibrillation, 房
颤）can manifest in this way, but is not the most common cause.
Most likely it is a benign condition, particularly if you have no
previous history or other health issues. However, you should see your
doctor to get some preliminary work-up to rule out possible pathologic
causes. |
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n******s
发帖数: 210 | 2 nitrates is kind of medicine treating coronary heart disease, but don't
guess, you will be wrong. |
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n******s
发帖数: 210 | 3 As I know gingko is good for vessel spasm, esp the cerebral vascular spasm.
In cardiology, no one uses it for coronary artery spasm, CCB is DOC, so I
don't think it works well for heart disease.
For Fructose-1，6-Phosphate, it is used for provision of energy to
cardiomyocytes, typically not used for treatment, but nutrition. |
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n******s
发帖数: 210 | 4 Af is atrial fibrillation.
Hyperthyroidism is the most common cause of Af other than coronary heart
disease.
Since you will see your doc soon,you don't have to worry about your diet. |
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n******s
发帖数: 210 | 5 there is omega 3 in fish oil that may help with lipid metabolism, and
hyperlipidemia is a risk factor of coronary heart disease.
Melantonin may help with sleeping, if fact this is one of ingredients in "
Naobaijin". |
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n******s
发帖数: 210 | 6 for hypertension, food like kelp or potassium is helpful.
for coronary heart disease, fish oil to keep a healthy lipid profile would
be good to him. |
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c********e
发帖数: 496 | 7 should be pleural problem,
by the way, female seldom gets coronary heart problem before the menopause. |
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c********e
发帖数: 496 | 8 胆红素5.5 umol/L （5.1-19），
结合胆红素：2.2umol/L （0-5.1）。
丙氨酸氨基转移酶：168U/L （0-40），
门冬氨酸氨基转移酶：83u/L （0-37）
碱性磷酸酶：98u/L （53-128），
伽马-谷氨酰转移酶：88u/L （7-32）；
乳酸脱氢酶：209u/L （109-245）。
No。
may be not
In some severe liver failure case, ALT AST go back to normal, bilirubin is
normal, but PT and PPT are the only and final lab test to tell what is going
on in the hepatocytes.
有一处心脏血管50%堵塞。
if not LAD or left main coronary artery, it is unnecessary.
好像是心动过缓
do you know the reason.
胆结石但说是b超没有胆囊炎。
it is normal in adult f |
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c********e
发帖数: 496 | 9 everything you want to purchase here in us is available as well in China.
Don't bother to do that.
on the other hand, the Rx for coronary heart disease is individualized one,
you need the doc's advices. |
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c********e
发帖数: 496 | 10 I heard many stories like this, three stents for coronary heart disease.
by pass/CABG is indicated in the treatment of multiple lesions (including 3)
.
the most I've heard is 7, imagine 7 stents in one heart, with one year re-
stenosis rate for one stent is 10-20% (3% for rapamycin eluting stent), what
's the total.
totally a disaster. |
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g*****j
发帖数: 1211 | 11 Well, apparently you had the right work up. The original ECG should
inferior ischemia (an obstruction of blood flow) at one point. It is
important to exam the coronary artery direct, which you did through CT
angiogram. The question is why you had the ischemia in the first place.
There could be many explanations, such as vasospasm, a transient stenosis
which luckily resolved spontaneously or many others including panic attack (
unlikely though to an extent of ECG changes). It will be difficu... 阅读全帖 |
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c********e
发帖数: 496 | 12 I wonder, why not go for angiogram directly.
Briefly, more than 50% block in left main stem is significant, more than 70%
of LAD and right coronary artery should be concerned and PTCA/Stent
implantation is indicated. CT does not tell those details. In addition, more
than 3 lesions, should go for bypass instead of PTCA. |
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y*****g
发帖数: 193 | 13 Nifedipine is calcium channel blocker, not good for congestive heart failure
(CHF) patient. That's why his doctor changed his antihypertensive agent from
nifedipine to lisinopril. Lisinopril is ACE inhibitor agentgood for CHF
patients. If his systolic blood pressure unable to control<140, he need go
to his cardiologist to readjust his BP meds. There is a lot of choice or
combination therapy for CHF patients.
If dyspnea on exertion reappeares, he need go to his cardiologist again too.
They need c... 阅读全帖 |
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l*h
发帖数: 4124 | 14 those cheap nitrates (for coronary diseases) work by producing NO in the
body. |
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f****o
发帖数: 2770 | 15 我这个人不经常运动，不知道这个是不是主要原因，现在体重180磅---BMI多少啊？
血脂偏高，胆固醇偏高-------有多高啊
抽烟喝酒么？
你别年纪轻轻就coronary artery disease啊。。。 |
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f****o
发帖数: 2770 | 16 心肌缺血？
coronary artery disease了就要按时吃医生开的处方药
保健品如果那么有效的话，药厂就申请专利成处方药了 |
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d********e
发帖数: 239 | 17 建议她去看医生要求做：
EKG
Echocardiogram
Stress echo or chemical stress test to rule out if she has coronary artery
problems.
