Heart murmur

CC Mrs. Amazeen is an 86-year-old female here today for a followup. She would like to talk about her visit with Roger Epstein, MD, regarding her abnormal findings on CT of her liver. HPI The patient tells me that she was not exactly happy with her visit with Dr. Epstein. After reviewing her CT dated August 26, 2015, it does show abnormal vascularity within the left lobe of the liver with increase in size when compared to 2011. Dr. Epstein reportedly gave her three options. One was to do…

Dilated cardiomyopathy is a disease of the heart muscle that result in weakened construction of an organ and poor blood pumping ability. The disease progresses the heart is getting bigger than a normal, one or more valves may leak. Both the upper and lower heart chambers become enlarged with DCM, but one side is more severely affected. In most case the left-side is exaggerated primarily. The left ventricle is more muscular than right-sided. Moreover, the left ventricle receives freshly…

Preoperative evaluation Cardiac surgery, including coronary artery bypass grafting and surgery for valvular disease, represents one of the most common classes of surgical procedures performed worldwide. Advances in the percutaneous management of coronary artery disease as well as in cardiac surgical techniques have led to improved outcomes with consequent longer life expectancy for patients. Greater numbers of patients with depressed left ventricular function, multiple comorbidities, failed…

Case 2 45 y.o. African American male with an intussusception Brandi Weaver, PA-S Bethel University History of Present Illness On 8/3/2015 a 45 year old African American male presented to the ER with a chief compliant of diffuse abdominal pain and trouble having a bowel movement. The patient stated that he was experiencing rectal pain with bloody stools. He also complained of feeling his bowels pulling. The patient stated that he has lost roughly 40 pounds in the past month without trying to…

In the U.S. alone, there’re approximately 5.7 million Americans who are affected by congestive heart failure and about 550,000 new cases each year . A common misconception among Americans, is that cardiac arrest and heart failure are the same – not exactly. Both conditions can be life-threatening, but heart failure refers to the incapability of the heart to circulate blood throughout the body to meet the body’s needs. Due to the inadequate blood circulation, it results the leaking of fluid from…

Pros and cons towards Improving the Pre Preparation for Exercise Stress Test in Ischemic Heart Disease Patient. Option B: Practice Based Reflective Account. There is pro and cons towards improving the pre preparation for exercise stress test in Ischemic Heart Disease patient whether is necessary for them or not. Pros and cons is an arguments in favour and against certain decision, motion or course of action of the patients examiners. The pros and cons will determine the critical routine before…

American Heart Association (AHA) defines dilated cardiomyopathy (DCM) as “a spectrum of heterogeneous myocardial disorders characterized by ventricular dilation and depressed myocardial performance in the absence of hypertension, valvular, congenital, or ischemic heart disease” (Bozkurt et al., 2016). Based on its origin, it is classified as a primary, which means confined to the myocardium, and mixed (genetic and non-genetic cause) cardiomyopathy: the list of known causes includes heart…

Congestive heart failure effects approximately 5.1 million Americans, with about 670,000 new cases diagnosed each year (Davidson,2015). In 2009, one in nine deaths were contributed to heart failure (Davidson,2015). The expectancy life span after being diagnosed is approximately five years. It effects mostly the elderly over the age of 65. CHF is a chronic disease that over time gets worse because of the weakening of the heart, increased workload, which reduces the amount of oxygenation that can…

Diagnosis Congestive heart failure is often diagnosed upon a wide range of diagnostic test, information from a patient’s medical history, and a detailed physical examination. Diagnostic test used to help diagnose left ventricular failure include blood test, B-type natriuretic peptide blood test, chest x-ray, electrocardiogram, stress test, cardiac catherization, radionuclide ventriculography, contrast-enhanced magnetic resonance imaging, and echocardiogram. Physicians often use blood test to…

Coleus forskohlii. For many years, natives of Thailand, India and Nepal have used Forskolin to mend heart problems, angina and even hypertension. Apparently, the substance acts within the heart muscles and walls of the blood vessels to render an impressive heartbeat and widens the blood vessels. Consequently, it lowers blood pressure numbers, increases oxygen flow, and modifies or improves overall heart health, hence, the results are remarkably optimistic. More benefits of Forskolin…