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BIOMARKERS

Molecular Biopsy of Human Tumors

- a resource for Precision Medicine *

136 related articles for article (PubMed ID: 10712754)

  • 1. Ask the doctor. I had an EKG done a few weeks ago, and the reading came back "probable inferior myocardial infarction of indeterminate age." I am, to the best of my knowledge, perfectly healthy at the age of 72. Now my doctor wants to do a bunch of tests on me. Should I go along?
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  • 2. Ask the doctor. I am a 60-year-old man with several risk factors for heart disease. I take Aleve twice a day. Do I still need to take aspirin, or is the Aleve enough? I often take ibuprofen for my headaches or aching back. Now my doctor wants me to start taking aspirin, and she suggested that I ease up on the ibuprofen. Why?
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  • 3. Ask the doctor. I am generally healthy, but I had a heart attack last year. At my age, 78 years old, I find it hard to take it seriously when my doctor and my children tell me that I should be lowering my cholesterol and exercising. It seems to me that the idea of trying to prevent "premature" death is silly in someone my age. It's not like I feel ready to die, but it's hard for me to believe that prevention works in someone who has already gone beyond his "three score ten" years.
    Lee TH
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  • 4. Ask the doctors. I am a 67-year-old woman with high blood pressure. Two weeks ago, I felt some chest pressure and went to the emergency department. The pain cleared up when they gave me an antacid. My EKG and blood tests were normal. The doctor thought my pain might be due to acid in my esophagus. But when my own doctor sent me for an exercise test, I got chest pain after about five minutes, and the cardiologist said my EKG showed abnormalities that are strongly suggestive of coronary disease. She prescribed a beta blocker and suggested cardiac catheterization. Do you agree with this?
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  • 5. Ask the doctor. I have had heart failure since my heart attack a year ago. My physician initially prescribed lisinopril, an angiotensin-converting enzyme (ACE) inhibitor. Unfortunately, I was one of the unlucky people who got a cough with this drug that was so annoying I had to stop taking it. Now my doctor wants me to try a newer drug called valsartan. Is it likely to help me?
    Lee TH
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  • 6. Ask the doctor. I haven't had such good luck with my heart--a heart attack ten years ago and angioplasty with two stents inserted last year. Would it make sense for me to have a yearly stress test? If I had been doing that after my heart attack, maybe my doctor would have seen the blockage and we could have done something about it earlier.
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  • 7. Ask the doctor. A few months ago, I was diagnosed with atrial fibrillation. My doctor put me on blood thinners for a few weeks and then performed electrical cardioversion. Naturally, I was asleep during the procedure, but I understand that they shocked me twice and both times my heart briefly returned to a normal rhythm. But after a few seconds it went back into atrial fibrillation. NOw my doctor has offered me a choice. I can stay in atrial fibrillation and take a blood thinner for the rest of my life. Or I can try a medication to restore a normal heart rhythm and give cardioversion another try (but I'll probably have to take the antiarrhythmia drug for a long time). Any suggestions?
    Lee TH
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  • 8. Ask the Doctor. My older brother recently had a heart attack and bypass surgery at the age of 53! I am physically active and don t have any risk factors for heart disease. But neither did my brother, who also had normal cholesterol and blood pressure numbers. I ve been wondering if I should be taking a cholesterol-lowering medication, even though my cholesterol is normal.
    Lee TH
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  • 9. Ask the doctor. A few years ago, I started getting a dull chest pain when I walked up hills. My doctor said it sounded like I had angina, so I had a stress test, which was read as positive. However, when I underwent a coronary angiogram, there was no evidence of any blockage in my coronary arteries. I continue to have chest pain, yet my doctors just tell me not to worry. What should I do?
    Lee TH
    Harv Heart Lett; 2001 Jan; 11(5):8. PubMed ID: 11136513
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  • 10. Ask the doctor. I needed angioplasty in 2007 and had a stent implanted during the procedure. Due to another health problem, my doctor now wants me to have an MRI. Could this cause any problem with the stent?
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  • 11. I am 58 years old and told my doctor I wanted to start an exercise program. I have never had any chest pain, but she told me I should have an exercise test because I have hypertension and diabetes. I felt fine during the test, but after four minutes they stopped me and told me my results were very abnormal. They said my EKG showed 3 mm of change. Two days later, I had a coronary angiogram, and two days after that I had bypass surgery! Was all this necessary?
    Lee TH
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  • 12. Ask the doctor. I am a fit and healthy 42-year-old man. So I was disturbed when my latest electrocardiogram said I had "ST elevation consistent with early repolarization." I know from reading the Heart Letter that ST elevation can mean a heart attack, although I don't think I have had one of these. Should I be worried about this?
    Lee TH
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  • 13. Ask the doctors. My family doctor gave me a clean bill of health, and said my EKG was normal. A few months later, I had a heart attack. How can that happen if I had a normal EKG?
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  • 14. Ask the doctor. I am 83 years old and have coronary artery disease that causes angina everyday with activities like climbing stairs. My doctor thinks I am going to need bypass surgery to get some freedom from my symptoms. Isn't it too risky at my age?
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  • 15. Ask the doctor. I am 73 years old and have had a heart murmur for years. Now my doctor tells me that I have moderate narrowing of my aortic valve. I feel perfectly fine, but he says I may need heart surgery some day. Is there anything I can do to avoid having surgery?
    Lee TH
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  • 16. Ask the doctor. A heart attack caused me to develop heart rhythm problems. These made it necessary for me to get an implantable cardioventer/defibrillator (ICD) that can shock my heart back to a normal rhythm. My medical story is a lot like Vice President Dick Cheney's, but my social situation isn't--I don't have anyone to drive me around. My doctor doesn't want me to drive. But depending on friends and family is a major problem, and we don't live near public transportation. Any suggestions?
    Lee TH
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  • 17. Ask the doctor. I am 68 years old and had a heart attack last year. I think I am doing fine and passed my last exercise test with flying colors. But about a month ago I had a fainting spell, which occurred when I went to the bathroom after a big meal. In addition, I frequently feel lightheaded for a few seconds when I stand up. I think that problem has been there for years. Do you think these spells are related to my heart?
    Lee TH
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  • 18. Ask the doctor. A few years ago, I had a heart attack. My doctor treated me with angioplasty, and I haven't had any symptoms of heart disease since. I do carry a bottle nitroglycerin with me, but haven't taken any in years. I renew my prescription every six months because I know the pills go bad. My problem is that I also need Viagra to have sexual intercourse. Whenever I refill my prescription for Viagra, the pharmacist gives me a hard time because he knows I also have a prescription for nitroglycerin. Just how dangerous is Viagra?
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  • 19. Ask the doctor. For several years now, my lower legs have been painful and somewhat swollen, especially at the end of the day. My doctor says that my veins are not getting the blood back to my heart like they used to, but that it is just part of aging (I am 72 years old). He tells me to put my feet up as much as possible, but that's not very practical when you have a lot to do! Isn't there anything else I could try?
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  • 20. Ask the doctor: My husband had a heart attack last winter. Although his doctor says his heart is now fine, he just has not bounced back the way I thought he would. He has trouble sleeping and no energy. I am concerned that he is going to continue on a downward spiral.
    Lee TH
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