#prinzmetal

[violaodetteharlow]

Camel Blues

It’s the cloudy kind of day in LA that I romanticize all summer as a native who cherishes overcast weather. 10 years ago I lived at this very building and I’d be sitting on the fronts steps smoking Camel Blue cigarettes with caffeinated coffee. I’d be thinking about how I’d own one of those big houses down the street now that I was working with Dr Luke’s producers. He had not been canceled yet. They were sexist, more than I was used to in 2014, but maybe I’d find good people through a good song made in uncomfortable conditions. They didn’t like big words unless they were hidden in the bridge. I had to explain to them the meaning of Satire. “Woah, yeah I don’t think people will get that.” I remember how scared I was that I was too old and felt time racing by. I feel much younger now. I might look younger too. They say one of problems either with EDS or Lupus, I forget, is that I produce excess collagen. My body’s constant fight to repair itself from damage also has me in better shape. God traded me abs for a wild thyroid. I can’t have a cigarette or one artery or all would start spasming as soon as the nicotine hit my system. So many fun things are vasoconstrictors. Isn’t it funny to move back into a building you lived in ten years ago because after trying most every other art deco property it turned out to be the best one. My old unit opened up and I saw it as a sign. I was much less happy then but so much less had gone wrong. I lost the unit because I ran out of money and moved to the valley. I felt powerful buying it back for myself. I survive off OF content and charities. The month my old unit opened up was a good month for selling photos and videos to horny people so I had more than usual. It’s been getting harder to keep up. My body is exhausted which throws off everything. I feel like I could sleep for a year. It would be so easy I have a new puppy who sleeps on my head. Someone who has been very good to me in the industry hooked me up with a baby Cavalier King Charles Spaniel. She is a great companion to varying between stuck in bed and dragging myself to the backyard for sun and fresh air. She loves both activities so we are a great pair. She has the light and love and hope of a little kid. I feel as though I’m supposed to show her the good Disney cartoon movies so she can dream big dreams. She’s the runt so every bit of growth makes me happy and hopeful she’ll live a long time. I have to live as long as her. I don’t want to be where I was 10 years ago but I sure do wish I could have a Camel Blue on this cloudy day before my nap. A sip of decaf will tuck me in instead. I’ll edit my nudes later. 

[just-a-little-whump]

13. What is the most recent thing you have researched for use in your whumpy writing?

Thanks for the ask!

The last whumpy thing I remember researching for writing purposes was about chest pain, specifically due to angina, and subsequently learning that there are actually several different kinds. Prinzmetal angina, it turns out, was the one I needed information on, but I fell down a research rabbit hole in the process!

[impactcare123]

How Amloclass 5mg Tablet Helps in Managing Blood Pressure and Angina

Managing high blood pressure (hypertension) and angina (chest pain) is critical to maintaining heart health and preventing life-threatening complications such as heart attacks and strokes. For many individuals, Amloclass 5mg Tablet has proven to be an effective solution. This medication, which contains amlodipine, a calcium channel blocker, helps manage both conditions by improving blood flow, reducing strain on the heart, and lowering blood pressure. In this blog post, we’ll explore how Amloclass 5mg works and why it’s an ideal choice for controlling blood pressure and preventing angina.

What is Amloclass 5mg Tablet?

Amloclass 5mg Tablet contains amlodipine, a widely used calcium channel blocker. It is prescribed for patients who suffer from high blood pressure and angina. Amlodipine works by relaxing the blood vessels, improving blood flow, and reducing the workload of the heart. By controlling blood pressure and preventing chest pain, Amloclass 5mg helps prevent the long-term complications associated with cardiovascular disease.

How Does Amloclass 5mg Tablet Work?

Amloclass 5mg works by inhibiting the entry of calcium into muscle cells in the heart and blood vessels. Calcium is a key element that triggers muscle contraction. By blocking calcium, Amloclass helps:

Relax and widen blood vessels: This allows blood to flow more easily and lowers blood pressure, reducing the strain on the heart.

Improve blood flow to the heart: Amloclass 5mg widens the coronary arteries, ensuring that the heart muscle receives enough oxygen and nutrients, which prevents chest pain (angina).

