p*****n
发帖数: 131 | 1 说来话长，去年年底妈妈来探亲时因心慌头晕进了急诊室，用药后情况稳定，后因
护士阿姨过于谨慎，被安排进了CCU,于是一个晚上住下来花了一万多。好在生病前几天
刚买了保险，本以为只要付10%即可，结果保险公司拒付，称妈妈得的是Atrial
Fibrillation，并依据某医生（保险公司找来的）的判断，她的病是pre-existing的，
拒付！
真是岂有此理，妈妈心脏从来没有过问题，保险公司凭什么说pre-exist！于是我
找来医院的medical record，打算appeal保险公司。
在record里，医生提到Lone Atrial Fibrillation(孤立性心房纤颤)。请问各位：
Lone Atrial Fibrillation是pre-existing的吗？
另外，保险公司说appeal最好有医疗证明。目前我们有的只是她去年在美治疗的
record，为了证明她的健康状况，她以前的在国内的记录，比如每年的体检记录是否有
效。
恳请赐教。谢谢!
|
|
A***i
发帖数: 50 | 2 Sorry that I cannot type Chinese on this computer.
I have an ion channel gene mutation which was found in an atrial
fibrillation patient. I made the mutated DNA. And in western blot experiment
, the protein level dramatically reduced. In transfected culture cells,
there was no current recorded for the ion using patch clamp.
I wonder what else I can do to make a story out of the mutation. Your help
is highly appreciated! |
|
A***i
发帖数: 50 | 3 Sorry that I did not say clearly.
If I transfect the mutant alone, see no current in electrophysiology. But if
I transfect the mutant with wt, see no diffence than wt alone. So it is not
dominant negative. But causing atrial fibrillation in human.
is
story |
|
F****n
发帖数: 438 | 4 【 以下文字转载自 Medicalpractice 讨论区 】
发信人: FeiLun (Is Horrible), 信区: Medicalpractice
标 题: 几篇期刊文章
发信站: BBS 未名空间站 (Sat Jul 12 22:36:30 2014, 美东)
那位大侠可以帮组查一下这几篇的全文吗？叩谢。
请发：y******[email protected].
I.
Role of small-conductance calcium-activated potassium channels in atrial
electrophysiology and fibrillation in the dog.
Qi XY1, Diness JG, Brundel BJ, Zhou XB, Naud P, Wu CT, Huang H, Harada M,
Aflaki M, Dobrev D, Grunnet M, Nattel S.
Author information
Abstract
BACKGROUND:
Recent evidence points to functional... 阅读全帖 |
|
F****n
发帖数: 438 | 5 【 以下文字转载自 Medicalpractice 讨论区 】
发信人: FeiLun (Is Horrible), 信区: Medicalpractice
标 题: 几篇期刊文章
发信站: BBS 未名空间站 (Sat Jul 12 22:36:30 2014, 美东)
那位大侠可以帮组查一下这几篇的全文吗？叩谢。
请发：y******[email protected].
I.
Role of small-conductance calcium-activated potassium channels in atrial
electrophysiology and fibrillation in the dog.
Qi XY1, Diness JG, Brundel BJ, Zhou XB, Naud P, Wu CT, Huang H, Harada M,
Aflaki M, Dobrev D, Grunnet M, Nattel S.
Author information
Abstract
BACKGROUND:
Recent evidence points to functional... 阅读全帖 |
|
F****n
发帖数: 438 | 6 来自主题: Medicalpractice版 - 几篇期刊文章 那位大侠可以帮组查一下这几篇的全文吗？叩谢。
请发：y******[email protected].
I.
Role of small-conductance calcium-activated potassium channels in atrial
electrophysiology and fibrillation in the dog.
Qi XY1, Diness JG, Brundel BJ, Zhou XB, Naud P, Wu CT, Huang H, Harada M,
Aflaki M, Dobrev D, Grunnet M, Nattel S.
Author information
Abstract
BACKGROUND:
Recent evidence points to functional Ca2⁺-dependent K⁺ (SK)
channels in the heart that may govern atrial fibrillation (AF) risk, but the
underlying mechanisms are... 阅读全帖 |
|
M*****8
发帖数: 17722 | 7
......................
