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My Sister Is 55 Years. Heavy Smoker. She Is Hypertensive
Question: my sister is 55 years. heavy smoker. she is hypertensive and lately at 170/110 mmHg most of the time though taking Exforge HCT 10/170/25. her thyroid is enlarged and affecting her breathing . today she suffered fatigue and high blood pressure after an exceptional effort she exerted with some chest pain. she went to the ER and attached are her ECG and CK analyses. is her coronary condition acute or chronic? and what is your assessment
my sister is 55 years. heavy smoker. she is hypertensive and lately at 170/110 mmHg most of the time though taking Exforge HCT 10/170/25. her thyroid is enlarged and affecting her breathing . today she suffered fatigue and high blood pressure after an exceptional effort she exerted with some chest pain. she went to the ER and attached are her ECG and CK analyses. is her coronary condition acute or chronic? and what is your assessment
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome on - Ask a Doctor - service!
I passed carefully through your sister's medical history and uploaded tests and would like to explain that her recent clinical symptomatology is caused by uncontrolled thyroid function.
Thyroid gland dysfunction may lead to unbalanced thyroid hormones production with their underlying consequences like persistent hypertension, tachycardia, cardiac arrhythmia (like frequent extrasystoles, atrial fibrillation, etc.)
If left untreated for a long period of time, thyroid dysfunction may lead to cardiomyopathy with permanent structural cardiac disorders.
Normal troponin level rules out an acute coronary syndrome (CK-MB is borderline too).
So, to conclude, it seems that your sister's condition is likely to be chronic; anyway the exacerbation of hypertension and cardiac arrhythmia are a call for immediate medical intervention through a prompt therapy optimization.
Coming to this point, a review of her thyroid function is required through blood thyroid hormones level measurements.
In addition, cardiac function should be checked through cardiac ultrasound test.
A beta-blocker (like Atenolol, Metoprolol, or Carvedilol, etc.) should be started if no contraindications exist; coupled with specific thyroid therapy.
Anti-hypertensive therapy should be optimized by modifying the current daily doses and/or starting additional drug(s).
It is necessary to discuss on the above mentioned issues with her attending physician.
Hope to have been helpful to you!
In case of any further questions, feel free to ask me again.
Kind regards,
Dr. Ilir Sharka
cardiologist
I would explain as follows:
Detailed Answer:
Hello!
Welcome on - Ask a Doctor - service!
I passed carefully through your sister's medical history and uploaded tests and would like to explain that her recent clinical symptomatology is caused by uncontrolled thyroid function.
Thyroid gland dysfunction may lead to unbalanced thyroid hormones production with their underlying consequences like persistent hypertension, tachycardia, cardiac arrhythmia (like frequent extrasystoles, atrial fibrillation, etc.)
If left untreated for a long period of time, thyroid dysfunction may lead to cardiomyopathy with permanent structural cardiac disorders.
Normal troponin level rules out an acute coronary syndrome (CK-MB is borderline too).
So, to conclude, it seems that your sister's condition is likely to be chronic; anyway the exacerbation of hypertension and cardiac arrhythmia are a call for immediate medical intervention through a prompt therapy optimization.
Coming to this point, a review of her thyroid function is required through blood thyroid hormones level measurements.
In addition, cardiac function should be checked through cardiac ultrasound test.
A beta-blocker (like Atenolol, Metoprolol, or Carvedilol, etc.) should be started if no contraindications exist; coupled with specific thyroid therapy.
Anti-hypertensive therapy should be optimized by modifying the current daily doses and/or starting additional drug(s).
It is necessary to discuss on the above mentioned issues with her attending physician.
Hope to have been helpful to you!
In case of any further questions, feel free to ask me again.
Kind regards,
Dr. Ilir Sharka
cardiologist
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome on - Ask a Doctor - service!
I passed carefully through your sister's medical history and uploaded tests and would like to explain that her recent clinical symptomatology is caused by uncontrolled thyroid function.
Thyroid gland dysfunction may lead to unbalanced thyroid hormones production with their underlying consequences like persistent hypertension, tachycardia, cardiac arrhythmia (like frequent extrasystoles, atrial fibrillation, etc.)
If left untreated for a long period of time, thyroid dysfunction may lead to cardiomyopathy with permanent structural cardiac disorders.
Normal troponin level rules out an acute coronary syndrome (CK-MB is borderline too).