Reduce the heart’s workload: By lowering blood pressure and improving blood flow, Amloclass reduces the stress on the heart, which can help prevent heart-related complications.

Key Benefits of Amloclass 5mg Tablet

Amloclass 5mg offers several important benefits that make it an ideal choice for managing hypertension and angina:

Effective Blood Pressure Control: Amloclass 5mg helps lower high blood pressure, which can reduce the risk of heart attacks, strokes, and kidney disease.

Prevents Angina Attacks: By improving blood flow to the heart, Amloclass 5mg reduces the frequency and severity of chest pain associated with angina.

Convenient Once-Daily Dosage: Amloclass 5mg is typically taken once a day, making it easy for patients to follow their treatment plan.

Well-Tolerated: Amloclass 5mg is generally well tolerated, with side effects being mild and temporary for most individuals.

Who Should Take Amloclass 5mg Tablet?

Amloclass 5mg Tablet is typically prescribed to individuals who:

Have high blood pressure and need medication to manage it effectively.

Experience chronic stable angina or vasospastic angina (Prinzmetal’s angina), conditions that cause chest pain due to a reduction in blood flow to the heart.

It’s important to take Amloclass 5mg exactly as prescribed by your healthcare provider and attend regular follow-ups to monitor its effects.

Potential Side Effects of Amloclass 5mg Tablet

Like all medications, Amloclass 5mg may cause side effects, although not everyone will experience them. Common side effects include:

Swelling of the ankles or feet

Dizziness or lightheadedness

Fatigue or tiredness

Headaches

Palpitations (awareness of the heartbeat)

Most side effects are mild and resolve as the body adjusts to the medication. If any side effects become severe or persistent, consult your healthcare provider for further guidance.

Why Choose Amloclass 5mg Tablet?

Amloclass 5mg is a trusted and effective medication for managing high blood pressure and angina. Its dual-action of relaxing blood vessels and improving blood flow ensures that both conditions are treated simultaneously, providing comprehensive heart care. The once-daily dosage makes it convenient for patients to adhere to their treatment plan, and its safety profile ensures that it is a reliable option for most people. Whether you are looking to lower your blood pressure or prevent chest pain, Amloclass 5mg is a well-established and effective choice.

Conclusion

Amloclass 5mg Tablet offers a highly effective solution for managing high blood pressure and preventing angina. By relaxing blood vessels, improving circulation, and reducing strain on the heart, Amloclass 5mg helps maintain better heart health and reduce the risk of serious cardiovascular complications. If you are dealing with hypertension or angina, talk to your healthcare provider about whether Amloclass 5mg could be the right treatment for you. With its proven effectiveness and easy-to-follow dosage, Amloclass 5mg could be the key to improving your heart health and quality of life.

[my-sparklyexpertstudent-blog]

Verapamil -Thuốc điều trị tăng huyết áp và những lưu ý khi sử dụng

[eorzea80]

So my Dad's in the hospital. As hard as we tried to fight against a placement, we couldn't keep him safe at home. Late last night, after we all had him settled, he tested positive for COVID. I know most folks are past C19, but my family is pretty much the definition of those "who will fall by the wayside." TB, IIH, Sjogrens, Prinzmetal's, Asthma, Autism, ADHD, Depression, Obesity. If there's a letter in the alphabet, we have it covered.

I am so tired. I have worked so hard to avoid C19 to protect my partner, my family and myself. All weekend, I've seen folks go out for festivals, fetes, and shows - I wass a professional musician for a piece, I miss that sh*t! But the narrative is, "Got the Festival Fluuuuu but it was Worth IT!!" The one day I step a toe out of line, because we had to save my Dad's life, and I catch COVID. Not from a FeStIvaL!! Not from a CoNcerT!!! From the single most stressful day of my adult life.

Alisale, you need to move over. I am in need of that table space.