正确，这才是最重要的。
原因在此：
http://www.freewebs.com/lasalocid/
Atrial Fibrillation Caused Or Worsened By Lasalocid Residue In Eggs
1998 - 2005 updated Nov 2006 and May 2007
Richard Gee
This Paper in PDF Format
Lasalocid is a veterinary "antibiotic" which is given as a feed supplement
to certain farm animals and poultry including birds destined to become
layers. You can read all about this highly toxic heart poison and how it is
seriously afflicting UK egg production in this April 2... 阅读全帖 |
|
l*****t
发帖数: 2851 | 8 1) medmallawyer 和 hrsdf 都提到 Supraventricular tachycardia
我看到
One type of PSVT may cause the heart rate accelerate from 60 to 200 beats
per minute or more.
这个和他第三次发病很相似，救护车上人告诉我他的heart beat>200
2） medmallawyer 提到 atrial fibrillation
hrsdf 提到不太可能是 atrial fibrillation
我看到
In atrial flutter, the ventricles (lower heart chambers) may beat very
rapidly, but in a regular pattern.
他就是心跳快，但是很稳定， 140-146
atrial flutter 是 Supraventricular tachycardia 的一种，还是atrial
fibrillation的一种？
3） lmh 提到 acute myo... 阅读全帖 |
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m********4
发帖数: 607 | 9 Afib is one of major risk factors to cause stroke. It is common to see pts
with afib in both hospital and clinic. How to manage pts with afib w/o
stroke?
*Thank eastlake to contribute Anticoagulation question.
http://www.mitbbs.com/article_t/Medicalpractice/31165.html
I would recommend the following paper to read.
* A new landscape for stroke prevention in atrial fibrillation: focus on new
anticoagulants, antiarrhythmic drugs, and devices.
Stroke. 2011 Nov;42(11):3316-22. Epub 2011 Oct 13.
A... 阅读全帖 |
|
|
g*****j
发帖数: 1211 | 11 It is a complicated question. In general, if it is new onset atrial
fibrillation, you want to treat the patient and convert it back to normal
rhythm. If it is a chronic atrial fibrillation, patient will at least need
blood thinner to prevent clots that can potential cause stroke.
Atrial fibrillation is a complicated medical problem, and its management can
vary from case to case. There are several different classes of medical
treatment, and several invasive treatment as well. It is really be |
|
l*****t
发帖数: 2851 | 12 按照我的理解应该是
预激综合征(preexcitation syndrome)是指病人除正常的房室传导途径外，还存在有附
加的房室传导途径（旁路），引起心电图异常并可出现阵发性室上性心动过速(atrial
fibrillation)。
那这个应该做ablation吧。
我看他的心电图和预激综合征的心电图很像，而且医生也说从心电图看出来的，
医生说他的是 temporary atrial fibrillation, 这个和 atrial fibrillation 还不
一样嘛？
他现在正在做检查，要把那个需要打断的地方找出来，据说要几个小时 |
|
t****o
发帖数: 342 | 13
春大侠也来捧场，多谢, 上次指点的预激综合征还历历在目，请有空的时候再多给讲arrythmia,谢拉～
这里是记下的答案，没有桥正过拼写，如果有错，还请大家指出，一起改正
1. What labs will you order to confirm the arrhythmia?
EKG, CXR-if with SOB
2. Name all the supraventricular tachycardia
sinus tachycardia, A fibrillation, A flutter, multifocal atrial tachycardia, atrioventricular reentrant tachycardia, atrioventricular reciprocating tachycardia, paroxysmal atrial tachycardia