另外每天查血压，早晚一次，同样的体位如座位，右臂等。看医生时将记录给医生看。
血压药要坚持吃如血压没有控制在正常范围。 |
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l*h
发帖数: 4124 | 18 前列腺癌在中国不普遍。
This is untrue. It has always been claimed by Chinese health authorities
that the incidence is 20 times lower than in the U.S. But most of these
claims are political without data to support. The same claims are also in
colon cancer, coronary disease and lung cancer etc., but some
epidemiologists start to acknowledge the truth is the opposite in many of
these diseases.
Contrary to what is often seen in neuropathology, there are very few
prostate cancer cases that are pathologically am... 阅读全帖 |
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k******e
发帖数: 8870 | 19 ☆─────────────────────────────────────☆
thinkerl (星河科技*创造无极) 于 (Sat Oct 13 10:44:15 2012, 美东) 提到:
妈妈65岁，10年来一直有高血压，但不严重，发作过两次，在国内打吊针一周左右就好
了。一直服用降压药，控制稳定。
三天前因为牙疼引起血压升高，高压180. 加量一片降压药就好了。但几天来，断断续
续血压不稳。例如正在吃饭，突然感到气短，脸发热，就往床上躺。此时量血压，就升
到160左右。一会就好了。
我昨天联系了很多医生，都不肯接收cash payment的病人。只好带妈妈去了urgent
care. 结果那里的医生只开了治牙的抗生素(虽然牙现在已经不疼了），明确告诉我高
血压不是urgent care 的
business. 如果血压再高，就去急诊。付了150元诊费，连evaluate一下现在的降压药
是否合理都不肯。
来版上询问好心人，我妈妈这种情况是否严重，还有什么办法吗？她现在大部分时间血
压还是正常的，估计到急诊也不接收的。
谢谢
☆────────────────────... 阅读全帖 |
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l*h
发帖数: 4124 | 20 if he is in China now, from the way it woks, he will need to stay in
hospital for at least 2-3 weeks to complete the evaluation:
1. whether stenting or bypass is suitable for him
2. short term, long term and emergency medication: his hypertension and
coronary disease should be managed together. dose adjustment should be
carefully done. patient and family should be trained for basic emergency.
3. other evaluations.
if there is any unstable or worsening angina, he should be sent to the ER.
140 |
|
l*h
发帖数: 4124 | 21 1. whether his symptoms are angina?
2. if yes, then will need to image aorta and subclavian arteries. both left
and right coronary normally originate from aorta, but there are
abnormalities. |
|
b*h
发帖数: 637 | 22 > 1. whether his symptoms are angina?
我又问了我爸关于到底是不是心绞痛，他说是他自己觉得的，没有医生给他诊断过。他
的硝酸甘油也是问医生要，医生就给开的（晕。。。）他的犯病的时候就是胸口中中间
痛，反射到后背，再反射到右边的一颗牙痛。
》2. if yes, then will need to image aorta and subclavian arteries. both
left and right coronary normally originate from aorta, but there are
abnormalities.
我理解您是说CT应该去照（或是至少包括）大通脉和锁骨下动脉，因为左右两个冠状动
脉都是起源于主动脉。 但是我们现在的片子只照了左、右的冠状动脉，心肌和肺野（
对我们外行来说就是肺部）说没有异常。但是CT应该也照主动脉和锁骨下动脉。
想问一下，我们是不是直接应该要求做冠状动脉造影。之前有个大侠说过觉得做心脏CT
是鸡肋。 我父亲和医生要求做冠状动脉造影，医生说检查要一步一步来，先做个心脏
增强CT. 我爸爸周一... 阅读全帖 |
|
l*h
发帖数: 4124 | 23 if he is in China now, from the way it woks, he will need to stay in
hospital for at least 2-3 weeks to complete the evaluation:
1. whether stenting or bypass is suitable for him
2. short term, long term and emergency medication: his hypertension and
coronary disease should be managed together. dose adjustment should be
carefully done. patient and family should be trained for basic emergency.
3. other evaluations.
if there is any unstable or worsening angina, he should be sent to the ER.
140 |
|
l*h
发帖数: 4124 | 24 1. whether his symptoms are angina?
2. if yes, then will need to image aorta and subclavian arteries. both left
and right coronary normally originate from aorta, but there are
abnormalities. |
|
b*h
发帖数: 637 | 25 > 1. whether his symptoms are angina?
