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Inferior myocardial damage - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
Doctor :   Hi
Doctor :   How can I help you?
User :   what is inferior myocardial damage
Doctor :   Heart wall is predominantly made up of muscles describe medically as myocardium or myocardia.
User :   ok
User :   are u there
Doctor :   I am sorry.
Doctor :   and they are divided into 3 part relatively based on the wall in which it is located.
Doctor :   These walls are described as anterior wall, lateral wall and inferior wall.
Doctor :   So inferior myocardial damage means there is damage to the contents of the inferior wall of the heart
Doctor :   Have you followed?
User :   is it curable
Doctor :   That depends on the cause of the condition.
User :   if COPD is the cause
User :   smoking
Doctor :   The most common cause of inferior myocardial damage is inferior wall myocardial infarction.
Doctor :   In lay man terms a hear attack.
User :   ok then is QRS 104 denotes heart attack in ECG
Doctor :   Heart attack is indicated by other changes and not by QRS.
Doctor :   Do you have the ECG record with you.
User :   yes
Doctor :   If yes, can you mail me the ECG to YYYY@YYYY
User :   now it is not possible but i can write the reading u want
User :   sir
Doctor :   May I know if the readings that you see are computer generated findings or
Doctor :   as suggested by a cardiologist?
User :   RR 722 MS
User :   P 130MS
User :   PR 162 MS
User :   QRS 104 ms
User :   qt 428 ms
User :   qtc 510 ms
User :   P (II) 0.14 mV
User :   S (V1) -1.33 mV
Doctor :   Can you confirm if these readings are as documented by a cardiologist or as mentioned on the ECG record?
User :   R(V5) 1.62 mV
User :   sakal 3.02 mV
User :   mentioned in ECG and no that it is written as non confirmed report
User :   Axis P 41 degree
User :   QRS 28
User :   T 32
Doctor :   The values that you mention here are computer generated values
User :   Heart rate 83 / min
User :   yes
Doctor :   and they may be wrong too.
User :   by the time he reached hospital due to excessive walking he was tired
User :   i think so because this reading was taken in Aug 2010
Doctor :   A cardiologist interpretation of the record is necessary to give a conclusive interpretation of the ECG.
Doctor :   This is the reason why I would like you to send us the scanned copy of the ECG.
Doctor :   I hope you follow.
Doctor :   Moreover
Doctor :   Heart attacks/MI are diagnosed
User :   ok , sir what if person used to smoke even after diagnosed as COPD
Doctor :   by changes in the appearance. shape of the waves on the ECG.
Doctor :   The values aren't useful confirming the diagnosis of MI.
Doctor :   Smoking affects lung functions reducing the oxygen absorbing.
Doctor :   This is the function deficit found in COPD.
User :   how smoking affects alveoli in the lungs
Doctor :   Persistence of smoking, in the presence of COPD can impair the already compromised lung functions thereby worsing the functional deficit.
Doctor :   They cause structural damage on the alveoli - both the elastic property is lost as well as the oxygen absorbing capacity is lost.
User :   is it reversible if smoking is quit
Doctor :   Apart from this, they increase the chances of cancers, atherosclerosis and so on.
User :   atherosclerosis
User :   ?
Doctor :   Theoretically the changes can be reversed, however reversal happens after a very very long time, so practically it is considered as irreversible damage.
User :   considering age 60
Doctor :   Atherosclerosis in simple terms means the arteries get narrowed/obstructed due to accumulation of products on the blood vessel.
User :   but how smoking is related to atherosclerosis
Doctor :   Atherosclerosis is one of condition which is affected by various factor - diabetes, age, high blood pressure, high cholesterol and so on.
Doctor :   Smoking is one among important risk factor that cause atherosclerosis.
Doctor :   Smoker are more prone to get atherosclerosis than non smokers.
User :   I have heard that many people die in sleep of COPd, why body are not responsive when such persons are not in sleep like giving some alarm or anything , the person dies calmly
Doctor :   This condition is considered significant if blood flow through that vessel is restricted more than 60%.
Doctor :   They are considered significant if they involve blood vessels of organs, limbs.
Doctor :   When they involve blood vessels of heart, they can increase the chances of heart attacks.
Doctor :   Similarly when they involve blood vessels of the brain, the increase the chances of strokes.
Doctor :   Other complication that can occur simultaneosly is gangrene of limbs,
User :   I have heard that many people die in sleep of COPd, why body are not responsive when such persons are not in sleep like giving some alarm or anything , the person dies calmly
Doctor :   Medically death is occurs when there is cardiorespiratory arrest.
Doctor :   Cardiorespiratory arrest can occur all of a sudden without any indication or it can be a slow process.
Doctor :   Some conditions which can cause sudden cardiorespiratory arrest are massive heart attacks, strokes, brain hemorrhages and so on.
Doctor :   Other conditions usually result in a gradual cardiorespiratory arrest.
Doctor :   If some one dies of sudden cardiorespiratory arrest, the usual culprit is the above.
User :   why it happens in sleep and is there any pain associated with it
Doctor :   MI and strokes happen irrespective of time of day.
Doctor :   And if this happens during sleep, it is just a random event which cannot be explained.
User :   can anybody die of COPD if he is using nebulizer considering smoking is continued
Doctor :   COPD alone usually results in gradual death as the lung functions deteriorate.
User :   does COPD comes with underlying heart ailment
Doctor :   Yes, Heart ailments can follow COPD.
User :   does use of asthalin and impravent reduces the risk of myocardial damage or does this damage means that part of heart is dead and cannot be done
Doctor :   No, Asthalin and Ipravent only help in oxygenation to the lungs thereby reducing the symptoms of breathing difficulty.
Doctor :   They do not prevent heart attacks.
User :   ok then smoking has to quit otherwise death will follow
Doctor :   Yes, quitting smoking considerably reduces the chances of heart attacks, strokes as well as prevent worsening of COPD.
Doctor :   There by prevent chances of sudden death.
User :   doctor this one silly question , why our body needs continuous oxygen why it cannot hold for say 1 hr, oxxygen basically needed for oxidation of food thereby releasing energy,
Doctor :   The time guidelines is based on the function capacity of brain to work without oxygen.
User :   i mean why nature has not consider this case so that there is enough time to save the person
Doctor :   Unlike other organs, where damage can be repaired, brain cells die within 3 - 6 minutes without oxygen.
Doctor :   I cannot comment more on facts.
Doctor :   There are few things that cannot be explained
Doctor :   irrespective of how much ones studies on them.
User :   sorry m giving u trouble
Doctor :   I am can understand what is going through with your family.
Doctor :   It was unfortunate that it happened during sleep without warning sign.
Doctor :   I can only suggest you not to think of the past and consider the present and the future.
User :   yes doctor , but how u come to know
Doctor :   You can consider visiting a counsellor who will be able to help you during this stressful times.
User :   doctor, when a person dies , what happens to the ideas in the brain , what about memory other algorithms and many things , is all are destroyed
Doctor :   There are no scientific data available on what happens after death.
User :   does we have chat earlier
Doctor :   You mean if you had chatted with me earlier?
User :   yes
Doctor :   Yes,
User :   your name sir
Doctor :   We have discussed about some issues a few days ago.
User :   ok sir
Doctor :   Do you have any other query?
User :   no doctor thanks a lot
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
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