[prinzessmetal]

Welcome to my blog. I want to write about some things that I don’t feel comfortable getting into on other platforms as often as they are happening. I want a place to talk about my health struggles in hopes that it will help people choose themselves and their bodies. If I had known 10 years ago the medications and episodes that are part of my life now it might have helped. If someone hurts you and tells you that you can handle something you don’t feel like you can please seek help even if you just tell a friend rather than internalize that. Trigger warning ahead: abuse and health problems. When I was in elementary school I asked my parents to homeschool me. I wanted to do acting full time and I wanted to do music when I was old enough. This is what Judy Garland did according to a bio pic so it was probably a good plan. I had a lot of crazy almost moments. I auditioned for Hannah Montana and Hermione and got pretty far in call backs. I got called in by the guy who signed Britney. My old manager dated Lana Del Rey before she released anything and told me my music was too depressing like his girlfriend’s and I would need to be more uplifting or I would end up like her. I worked from when I was a kid until now. I enjoy telling stories and making art so that some insignificant feeling of mine can blossom into something beyond me. I think a lot of entertainers have a similar set of needs. There’s people who happen upon it and there’s people who live and breathe and die for it. Maybe there’s a hole to fill or they feel things so deeply they want to get it out and set it free. This was the complete focus of my life. Except for love. I wouldn’t trade my work for anything except for a man threatening to leave. I have always been scared of that feeling and I have done some pretty predictable things to avoid it. Dyed my hair, paid for parts for a moped, moved across the country, and allowed another human with a lower iq and no job to break my heart over and over again. I did that several times, I mean, what are your 20’s for? I think a lot of women spent their 20’s feeling like they were raising their boyfriends. But, I stayed when men crossed lines that aren’t just normal and routine and those things ended up hurting me. When I was 19 I moved to Nashville to record an album. My music manager and my boyfriend were both control freaks with a lot of rage. I was “not like the other girls.” At 19 I was a manic pixie repressed dream. I was terrified to be too much or not enough and I was raised to be sweet and soft. I couldn’t imagine yelling back or ruining someone’s wants with my needs. My inner child actor didn’t know how much adult was too much adult. I looked about 13 and I felt about 60. One day my boyfriend was screaming at the top of his lungs and I was concerned about the neighbors hearing it. I had recorded with session players that day in the studio and I didn’t explain to him (as he found from my posts online) that some of them were more attractive than I had let on. I am not sure what level of graphic I will get into on this blog but I will say for now it “got worse.” My mom happened to be calling when this was going on and my pocket answered and she overheard. She flew out a few days later and wanted to know if I was okay. I lied and I told her that he was never like that and he had been under a lot of pressure trying to find a new job. I didn’t want to lose him for whatever reason at the time felt like the end of the world. Some nights I would go for drives to get away and cry to “Razzle Dazzle Rose” by Camera Obscura (great song to drive and cry to) until I had a headache and I would head back home when he had fallen asleep. In the mornings he was always extremely sorry and a completely different person who “would change.” At the end of this relationship I started getting chest pains. I think I went to an ER and was sent home with anxiety. I thought it was weird how badly anxiety hurt my physical heart and odd that it was deemed okay. But it seemed likely true as I was 19. Over the next few years I dated different people some like the first guy and some gentler. I was raised around anger and big highs and lows and angry people thought me to be comforting. I tried my best to avoid mistakes and things that caused problems because I didn’t feel I had the stamina i just wasn’t sure why. It often caused that chest pain I didn’t understand. At 24 my body started not feeling like itself more consistently. I often had chest pain and missed heart beats (pvcs and pacs) and my body hurt a lot for no reason. I felt rushes and I would feel dizzy and faint and out of breath. I was given a variety of names for all this. I had dysautonomia, POTS, autonomic dysfunction, “a weird nervous system” or just anxiety. I read all about different conditions but I didn’t know what I had but I knew my body wasn’t well anymore. I spent the next couple years being known as a hypochondriac. “Nothing is wrong with your heart Molly.” I still associate the hospital’s hold music with the mantra “it’s not your heart” that was routinely on the other end of it. I eventually gave up. I must have had some psychosomatic issue and I was probably crazy and I wanted to start living again. I was tired of chest pain with no cause and angry boyfriends ruling my life. I wanted my music to have a chance and I worked harder than ever. I also experimented with night life and smoked a cigarette or 2 or 3 and I got a few hangovers. I was a normal 20-something. Finally the homeschooled neurotic girl was kind of fun or I became some version of myself I was meant to be had I not taken some wrong turns or slept with the wrong people. I remember people would say to me “I can’t keep up with her she’s wild” and I was thrilled I had never been particularly fun I had always just been working or isolating myself with some guy. Neither cause helped the other and I had nothing to show for the last few years but I felt alive for the first time since maybe grade school. I let myself be free. One day I ate a friend’s edible and I had what I thought was a traditional panic attack. My heart was racing and I wanted to run away from it. A normal bad reaction to edibles. But my heart hurt for days. I couldn’t keep up with my (tall) boyfriend at the pace we normally walked and it was hard wearing the shoes that I did and I started avoiding the stairs. I was out of breath and in a lot of pain and it kept shooting down my left arm. I went back to my (famous and respected) cardiologist and she said not to come back to the clinic anymore as it was causing her team and myself to falsely believe that my problems were cardiac in nature. Except it turns out that I have heart disease. It took 6 cardiologists and a lot of ER visits to get any answers. I’m a young woman trying to get her life set up and I have heart disease. I hear over and over “it’s not your heart” and the hold muzak playing louder and louder and my boyfriends telling me to stop making up chest pain to get away from their rage and my music manager telling me it was stage fright and my old therapist telling me it would go away if I did the work inside my mind. I have Prinzmetal Angina. It got out of control after a bad car accident and a traumatic and stressful month last December. My coronary arteries were spasming shut and I spent January-June getting a lot of stern looks and speeches about anxiety from doctors and nurses all while I really just needed Calcium Channel Blockers and various forms of Nitroglycerin. I intend to pursue my music and art. I’m in a band and I am not going to change and become the normal picture of chronic illness which generally neuters people. I’m still young and intend to stay in touch with that the best I can. Some days I can take over the world and some days I have to stay in bed and some days I need to go to hospital for extra nitro and morphine. A lot happens behind the scenes I don’t always know how to share on instagram and twitter so I made this blog. I like to share my art in those places which I consider to define me more than how my body is not working. But, it’s a huge part of my experience and I would like somewhere to share it. I don’t normally feel comfortable talking about my bad dating choices and abuse but I think it’s important for people to know that the damage from it can be very real. Prinzmetal Angina was just studied with relationship abuse as being traumatic enough to cause it. I think we downplay how bad abuse hurts us and tell people to just get a grip. Maybe if I had read this when I was younger I would have treated myself differently and chose more carefully who I let near me. I hope you enjoy this blog and take care of your body and appreciate the days you feel free. Xo Joon