我又问了我爸关于到底是不是心绞痛，他说是他自己觉得的，没有医生给他诊断过。他
的硝酸甘油也是问医生要，医生就给开的（晕。。。）他的犯病的时候就是胸口中中间
痛，反射到后背，再反射到右边的一颗牙痛。
》2. if yes, then will need to image aorta and subclavian arteries. both
left and right coronary normally originate from aorta, but there are
abnormalities.
我理解您是说CT应该去照（或是至少包括）大通脉和锁骨下动脉，因为左右两个冠状动
脉都是起源于主动脉。 但是我们现在的片子只照了左、右的冠状动脉，心肌和肺野（
对我们外行来说就是肺部）说没有异常。但是CT应该也照主动脉和锁骨下动脉。
想问一下，我们是不是直接应该要求做冠状动脉造影。之前有个大侠说过觉得做心脏CT
是鸡肋。 我父亲和医生要求做冠状动脉造影，医生说检查要一步一步来，先做个心脏
增强CT. 我爸爸周一... 阅读全帖 |
|
l*h
发帖数: 4124 | 26 1. gender and age?
2. any family history similar to this?
3. full lipid panel results?
the reason for asking is to see whether this fits into one of the
hyperlipidemia types. high triglycerides itself is not closely related to
coronary diseases (still showing some modestly increased risk but much
smaller than some other types of hyperlipidemia), but it can cause other
problems by itself or in conjunction with other risk factors.
if no family history, then diet and life style are considered the l... 阅读全帖 |
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b*h
发帖数: 637 | 27 啊？！这个心脏痉挛是不是就是冠状动脉痉挛，英文叫Coronary artery spasm ？
脏痉挛的官方名称是心脏神经官能症吗？
这个“病”在中国叫做心脏神经官能症，英语叫做Da Costa's syndrome，是焦虑症的
一个临床表现，不是心脏的原发疾病。 |
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T*R
发帖数: 36302 | 28 Coronary artery spasm is one of the major factors causing chest pain. |
|
|
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l*h
发帖数: 4124 | 31 速效救心丸 is very poorly formulated. it contains substances that should be
avoided by coronary disease patients. |
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h***f
发帖数: 162 | 32 Nobody in the US will do an official second opinion without seeing a patient
. That is like asking someone to fix your car without bringing it into the
shop.
Your father needs coronary angiography, which is a low risk but nonetheless
invasive procedure. If he needs stenting he will need anticoagulation
medications for life to maintain patency of the stent.
If your father comes to the United States without insurance, how much he
will pay depends on the institution, but almost certainly the costs ... 阅读全帖 |
|
d*w
发帖数: 384 | 33 "甚至开始怀疑是不是精神因素，让她干脆不要管。"
this is not the right attitude, especially so that she had cardiac infarct
in the past. was the reading of the angiogram thorough? do you really trust
the radiologist and cardiologist? at least the cardiologist didn't sound
right. did the cardiologist still consider coronary angiogram the ultimate
gold standard? did she have any cardiac perfusion study done? there are a
number of ways to examine cardiac perfusion, and all of them have advantages
and disadvantages.
60% |
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p****2
发帖数: 518 | 34 以下是Google翻译的 请指正
淋巴 lymph ？
颈部血管 neck vessels？
B超 ultrasound？
心超 Echocardiography
心血管 Cardiovascular
脑血管 cerebrovascular
冠状动脉 Coronary
甲状腺 thyroid
胆囊 胆管 胆结石 Gallbladder bile duct gallstones
血糖 blood glucose
心肝肺肾 Heart and liver, lung and kidney |
|
发帖数: 1 | 35 看病不是这么看的。原则上你可以要求做任何你想要的检查，但你要给出一个合理的原
因，做不做由医生决定。
[在 pi2002 (大侠.爱吃西红柿) 的大作中提到：]
:以下是Google翻译的 请纠正
:淋巴 lymph ？
:颈部血管 neck vessels？
:B超 ultrasound？
:心超 Echocardiography
:心血管 Cardiovascular
:脑血管 cerebrovascular
:冠状动脉 Coronary
:甲状腺 thyroid
:胆囊 胆管 胆结石 Gallbladder bile duct gallstones
:.......... |
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a*******e
发帖数: 831 | 36 请问一下在美国有没有比较好的over the counter治疗这两种病的药？ 谢谢了 |
|
m*****a
发帖数: 2160 | 37 冠心病没有非处方药（心脏病这种重大脏器的复杂疾病怎么可能药店里自己凭感觉买点
药就能搞定？）
湿疹的药美国有的OTC药中国都有 |
|
w******y
发帖数: 4871 | 38 你这个得去查查。
血压血脂血糖心电图这些是最基本的。
胸片要看情况再决定。
这个年龄段上rule out CAD(coronary artery disease)要排在第一位。不能假设可能
是胃不好后背不好啊之类的。 |
|
c***m
发帖数: 2630 | 39 这是原因-：
by seeking alpha Nov 21,2010
Bristol-Myers Squibb (BMY) and Pfizer (PFE) said they have discontinued the
late-stage clinical trial of their experimental antiplatelet drug apixaban
in patients with recent Acute Coronary Syndrome on the recommendation of an
independent data monitoring committee because of bleeding among patients
randomized to apixaban. This increase in bleeding was not offset by
clinically meaningful reductions in ischemic events. Enrollment will be
stopped and patients wil... 阅读全帖 |
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w****a
发帖数: 12 | 40 Biotech Calendar: 2011 FDA Drug Approvals
05/25/11
BOSTON (TheStreet) -- The 2011 FDA drug approval calendar has been updated.