3. Which of these tachycardia is associated with irregular rhythm?
multifocal atrial tachycardia, A |
|
|
发帖数: 1 | 15 11 月13日 终于找到另一股在我家害我的势力
昨天，这些人折腾了一天，白天，晚上皮啦啦，也不知道谁把谁杀了，谁把谁带走了。
反正我先生和孩子被绑架了，就不知道是不是已经遇害了。我本来是打算睡觉的，但他
们头上，地下装电磁波攻击器，让我几乎窒息。虽然我没倒下，但其实他们在我身上扎
的毒针已经蔓延，我能感觉到我的呼吸有窒息的感觉。我想我对他们已经非常仁慈了，
但他们不依不饶地攻击我，欲置我于死地，让我非常生气，特别是肆意伤害我家里的人
，绑架我先生和孩子，而且有许许多多无辜的生命毁于他们之手，有必要把他们曝光。
当然我还没分析这里边是那几个人具体攻击我，伤害我的，但他们显然都是一伙的。鉴
于他们伤害我的头部，胸部 和胃部，我就把这几部分的医生都曝光，受害者慢慢去调
查，追查他们吧。
Cleveland Clinic, Website: my.clevelandclinic.org
Call 855. REFER. 123 or 855.733.3712
Lung Cancer
Results: 57 Doctors
PREV123NEXT
Results per page:
Dav... 阅读全帖 |
|
s**p
发帖数: 702 | 16 http://www.23andMe.com/a/ff1/y1v8a
Offer Expires: Dec. 27th, 2011
这个折扣好久没有了，上次还是2010年的DNA day，那次是99元，那次原本说全天打折
，可是到了下午4点多就提前结束了。
这次只要79！！！大家快去抢啊！
可以测出以下疾病的得病概率
Abdominal Aortic Aneurysm
Age-related Macular Degeneration
Alcohol Dependence
Alopecia Areata
Ankylosing Spondylitis
Asthma
Atopic Dermatitis
Atrial Fibrillation
Atrial Fibrillation: Preliminary Research
Attention-Deficit Hyperactivity Disorder
Back Pain
Basal Cell Carcinoma
Behçet's Disease
Bipolar Disorder
Bipolar Disorder: Preli... 阅读全帖 |
|
h***f
发帖数: 162 | 17 Are you sure this is a heart attack? 35 is very young to have a heart attack
. Chances are your husband had an arrhythmia. Given his age, unless he has a
history of mitral stenosis or regurgitation secondary to rheumatic fever, I
don't think he has atrial fibrillation. He probably has supraventricular
tachycardia, although without an EKG I can't tell you what kind (AVNRT, AVRT
, MAT, atrial flutter, etc). If your husband's arrhythmia cannot be
controlled, he may undergo an ablation procedure and... 阅读全帖 |
|
s**p
发帖数: 702 | 18 可以测出以下疾病的得病概率
Abdominal Aortic Aneurysm
Age-related Macular Degeneration
Alcohol Dependence
Alopecia Areata
Ankylosing Spondylitis
Asthma
Atopic Dermatitis
Atrial Fibrillation
Atrial Fibrillation: Preliminary Research
Attention-Deficit Hyperactivity Disorder
Back Pain
Basal Cell Carcinoma
Behçet's Disease
Bipolar Disorder
Bipolar Disorder: Preliminary Research
Bladder Cancer
Brain Aneurysm
Breast Cancer
Breast Cancer Risk Modifiers
C... 阅读全帖 |
|
j****y
发帖数: 1714 | 19 【 以下文字转载自 Running 讨论区 】
发信人: joyjoy (joy), 信区: Running
标 题: Extreme Endurance Exercise and heart attack
发信站: BBS 未名空间站 (Sat Oct 5 01:52:16 2013, 美东)
我有同事骑自行车突然心脏病发作死亡。所以看了看锻炼过度和心脏病的关联的文章。
仅供参考：
http://fitness.mercola.com/sites/fitness/archive/2013/08/23/ext
By Dr. Mercola
Do you dread going to the gym for what feels like hours at a stretch? Or do
you avoid working out altogether because you just don't have the time? Then
what I'm about to tell you should be music to your ears: when it comes to... 阅读全帖 |
|
j****y
发帖数: 1714 | 20 【 以下文字转载自 Running 讨论区 】
发信人: joyjoy (joy), 信区: Running
标 题: Extreme Endurance Exercise and heart attack
发信站: BBS 未名空间站 (Sat Oct 5 01:52:16 2013, 美东)
我有同事骑自行车突然心脏病发作死亡。所以看了看锻炼过度和心脏病的关联的文章。
仅供参考：
http://fitness.mercola.com/sites/fitness/archive/2013/08/23/ext
By Dr. Mercola
Do you dread going to the gym for what feels like hours at a stretch? Or do
you avoid working out altogether because you just don't have the time? Then
what I'm about to tell you should be music to your ears: when it comes to... 阅读全帖 |
|
j****y
发帖数: 1714 | 21 【 以下文字转载自 Running 讨论区 】
发信人: joyjoy (joy), 信区: Running
标 题: Extreme Endurance Exercise and heart attack
发信站: BBS 未名空间站 (Sat Oct 5 01:52:16 2013, 美东)
我有同事骑自行车突然心脏病发作死亡。所以看了看锻炼过度和心脏病的关联的文章。
仅供参考：
http://fitness.mercola.com/sites/fitness/archive/2013/08/23/ext
By Dr. Mercola
Do you dread going to the gym for what feels like hours at a stretch? Or do
you avoid working out altogether because you just don't have the time? Then
what I'm about to tell you should be music to your ears: when it comes to... 阅读全帖 |
|
Z*******n
发帖数: 694 | 22 ER的医生一开始认为我是 Atrial fibrillation, 是从心电图上看出来的。
后来她去咨询一个心脏专家，觉得是Supra ventricular tachycardia.