[violetrose-art]

This is how I imagined Cornelia Prinzmetal and Slugwroth who were mentioned in the original Charlie and the Chocolate Factory book if they appeared in the 2005 movie

[saltchute]

Prinzmetal Appreciation Post

Cornelia deserves at least a face after her hard work. Violet wouldn’t be a character if it wasn’t for her records. She needs a lot more attention and I’m hoping the new adaptations do her justice

[mcatmemoranda]

So you’d give a CCB like diltiazem.

[siglerprescriptiondrugcards]

Rizatriptan Benzoate

Brand Name: Maxalt (MLT)

Generic Available

Common Dosage Forms:

Tablets: 5 mg, 10 mg

Tablets, orally disintegrating (MLT): 5 mg, 10 mg (contains phenylalanine)

FDA Indications/Dosages:

For the acute treatment of migraine attacks with or without aura: 5-10 mg at the first sign of a migraine. The dose may be repeated after 2 hours with a maximum of 30 mg in a 24-hour period.

Dosage in patients currently in propranolol: 5 mg per episode with a maximum of 15 mg in a 24-hour period.

Pharmacology/Pharmacokinetics: Rizatriptan has been demonstrated to be a selective agonist for a vascular 5-hydroxytyriptamine 1 receptor subtype with no significant affinity or pharmacological activity at other receptors including 5HT2, 5HT3, alpha1, alpha2, beta-adrenergic, dopamine 1, dopamine 2, muscarinic, or benzodiazepine receptors. 5HT1 receptor subtypes are present on extracerebral, intracranial blood vessels. Rizatriptan activates these receptors to cause vasoconstriction, an action in humans correlating with relief of migraine. Oral absorption is complete with peak plasma levels reached in 1-1.5 hours. Metabolism occurs via oxidative deamination by MAO-A. Plasma half-life is about 2-3 hours.

