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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Asthma Along With Knee Pain And High BP

due my all respect to you sir, my father has a known Asthma and both knee pain,High BP and his ECG has shown that he has an old inferior wall MI and he 68 years old please tell me how his future and do we need a MI managememt for him or not? all other systems are in good conditions. and about myself : iam a medical st.

thanks & regards.

Nabi
Mon, 23 Feb 2015
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General & Family Physician 's  Response
Hi,
Your father is having asthma,arthritis( both knee pain),HTN and IHD with 68 years age.
First,you can continue treatment for asthma like inhalers ( MDI or Rotacap) of steriods,alpha agonists, anticholinergics etc.
I have assumed arthritis for knee pain,so you can take treatment from orthopedician after confirmed diagnosis.
Now,if he has old history of inferior wall MI with hypertension then you can continue antihypertensive, antiplatelets or anticoagulants
( ecosprin,clopidogrel or heparin),hypolipidemics( statins or fibrates),antiarrhythmic if required etc but after the consultation of cardiologist.
His prognosis will mainly depend on his cardiac ejection fraction (EF- on 2D echo)and its activity during rest and exertion.
So,better you do a regular follow-up at cardiologist every 6 monthly at least.
Other factors are not a big issue in an otherwise healthy individual.He can continue with the treatment.
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Suggest Treatment For Asthma Along With Knee Pain And High BP

Hi, Your father is having asthma,arthritis( both knee pain),HTN and IHD with 68 years age. First,you can continue treatment for asthma like inhalers ( MDI or Rotacap) of steriods,alpha agonists, anticholinergics etc. I have assumed arthritis for knee pain,so you can take treatment from orthopedician after confirmed diagnosis. Now,if he has old history of inferior wall MI with hypertension then you can continue antihypertensive, antiplatelets or anticoagulants ( ecosprin,clopidogrel or heparin),hypolipidemics( statins or fibrates),antiarrhythmic if required etc but after the consultation of cardiologist. His prognosis will mainly depend on his cardiac ejection fraction (EF- on 2D echo)and its activity during rest and exertion. So,better you do a regular follow-up at cardiologist every 6 monthly at least. Other factors are not a big issue in an otherwise healthy individual.He can continue with the treatment.