还有一种可能是 Ectopic Atrial Tachycardia (EAT)。
在ER呆了7个小时以后，无数次的抽血，打了三袋生理盐水，吃了好几颗加大剂量的药
以后，放我回家了。
星期一再去检查。
arrest |
|
j****y
发帖数: 1714 | 23 我有同事骑自行车突然心脏病发作死亡。所以看了看锻炼过度和心脏病的关联的文章。
仅供参考：
http://fitness.mercola.com/sites/fitness/archive/2013/08/23/ext
By Dr. Mercola
Do you dread going to the gym for what feels like hours at a stretch? Or do
you avoid working out altogether because you just don't have the time? Then
what I'm about to tell you should be music to your ears: when it comes to
exercise, less is more.
It's becoming increasingly clear from the recent flurry of scientific
studies that overdosing on exercise can have detrimental... 阅读全帖 |
|
R*****s
发帖数: 41236 | 24 ☆─────────────────────────────────────☆
joyjoy (joy) 于 (Sat Oct 5 01:52:16 2013, 美东) 提到:
我有同事骑自行车突然心脏病发作死亡。所以看了看锻炼过度和心脏病的关联的文章。
仅供参考：
http://fitness.mercola.com/sites/fitness/archive/2013/08/23/ext
By Dr. Mercola
Do you dread going to the gym for what feels like hours at a stretch? Or do
you avoid working out altogether because you just don't have the time? Then
what I'm about to tell you should be music to your ears: when it comes to
exercise, less is more.
It's becoming increasingly clea... 阅读全帖 |
|
j****y
发帖数: 1714 | 25 【 以下文字转载自 Complain 讨论区 】
发信人: joyjoy (joy), 信区: Complain
标 题: 【投诉】running 版版主Rodimus威胁网友，无故删帖
发信站: BBS 未名空间站 (Sun Oct 6 02:20:59 2013, 美东)
我在running 版转帖了题为Extreme Endurance Exercise and heart attack的文章。
全篇文章都是认同跑步的好处，但是提醒过渡锻炼可能和心脏病有关联。
一些网友跳出来羞辱讽刺。我无所谓。文章总有喜欢和不喜欢的。
Rodimus对该帖极为不满，说running版不欢迎这类文章,封了很难看。同时说置顶文章
有类似讨论了。
我发帖反驳，问他是不是私人俱乐部，不允许公开发帖，同时要他拿出白底黑字的版规
看我违反了哪一条。我说我读了置顶文章，要么是空连接，要么内容不相同。
Rodimus 根本拿不出任何版规，居然发帖说我是受虐狂。
我发帖反驳说他动不动冒充全版不欢迎新人，还无根据威胁封人，是虐待狂。
Rodimus恼羞成怒，把我的帖子和后面更贴的对话全删了。
我要问站务，一个版... 阅读全帖 |
|
s**p
发帖数: 702 | 26 http://www.23andMe.com/a/ff1/y1v8a
Offer Expires: Dec. 27th, 2011
这个折扣好久没有了，上次还是2010年的DNA day，那次是99元，那次原本说全天打折
，可是到了下午4点多就提前结束了。
这次只要79！！！大家快去抢啊！
可以测出以下疾病的得病概率
Abdominal Aortic Aneurysm
Age-related Macular Degeneration
Alcohol Dependence
Alopecia Areata
Ankylosing Spondylitis
Asthma
Atopic Dermatitis
Atrial Fibrillation
Atrial Fibrillation: Preliminary Research
Attention-Deficit Hyperactivity Disorder
Back Pain
Basal Cell Carcinoma
Behçet's Disease
Bipolar Disorder
Bipolar Disorder: Preli... 阅读全帖 |
|
s**p
发帖数: 702 | 27 以下疾病的得病概率
Abdominal Aortic Aneurysm
Age-related Macular Degeneration
Alcohol Dependence
Alopecia Areata
Ankylosing Spondylitis
Asthma
Atopic Dermatitis
Atrial Fibrillation
Atrial Fibrillation: Preliminary Research
Attention-Deficit Hyperactivity Disorder
Back Pain
Basal Cell Carcinoma
Behçet's Disease
Bipolar Disorder
Bipolar Disorder: Preliminary Research
Bladder Cancer
Brain Aneurysm
Breast Cancer
Breast Cancer Risk Modifiers
Celia... 阅读全帖 |
|
a****n
发帖数: 583 | 28 KCNQ1 Gain-of-Function Mutation in Familial Atrial Fibrillation
Yi-Han Chen,1* Shi-Jie Xu,23* Sa?d Bendahhou,4 Xiao-Liang Wang,5 Ying Wang,2