For easier reference, this regulatory calendar is organized in chronological
order based on the drug approval decision date. Information on pending FDA
advisory panels is also included.
Optimer Pharmaceuticals(OPTR_)
Drug/indication: Dificid for Clostridium difficile infection
FDA approval decision date: May 30, 2011
GlaxoSmithKline(GSK_) and Valeant Pharmaceuticals(VRX_... 阅读全帖 |
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h*******g
发帖数: 205 | 41 刚看到这个帖子，说是Cramer把Belviq and Qunexs 完全说反了。个人觉得他是为MM低
价进ARNA做托儿，如果你的进价低，没准再hold一下。我还拿着，进点比较低，但是，
锁利很重要！！
Great post on ARNA message board by a doctor responding to Cramer's show
last night.....
REAL PHYSICIAN: CRAMER REBUTTAL 11-Jul-12 09:14 am A very important (but
never discussed) point about anti-obesity treatment is what real physicians
will prescribe for their patients in coming years. I have discussed with
many of my fellow M.D.s, and almost all of us are going with BELVIQ instead
of QNEXA, ... 阅读全帖 |
|
j****7
发帖数: 786 | 42 FDA division won't reinstate SPA for Amarin's Vascepa
The FDA's Division of Metabolism & Endocrinology Products has told Amarin (
AMRN) that it doesn't plan to reinstate a special protocol assessment
agreement (SPA) for a trial related to the expanded use of the
biopharmaceutical firm's Vascepa drug.Amarin intends to appeal the decision
to the FDA's director of the Office of Drug Evaluation II.The FDA had
originally allowed the SPA, but rescinded it in October, saying that it
would no longer con... 阅读全帖 |
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L**S
发帖数: 7833 | 43 gone！
＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝＝
需要免疫或者医学背景，关键词monocyte, immunology, medicine, Coronary Artery
Ectasia。
站内联系，方向合适者先到先得。 |
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r*****5
发帖数: 1876 | 44 最好是相关专业的人，我给这个杂志审了很久了，不想把自己名声咋了，呵呵
请把姓名，工作单位，单位信箱 私信给我，谢谢 |
|
|
a*********0
发帖数: 268 | 46 转让life science 审稿一篇。Y-27632, a Rho-associated protein kinase
inhibitor, inhibits voltage-dependent K+ channels in rabbit coronary
arterial smooth muscle cells. 需要background 介绍和email，姓名以便推荐。 |
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y********n
发帖数: 62 | 47 专业方向是心血管生理药理，coronary artery, cell signaling，menopause和
hormone
replacement therapy。
感谢版上兄弟姐妹之前给予的审稿机会，继续求推荐。谢谢大家 |
|
l**********n
发帖数: 60 | 48 As indicated in the title, several reviewers are needed to review a
manuscript: Metformin is not associated with lactic acidosis in diabetic
patients undergoing coronary artery bypass graft surgery: A case control
study.
The journal is BMC Pharmacology & Toxicology (IF 2.3), please let me know if
you are interested. I would prefer experts with expertise in the related
area.
Thank you. |
|
t****u
发帖数: 836 | 49 What It Is:
EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid) are two principal
fatty acids found in fish and krill. They belong to a family of nutrients
known as omega-3 fatty acids. DHA can also be obtained from other marine
sources, such as algae (algal oil). EPA and DHA are polyunsaturated fats ("
good" fats, as opposed to saturated fats which are thought to increase the
risk of heart disease). The body can only manufacture limited amounts of EPA
and DHA from the essential fatty aci... 阅读全帖 |
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u***e
发帖数: 611 | 50 your mom doesn't really need these Chinese medicine. What kind of heart
disease does she have? If it's coronary artery disease, the most important
medicine she needs is aspirin and it's over the counter. |
|
