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Treatment for lipid abnormalities - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   hi
Doctor :   how can i help you?
User :   my husband has had ischemic heart disease last year
Doctor :   ok
User :   his myocardium perfusion study indicates
User :   old AWMI,SVD,LAD 100%
User :   fixed perfusion defects are seen in the distal 3rd of the anterior wall
Doctor :   For Administrative and health purposes, Please provide these details -Age: Gender: Occupation: Location: Marital Status: Dependants: Yes/No
User :   Age 42, gender male, occupation- self emplyed, location Bangalore, married, 2 children
User :   height-175
User :   weight- 104 kgs
Doctor :   ok
User :   he walks for abt 30 mins on thredmill every day, night he eats 2 chapathis with curry
User :   there is no difference in his weight since last year
Doctor :   ok
User :   i was reading in the paper that life expectancy for a heart desease patient is abt 10 yrs after the attack
User :   does this apply in his case?
User :   we r not able to achive the weight reduction expected of him in this year, reduced and gained back
Doctor :   there is incidence of decreased life expectency but
Doctor :   plan to control weight has to be planed
Doctor :   it has to be integrated
User :   meaning?
Doctor :   between diet and exercise
User :   can u please elaborate?
Doctor :   ok
Doctor :   Treatment of lipid abnormalities has now been shown to delay the progression of atherosclerosis and in some cases has even produced regression of the atherosclerotic plaques
Doctor :        Stop smoking
User :   how do i know if my hsband is being treated for the lipid abnormalities
User :   he does not smoke
User :   he is taking storvas 40 mg,
Doctor :   how often you visit your doctor?
User :   cardace 2.5 mg
Doctor :   storvas is lipid lowering agent
User :   combiplet DS
User :   does that mean he is teated for the lipid abnormality?
User :   by taking storvas?
Doctor :   yes
User :   even after taking B P tablet his B P is showing 140/100 today
User :   how does he control that?is that ok to have that much BP
Doctor :   thereare some many factors that determine
Doctor :   the Bp
Doctor :   it ,ay be even due to the observers error
User :   but is ther any harm if in the long run his B P shows the same numbers even after using the tablets?
User :   of should it come down?
User :   wat r the ways to keep the B P down? should the dosage of the B P tablet be increased?
Doctor :   if the BP is persitently high then this requires the change of the drug or increase in the dose
Doctor :   are you there?
User :   yeah
Doctor :   ok
Doctor :   is there any thing else?
User :   for weight management
User :   wat r the available options?
Doctor :   this has to be a team wirk
User :   please suggest the dose increment
Doctor :   dose increment for what?
User :   BP
User :   we go once in 6months to the doc
User :   shld the frequency be increased?
Doctor :   the persistent elevation of BP has to be evidenced first
User :   ok
Doctor :   who checks the BP
Doctor :   ?
User :   yesterday we had gone to get insurance
User :   there the doc chkd and told
User :   he has elevated B P
Doctor :   how amnu times was that checked?
Doctor :   how many times
User :   just yest once
Doctor :   yesterday only
Doctor :   ok
User :   yeah
Doctor :   1 time elevation in BP is not significant
User :   ok
User :   so we need tochk it many times and arrive at the figures?
User :   then increase the dosage?
User :   it shld be 120/80 is it all the time?
Doctor :   not always 120/80
Doctor :   agedoes also contribute to slight elevation in BP
User :   oh ok
User :   wat r the other risks he runs with this complication? is he prone to get more heart attacks? and how soon? in which way do the medicines he is taking now protect him?
Doctor :   that can not be told as a hard and fast rule
User :   generally?
Doctor :   it may any from 1 attack per year or no further attack in the life time
User :   can we join weight management firms like gyms ?
Doctor :   aerobics.
User :   he does nt get exhausted after the walks etc
User :   his blood supply to the heart is good
Doctor :   ok
User :   can we increase the excersise routines?
Doctor :   you can increase but not to strain
User :   can he do weights and cardio excersises?
Doctor :   yes they are to be done under guidende
User :   iam scared if he does nt decrease his weight he may be in danger
Doctor :   there are trained persons available there?
User :   they say there r completely trained persons for diet weight management etc
Doctor :   ok
Doctor :   then you can go
User :   doctor if iam not bothering u.
User :   i have one more query regardig my friend s husband
Doctor :   Please fill this form I send, While I type the necessary information, and do Inform me when done.
Doctor :   what is that?
User :   she is all parameters r similar to my husband except he is vegetarian a little short but not at all over weight
Doctor :   ok
User :   he had this blockage in the artery and has been stented
Doctor :   ok
User :   but after that his whole quality of life has decreased
Doctor :   if the block is sever then they go for stenting
User :   from the past year after the stenting he complained of back pain, restlessness, breathlessness etc
User :   they told it was a medicated stent and they canged it
Doctor :   ok
User :   but there is no improvement in his condtion
User :   they r in new
Doctor :   ok
User :   i dont know if it were in india, he would have been much btr
User :   or is it equally effective there also?
Doctor :   i can not comment much on this
User :   he comes home from work and hits the bed. no enthusiasm for anything
Doctor :   ok
User :   always complaining of some thing or the other
User :   is it the case with stenting?
User :   or is this a solitary case?
Doctor :   no its his personality something called type A personality
User :   meaning?
Doctor :   thats his personality
Doctor :   to know more you can always log in again
Doctor :   We are available from 9AM to 9PM IST everyday.
Doctor :   bye
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