Wen-Yuan Xu,1 Hong-Wei Jin,5 Hao Sun,2 Xiao-Yan Su,1 Qi-Nan Zhuang,2 Yi-Qing
Yang,1 Yue-Bin Li,2 Yi Liu,1 Hong-Ju Xu,1 Xiao-Fei Li,1 Ning Ma,1 Chun-Ping
Mou,1 Zhu Chen,26 Jacques Barhanin,4 Wei Huang236
Atrial fibrillation (AF) is a common cardiac arrhythmia whose molecular
etiology is poorly understood. We studied a family with hereditary persistent
AF and |
|
t****o
发帖数: 342 | 29 Although many types of dysrhythmias can occur in a patient with Wolff-
Parkinson-White syndrome, the two most common are CMT and atrial fibrillation (AFib). CMT is the more common dysrhythmia of the two.
* A critically timed premature atrial beat that occurs during the
refractory period of the accessory pathway typically initiates CMT. The
impulse, therefore, travels solely down the AVN but returns retrograde
through the accessory pathway, resulting in CMT (orthodromic conduction).
* Thi |
|
W******g
发帖数: 143 | 30 Summary
In summary, cardioversion is performed on perfusing arrhythmias. The goal is
not to cause VF. Therefore, during cardioversion, the shock is administered
at the peak of the R-wave, during the absolute refractory period. Delivery
of the shock during the relative refractory period can cause the development
of a nonperfusing arrhythmia such as VF.
Cardioversion is performed to treat unstable SVT due to re-entry, unstable
atrial fibrillation, and unstable atrial flutter. These arrhythmias are |
|
s*h
发帖数: 1538 | 31 我从资料上copy的，希望对你有用。我自己是脑袋昏的。
Acute Pericarditis (see ECG below)
Concave upwards ST elevation in most leads except aVR
No reciprocal ST segment depression (except in lead aVR)
Unlike "early repolarization", T waves are usually lower in
amplitude, and heart rate
is usually increased.
May see PR segment depression, a manifestation of atrial injury
Example: Post-op pericarditis; note diffuse, concave-upwards ST elevation,
HR 100 bpm, PR
segm... 阅读全帖 |
|
e****0
发帖数: 678 | 32 • leukemia
ALL AML CLL
child adult elderly
BM lymphoblasts 25%myeloblasts
lab Lymphocyte 5000, mature-appearing cells
• Osgood-schlatters disease
Adolescent male athletes
Traction apophysitis—quadriceps tendon put the traction on the
apophysis of the tibial tubercle where patellar tendon inserts.
A firm mass =heterotopic bone formation
Pain can be reproduced by extending the kne... 阅读全帖 |
|
b**********a
发帖数: 62 | 33 Hi, I have one question.
I am very healthy person. I have no any disease. Accidentally,I took the EKG
. The result is not atrial flutter, atrial fibrillation, first, second,
third degree etc. Then I was noticed by doctor I had heart disease based on
EKG. The doctor only said I have abnormal EKG,his diagnose said I have heart
disease. Except EKG, I didn't take any other test in regarding to heart.So
far, I have no any abnormal feeling. There is not any heart disease history
in my family.