Drug Interactions: Propranolol increases plasma levels. ERGOT-containing drugs may cause a vasospastic reaction. Use with SSRIs may cause serotonin syndrome. MAO-A INHIBITORS increase plasma levels.

Contraindications/Precautions: Contraindicated in ischemic heart disease (angina pectoris, history of myocardial infarction, or documented silent ischemia), in patients with Prinzmetal’s angina, and in uncontrolled hypertension. Do not concomitantly with ergotamine-contain preparations. Do not administer to patients with basilar or hemiplegic migraine. Do not administer within 2 weeks of discontinuation of MAO inhibitor therapy. Serious coronary events following administration can occur therefore consideration should be given to administration should be given to administrating the first dose in the physician’s office in whom unrecognized coronary disease is likely. Chest, jaw, or neck tightness may occur after use and warrants evaluation for CAD. Administer with caution to patients with impaired hepatic function and in those on dialysis. Pregnancy Category C.

Adverse Effects: The most common adverse effects are fatigue, somnolence, pain/pressure sensation, and dizziness. Rare cases of serious cardiac events have been reported.

Patient Consultation:

DO NOT EXCEED DOSAGE.

Administer as soon as the symptoms of your migraine appear, but it may be given at any time during an attack.

Two hours following the first dose, a second dose may be given. Do not exceed 30 mg in any 24-hour period.

MLT tablets should be kept in the foil blister until used. Use dry hands to remove the tablet from the blister and then place on tongue to dissolve.

Do not use for headaches other than migraine headache.

If you experience pain or tightness in the chest or throat when experiencing this drug, discuss with a physician before next use. Should the pain be severe or does not go away, call the doctor immediately.

May cause drowsiness. Use caution while operating machinery or when mental alertness is required.

Concurrent ingestion of alcohol will increase sedative effect.

Contact a physician if the other side effects above are severe or persistent.

[impactcare123]

Amloclass 5mg Tablet: Relieving Angina and Lowering Blood Pressure Safely

Maintaining optimal heart health is essential for a long and healthy life. For those suffering from angina (chest pain) and high blood pressure (hypertension), managing these conditions effectively is crucial in preventing serious cardiovascular events such as heart attacks and strokes. Amloclass 5mg Tablet is a trusted and effective medication used to address both conditions safely. In this blog post, we’ll explore how Amloclass 5mg works, its benefits, and why it’s a reliable choice for relieving angina and lowering blood pressure.

What is Amloclass 5mg Tablet?

Amloclass 5mg Tablet contains amlodipine, a medication belonging to the class of drugs known as calcium channel blockers. Amlodipine helps to relax the blood vessels, making it easier for the heart to pump blood. This action not only lowers high blood pressure but also helps prevent angina by improving the flow of oxygen-rich blood to the heart muscle. Amloclass 5mg is commonly prescribed to patients dealing with hypertension and chronic chest pain due to angina, offering an effective and convenient treatment solution.

How Does Amloclass 5mg Tablet Work?

Amloclass 5mg works by blocking the entry of calcium into the muscle cells of the heart and blood vessels. Calcium is essential for muscle contraction, so inhibiting its entry helps relax the muscles of the blood vessels. This mechanism leads to several beneficial effects:

Lowers blood pressure: By relaxing the blood vessels, Amloclass reduces the resistance the heart faces when pumping blood, making it easier for the heart to circulate blood and lowering blood pressure.

Prevents angina attacks: Amloclass helps improve the blood flow to the heart by widening the coronary arteries, ensuring the heart receives enough oxygen to prevent chest pain caused by angina.

Reduces strain on the heart: With lower blood pressure and better blood flow, the heart works less hard, alleviating stress on the cardiovascular system.

Key Benefits of Amloclass 5mg Tablet

Amloclass 5mg provides numerous health benefits for individuals suffering from both hypertension and angina. Here are some of the key benefits:

Effective Relief from Angina: Amloclass 5mg helps reduce the frequency and intensity of angina attacks by ensuring the heart receives an adequate supply of oxygen-rich blood.

Lower Blood Pressure: It is highly effective at controlling high blood pressure, helping to prevent complications such as strokes, heart attacks, and kidney disease.

Convenient Once-Daily Dosage: Amloclass 5mg is typically taken once a day, which makes it easy for patients to incorporate into their daily routine.