So, to conclude, it seems that your sister's condition is likely to be chronic; anyway the exacerbation of hypertension and cardiac arrhythmia are a call for immediate medical intervention through a prompt therapy optimization.
Coming to this point, a review of her thyroid function is required through blood thyroid hormones level measurements.
In addition, cardiac function should be checked through cardiac ultrasound test.
A beta-blocker (like Atenolol, Metoprolol, or Carvedilol, etc.) should be started if no contraindications exist; coupled with specific thyroid therapy.
Anti-hypertensive therapy should be optimized by modifying the current daily doses and/or starting additional drug(s).
It is necessary to discuss on the above mentioned issues with her attending physician.
Hope to have been helpful to you!
In case of any further questions, feel free to ask me again.
Kind regards,
Dr. Ilir Sharka
cardiologist
I would explain as follows:
Detailed Answer:
Hello!
Welcome on - Ask a Doctor - service!
I passed carefully through your sister's medical history and uploaded tests and would like to explain that her recent clinical symptomatology is caused by uncontrolled thyroid function.
Thyroid gland dysfunction may lead to unbalanced thyroid hormones production with their underlying consequences like persistent hypertension, tachycardia, cardiac arrhythmia (like frequent extrasystoles, atrial fibrillation, etc.)
If left untreated for a long period of time, thyroid dysfunction may lead to cardiomyopathy with permanent structural cardiac disorders.
Normal troponin level rules out an acute coronary syndrome (CK-MB is borderline too).
So, to conclude, it seems that your sister's condition is likely to be chronic; anyway the exacerbation of hypertension and cardiac arrhythmia are a call for immediate medical intervention through a prompt therapy optimization.
Coming to this point, a review of her thyroid function is required through blood thyroid hormones level measurements.
In addition, cardiac function should be checked through cardiac ultrasound test.
A beta-blocker (like Atenolol, Metoprolol, or Carvedilol, etc.) should be started if no contraindications exist; coupled with specific thyroid therapy.
Anti-hypertensive therapy should be optimized by modifying the current daily doses and/or starting additional drug(s).
It is necessary to discuss on the above mentioned issues with her attending physician.
Hope to have been helpful to you!
In case of any further questions, feel free to ask me again.
Kind regards,
Dr. Ilir Sharka
cardiologist
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
this is her today%E2%80%99s Echo. it seems bad
what is your assessment plz
what is your assessment plz
this is her today%E2%80%99s Echo. it seems bad
what is your assessment plz
what is your assessment plz
Brief Answer:
Opinion as follows:
Detailed Answer:
Hello again!
It seems that your sister has an impaired cardiac function caused by chronic health conditions like hypertension and thyroid dysfunction.
A better control of these health condition would be necessary to stop further progression of cardiac dysfunction.
An adequate blood pressure control is required guided by a careful screening of BP values; in addition kidney and liver function tests should be checked.
I highly suggest following the previous recommendations and discuss with her attending doctor on such issues.
I remain at your disposal for any further questions.
Regards,
Dr. Iliri
Opinion as follows:
Detailed Answer:
Hello again!
It seems that your sister has an impaired cardiac function caused by chronic health conditions like hypertension and thyroid dysfunction.
A better control of these health condition would be necessary to stop further progression of cardiac dysfunction.
An adequate blood pressure control is required guided by a careful screening of BP values; in addition kidney and liver function tests should be checked.
I highly suggest following the previous recommendations and discuss with her attending doctor on such issues.
I remain at your disposal for any further questions.
Regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
Opinion as follows:
Detailed Answer:
Hello again!
It seems that your sister has an impaired cardiac function caused by chronic health conditions like hypertension and thyroid dysfunction.
A better control of these health condition would be necessary to stop further progression of cardiac dysfunction.
An adequate blood pressure control is required guided by a careful screening of BP values; in addition kidney and liver function tests should be checked.
I highly suggest following the previous recommendations and discuss with her attending doctor on such issues.
I remain at your disposal for any further questions.
Regards,
Dr. Iliri
Opinion as follows:
Detailed Answer:
Hello again!
It seems that your sister has an impaired cardiac function caused by chronic health conditions like hypertension and thyroid dysfunction.
A better control of these health condition would be necessary to stop further progression of cardiac dysfunction.
An adequate blood pressure control is required guided by a careful screening of BP values; in addition kidney and liver function tests should be checked.
I highly suggest following the previous recommendations and discuss with her attending doctor on such issues.
I remain at your disposal for any further questions.
Regards,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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