Heart di |
|
j****y
发帖数: 1714 | 34 我在running 版转帖了题为Extreme Endurance Exercise and heart attack的文章。
全篇文章都是认同跑步的好处，但是提醒过渡锻炼可能和心脏病有关联。
一些网友跳出来羞辱讽刺。我无所谓。文章总有喜欢和不喜欢的。
Rodimus对该帖极为不满，说running版不欢迎这类文章,封了很难看。同时说置顶文章
有类似讨论了。
我发帖反驳，问他是不是私人俱乐部，不允许公开发帖，同时要他拿出白底黑字的版规
看我违反了哪一条。我说我读了置顶文章，要么是空连接，要么内容不相同。我反问他
看我的文章没有。
Rodimus 根本拿不出任何版规，还说我的文章他不屑一看，居然发帖说我是受虐狂。
我发帖反驳说他动不动冒充全版不欢迎新人，还无根据威胁封人，是虐待狂。
Rodimus恼羞成怒，把我的帖子和后面更贴的对话全删了。
闹了半天是个不看贴就摆架子，威胁人，骂人，删帖的版主。混mit这么多年，还真遇
到极品版主了。
我要问站务，一个版主管理版面是靠版规还是靠威胁恐吓？繁荣版面是靠搞一言堂还是
容纳不同意见？
我恳请站务调查running版的奇怪风气，一个网友发一个很中... 阅读全帖 |
|
a*i
发帖数: 1652 | 35 治疗心律不齐，把病变的控制心脏跳动得心血管电路破坏掉。问题是然后心脏怎么有节
律跳动？再来起搏器吗？
http://en.wikipedia.org/wiki/Catheter_ablation
Catheter ablation is an invasive procedure used to remove a faulty
electrical pathway from the hearts of those who are prone to developing
cardiac arrhythmias such as atrial fibrillation, atrial flutter,
supraventricular tachycardias (SVT) and Wolff-Parkinson-White syndrome.
It involves advancing several flexible catheters into the patient's blood
vessels, usually either in the femoral vein, interna... 阅读全帖 |
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A*******s
发帖数: 9638 | 37 Hospitalists like to give heparin drip for acute stroke patients with atrial
fibrillation. This is a controversial topic. Anticoagulation is indicated
for cardiac emboli and atrial fibrillation, but when stroke size is large,
anticoagulation would put patients on the risk of hemorrhagic transformation
. What should we do?
Here is a review article:
http://stroke.ahajournals.org/content/38/2/423.long
So we should not routinely anticoagulate acute stroke patients with a-fib.
However, if patients ... 阅读全帖 |
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c****s
发帖数: 5892 | 38 您可能不知道， 在加拿大每年死亡个案当中，每3人就有1人是死于心脏疾病或中风。
一项关于加国主要族裔社群的最大型心血管危险因素调查结果显示，在比较白人、南亚裔、华人和黑人的患病风险后得出结论，南亚裔和黑人患糖尿病的风险，是白人和华人的一倍; 白人的吸烟普及程度，几乎是华人和南亚裔的三倍; 过胖的情况在白人和黑人中较普遍，普遍程度是华人的五倍;心血管疾病 (心脏病或中风) 在南亚裔人士中的普遍程度，几乎是华人的一倍。从这个研究结果看，华人罹患心血管疾病的机会比其他族裔要低，但是这不能说华人就可以高枕无忧了。
研究结果还显示， 63-75%的受访者并没有每天进行至少15分钟的运动，其中华裔男性 占71%，女性占75%。缺乏运动是华裔族群患上心血管疾病的最大危险因素之一。
心电图诊断心脏病
姚德珍的故事
来自香港的移民姚德珍老人，移民加拿大已经20年，她曾经是香港幼儿园校长。现在定居多伦多，生活惬意舒适、健康满足。66岁那年，时感胸口疼痛，症状长达几个月，后经医生诊断，5条心血管堵塞，随后进行了心脏搭桥手术。
由于姚女士年轻时是篮球队员，觉得自己身体好，养成了多油多盐多糖的饮食习惯。血管堵塞... 阅读全帖 |
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发帖数: 1 | 40
Download pdf published by SfN (Chapter from 'The History of Neuroscience in
Autobiography, Volume 8' edited by Larry R. Squire)
Yuh-Nung Jan's CV
Lily Jan's CV
Yuh-Nung Jan and Lily Jan
Birth
Family History and Growing Up
National Taiwan University
The Hiking Trip to Shitou in the Spring of 1967
Graduate School Application
Graduate Study at Caltech (1968锟974)
Seymour Benzer Lab (1974锟977)
Steve Kuffler锟絪 Lab at H... 阅读全帖 |
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t******f
发帖数: 955 | 41 ☆─────────────────────────────────────☆
whaleeyes (whale) 于 (Thu Dec 7 13:59:59 2006) 提到:
我的朋友做年度身体检查，查出心电图不正常，连续做了几次，都一样，在III段的aVF
有向下的波，医生说应该向上。继续做24小时心电图和心脏超声波测试，结果查出心脏
有早搏现象，而且在第二瓣和第三瓣之间有血液回流的现象。
我的朋友基本没有症状，只是偶尔在胸骨附近有疼痛感，有时候能感觉心脏快跳两下。
家里也没有心脏病史。如果不是因为体检，还真的查不出来。请问这个严重么？医生说
可能是心脏先天结构问题，下周做心脏压力测试。
不知道这种情况现在要注意什么，除了早睡早起，注意不要吃刺激性的东西以外。
非常感谢。
☆─────────────────────────────────────☆
fatman (fatman) 于 (Thu Dec 7 14:31:13 2006) 提到:
aVF