Well-Tolerated by Most Patients: Amloclass 5mg is generally well-tolerated with minimal side effects, making it a safe and reliable choice for many patients.

Who Should Take Amloclass 5mg Tablet?

Amloclass 5mg is often prescribed to individuals who:

Have high blood pressure (hypertension) and need medication to manage it effectively.

Suffer from chronic stable angina or vasospastic angina (Prinzmetal angina), conditions where the blood vessels constrict, leading to chest pain.

Always follow your healthcare provider’s instructions regarding dosage and usage, and do not adjust the medication without medical advice.

Potential Side Effects of Amloclass 5mg Tablet

While Amloclass 5mg is generally safe, like all medications, it may cause side effects in some individuals. Common side effects include:

Swelling of the ankles or feet

Dizziness or lightheadedness

Fatigue

Headaches

Palpitations (awareness of the heartbeat)

Most side effects are mild and temporary, but if they persist or worsen, consult your healthcare provider for further guidance.

Why Choose Amloclass 5mg Tablet?

Amloclass 5mg is a trusted and effective treatment for both hypertension and angina, offering a dual approach to managing heart health. Its once-daily dosage makes it convenient for patients to stick to their treatment regimen, and its proven safety ensures that it is well tolerated by most people. Whether you are looking to lower your blood pressure or relieve the discomfort caused by chest pain, Amloclass 5mg provides a reliable and effective solution.

Conclusion

Amloclass 5mg Tablet is a safe and effective medication for relieving angina and lowering blood pressure. By helping to relax the blood vessels, improve blood flow to the heart, and reduce the strain on the cardiovascular system, Amloclass 5mg ensures better heart health and fewer complications for individuals with hypertension and angina. If you're struggling with either of these conditions, talk to your healthcare provider about whether Amloclass 5mg is the right treatment for you. With its proven benefits and ease of use, it may be the key to improving your heart health and quality of life.

[9isbalance]

🩺ĐAU THẮT NGỰC🩺

❓-Đau thắt ngực là gì

✅Đau thắt ngực có thể được định nghĩa là sự khó chịu vùng dưới xương ức, tăng lên khi vận động và giảm đi khi nghỉ ngơi hoặc dùng thuốc GTN(Glyceryl trinitrate) dạng xịt.

❓-Nguyên nhân

✅Xơ vữa động mạch.

✅Hiếm khi do thiếu máu và nhịp tim nhanh.

❓-Yếu tố kích thích

✅Tập luyện.

✅Thời tiết lạnh.

✅Ăn nhiều đồ khó tiêu.

❓-Các loại đau thắt ngực

✅Đau thắt ngực ổn định: Tăng lên khi tập luyện và giảm bớt khi nghỉ ngơi.

✅Đau thắt ngực không ổn định: đau khi nghỉ ngơi, các triệu chứng xấu đi.

✅Đau thắt ngực khi nằm: xuất hiện khi nằm thẳng.

✅Đau thắt ngực Prinzmetal: do co thắt động mạch vành.

❓-Sinh lý bệnh Xơ vữa động mạch

Xơ vữa động mạch là một bệnh tiến triển chậm và là nguyên nhân cơ bản của bệnh tim thiếu máu cục bộ khi nó xảy ra trong các động mạch vành.

3 giai đoạn hình thành mảng xơ vữa:

✅Hình thành vệt mỡ: Lipid lắng đọng trong lớp nội mạc của động mạch, cùng với những tổn thương của mạch máu, gây viêm, tăng tính thấm và tăng tập trung bạch cầu. Đại thực bào tiêu hóa lipid và trở thành những tế bào bọt. chúng tạo nên các vệt mỡ.

✅Hình thành mảng lipid sợi: Lipid trong lớp nội mạc kích thích quá trình hình thành mô sợi, khiến động mạch hẹp dần.

✅Hình thành mảng xơ vữa phức tạp: Xảy ra khi mảng bám lớn và dễ vỡ. Các mảng bám có thể bị vôi hóa do sự thu nhận canxi của lipid. Mảng vỡ kích hoạt quá trình đông máu và tạo thành huyết khối. Nếu động mạch vành bị tắc một phần thì kết quả là thiếu máu cơ tim, dẫn đến đau thắt ngực. Nếu động mạch vành bị tắc hoàn toàn thì kết quả là hoại tử cơ tim và nhồi máu cơ tim.

