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Suggest Medication Changes For Person Suffering From Heart Disease
Posted on
Tue, 9 Sep 2014
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Tue, 9 Sep 2014
Answered on
Wed, 1 Oct 2014
Last reviewed on
Question : Hi doctor,
My mother is a heart patient and has had 1 heart attack in past. details are in the medical history.
I am attaching all her latest reports and writing details in medical history. Kindly see and advise if the present medication is OK or she needs some change in medicines/dosage.
Thanks,
XXXX
My mother is a heart patient and has had 1 heart attack in past. details are in the medical history.
I am attaching all her latest reports and writing details in medical history. Kindly see and advise if the present medication is OK or she needs some change in medicines/dosage.
Thanks,
XXXX
Brief Answer:
please see details.
Detailed Answer:
Dear Madam,
Thanks for your query.
1. The reports revealed low hemoglobin, high triglycerides, borderline high TSH and normal renal and liver parameters.
2. She is receiving medication for hypothyroidism, anginal heart disease and high blood pressure.
3. For hypothyroidism with nearly normal TSH, current medication may be continued for 12 weeks and TSH should be remeasured. If it still comes more than the normal, the dose of thyronorm will have to be revised.
4. For low hemoglobin, a physician consultation is warranted. He will have to work up further to decipher the cause of anemia and its subsequent management.
5. High triglyceride levels do not require any medication. Only life style modification is required. This involves optimal weight, daily supervised exercise and avoiding excess of carbohydrates.
6. Among the drugs for anginal heart disease, STATINS are missing. This is a class of drugs which is used to lower cholesterol levels. It is recommended in anginal heart disease irrespective of cholesterol levels. Possibly in view of past history of Chronic hepatitis C, it has not been started,as these drugs may be liver-toxic. I would recommend a consultation with liver specialist and if he allows, starting "Statins" under prescription and strict supervision of your cardiologist.
sincerely
Sukhvinder
please see details.
Detailed Answer:
Dear Madam,
Thanks for your query.
1. The reports revealed low hemoglobin, high triglycerides, borderline high TSH and normal renal and liver parameters.
2. She is receiving medication for hypothyroidism, anginal heart disease and high blood pressure.
3. For hypothyroidism with nearly normal TSH, current medication may be continued for 12 weeks and TSH should be remeasured. If it still comes more than the normal, the dose of thyronorm will have to be revised.
4. For low hemoglobin, a physician consultation is warranted. He will have to work up further to decipher the cause of anemia and its subsequent management.
5. High triglyceride levels do not require any medication. Only life style modification is required. This involves optimal weight, daily supervised exercise and avoiding excess of carbohydrates.
6. Among the drugs for anginal heart disease, STATINS are missing. This is a class of drugs which is used to lower cholesterol levels. It is recommended in anginal heart disease irrespective of cholesterol levels. Possibly in view of past history of Chronic hepatitis C, it has not been started,as these drugs may be liver-toxic. I would recommend a consultation with liver specialist and if he allows, starting "Statins" under prescription and strict supervision of your cardiologist.
sincerely
Sukhvinder
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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