sounds like he or she has premature atrial beats wi |
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f******I
发帖数: 769 | 43
24 hr holter is a good screening test to look for any type of arrythmia such
as PACs or PVCs,
most of PACs and even PVCs are benign unless there is known structural
defect, valvular disease, such as mitral valve, or underlying coronary
artery disease,
coffee and alcohol and smoking also tend to increase atrial premature beats
often perceived as "skipped beats", |
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f******I
发帖数: 769 | 44
she could still have paroxysmal afib that 24 hrs holter failed to capture,
what is her ejection fraction? does she also have any significant valvular
disease, such as mitral valve? what are her atrial sizes? what medications
does she take? |
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f******I
发帖数: 769 | 45
with her age and coronary history, as well as hypertension, she has good set
up for having atrial fibrillation, but without evidence, can't say for sure,
i assume 波利维 is plavix, 倍他洛克 is some sort of beta blocker, and 阿司匹
林 is aspirin, and 硝酸甘油 is sublingual nitroglycerin, not sure what is 合
心爽 though,
i'd think she also needs to have her cholesterol looked at, and to keep LDL
as low as possible,
if she continues to have angina, she might need to have another left heart
cath to make sure the ste |
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g***r
发帖数: 285 | 46
if 房颤 is atrial fibrillation, and she also has significant bradycardia,
like high grade av-block, then she might have sick sinus syndrome, then i
would think she need a pacer sooner than later, |
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g***r
发帖数: 285 | 47
seems to me it's a case of insurance company trying not to re-imburse by
hiring retired physicians to look through the chart remotely and looking for
any reason there is to decline the payment,
might be helpful to get the opinion of attending physician, though honestly
i don't know how they can tell if it's a pre-existing condition or not, |
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g*****j
发帖数: 1211 | 48 You description is fine. Other words that you can use are palpitation,
skipping beats, irregular heart beat, arrhythmia etc. Coronary artery
disease (冠心病) is rare in young people. A fib (atrial fibrillation, 房
颤）can manifest in this way, but is not the most common cause.
Most likely it is a benign condition, particularly if you have no
previous history or other health issues. However, you should see your
doctor to get some preliminary work-up to rule out possible pathologic
causes. |
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n******s
发帖数: 210 | 49 Af is atrial fibrillation.
Hyperthyroidism is the most common cause of Af other than coronary heart
disease.
Since you will see your doc soon,you don't have to worry about your diet. |
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g*********o
发帖数: 20357 | 50 多谢回答！
我想帮她发病历和图片给CHILDREN＇S HOSPITAL BOSTON，请那里的医生给看一下，不
知道我要把上面PDF里面所有检查结果都翻译成英文，这个我自己搞有点困难，还是就
写些VSD（ventricular septal defect）， ASD（Atrial septal defect），
Overriding aorta，PA（Pulmonary atresia），再把那些CT和导管的图片寄过去他们
自己看就行了？不胜感激！！！ |
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