❓-Biến chứng

✅Nhồi máu cơ tim.

✅Đột quỵ.

❓-Cận lâm sàng

✅ECG(điện tâm đồ) cho dấu hiệu của ST chênh xuống hoặc ST chênh lên.

✅Chụp CT, điểm vôi hóa mạch vành và chụp động mạch vành.

✅Xạ hình cơ tim bằng thallium.

❓-Điều trị

✅Bảo tồn: điều chỉnh các yếu tố nguy cơ như kiểm soát cholesterol, kiểm soát tình trạng đái tháo đường, tư vấn cai thuốc lá, giảm cân, tăng cường tập thể dục thể thao và kiểm soát huyết áp.

✅Nội khoa:

→Thuốc gốc nitrate: GTN dạng xịt. Tác dụng phụ bao gồm đau đầu và hạ huyết áp.

→Aspirin.

→Thuốc chẹn beta nhưng CHỐNG CHỈ ĐỊNH với bệnh nhân hen và bệnh phổi tắc nghẽn mạn tính.

→Thuốc đối kháng Ca², đặc biệt trong trường hợp thuốc chẹn beta bị chống chỉ định.

→Thuốc kích hoạt kênh K, ví dụ: nicorandil.

✅Ngoại khoa: nong mạch vành qua da hoặc phẫu thuật bắc cầu động mạch vành.

[journeythroughmedicine]

Currently commencing my CVS block- today we briefly ran through the histology/pathology of diseases/symptoms such as pericarditis and angina. This is covered on my snapchat: taylastudiesmed

Pericarditis: inflammation of the pericardium

Mostly as a result of infection (bacterial/viral), but can also be a result of inflammation (e.g. RA), cardiovascular (e.g. aortic dissection), iatrogenic (e.g. surgery), among other causes.

Symptoms include retrosternal crushing chest pain, as well as increased pain upon lying down (relieved when sitting upright and leaning forward).

Treatment include NSAIDs or relieving the cause (e.g. pericardiocentesis).

Angina: chest pain due to lack of cardiac blood supply.

Three variants

Stable: most common form of angina. Caused by a fixed plaque, and characterised by pain on exertion (demand > supply). Treated with nitrates or rest.

Unstable: caused by plaque disruption or thrombosis. Pain is marked by longer duration, increased frequency, and occurs at lower activity levels. Has a higher risk of progressing to MI.

Prinzmetal’s: caused by coronary vasospasm. Uncommon/can occur at random; therefore is a diagnosis of exclusion.

[sxetlia]

my prinzmetal angina is acting up because of the CUTENESS OD

[pharmspiration]

Noradrenaline/Norepinephrine

Indications and dose: 

Acute hypotension (initial and ongoing treatment)

By intravenous infusion in adults: Initially 0.16-0.33mL/minute, adjusted according to response, dose applies to a solution containing noradrenaline 40 micrograms(base)/mL only; dilute the 1mg/mL concentrate for infusion for this solution.

Ongoing treatment of acute hypotension (with escalating dose requirements)

By intravenous infusion in adults (body weight 50 kg and above): Use the 0.08mg/mL solution for infusion.

Dose Equivalence and Conversion: 1 mg of noradrenaline base is equivalent to 2 mg of noradrenaline acid tartrate. Dose expressed as the base.

Contra-indications: Hypertension

Cautions: Coronary vascular thrombus. diabetes mellitus. elderly. extravasation at injection site may cause necrosis. following myocardial infarction. hypercapnia. hyperthyroidism. hypoxia. mesenteric vascular thrombosis. peripheral vascular thrombosis. Prinzmetal’s variant angina. uncorrected hypovolaemia

Interactions: Sympathomimetics, vasoconstrictor

Side-effects: Anxiety. arrhythmias. dyspnoea. extravasation necrosis. headache. hypovolaemia. peripheral ischaemia

Pregnancy: Manufacturer advises use if potential benefit outweighs risk- may reduce placental perfusion and induce fetal bradycardia.

[prinzessmetal]

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