Cardizem CD
Cardizem CD questions and answers
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Q: I was diagnosed with A-Fib (29/m), with prev. cardiac ablation for atrial flutter. Cardizem CD?
I read the side effects which sound quite dramatic, including death so I've been to afraid to take this medication. I can't get into my cardiologist until January. I was wondering if anyone else has taken Cardizem CD (generic ver.)
A: Cardizem is quite a safe drug as long as its not combined with beta blocker. It will slow your pulse rate.
Q: I have been diagnosed w/ LVH & mitralvalve regurg that went from mild to mod in 6 mos, what are the implicatio
the mitral valve regurg went from mild to mod in 6mos. What are the implications of this for me and what is the treatment/prognosis. The symptoms I am having are SOB w/ mild exertion & palpitations. I have a f/u appt but would like info now. I have been on Cardizem CD 180mg daily for 1 year. My ej is 70%.
A: up to now the other posters have said some correct things.
LVH is telling you that there is an increase in the muscle mass of the left side of the heart. mitral valve regurgitation is basically back flow of blood within the heart chamber. it means that a valve is not closing all the way. so when the pumping(beat) of the heart occurs blood flows both ways backward and forward. however the forward flow is reduced and this leads to decrease in blood flow to the lungs and therefore oxygen desaturation of the blood and a feeling of SOB may occur. Doctors cannot grade SOB, but they can objectively define DOE, dyspnea on exertion which probably has shown up on some tests you underwent.
early treatment of valve problems often responds well, but the increase in heart muscle mass may not reverse itself leaving you with some residual effects. ask your doctor about this part of the syndrome. also you want to know the "etiology (cause)" of the valve weakness. sometimes it is viral or bacterial related and may get treated differently then say heart surgery.
Q: MSSA vs MRSA Which is worse and why is the hospital giving me the run around?
After a back surgery I contracted what I was told to be MRSA and endocarditis, I called the hospital a couple of days ago to find out exactly what it was I had and I was told MSSA? Now this is a stark contrast to what I was told at discharge.
My surgery itself was pretty normal according to the docs. I thought it was strange though that I wasn't sutured , stapled, glues or taped shut. Yes, that's right the incision was left completely open. The wound was covered with gause which the nurse changed 2 times per day. My husband caught her changing my dresing without gloves on 2 occasions. After I was released from the hospital within 3 days I was back, I was unable to walk, in excruciating pain, delirious, and running a very high fever. I was taken in for emergency surgery (lubar wash out) I had an "event" on the table according to the physician, I woke up on blood thinners and cardizem cd. I was told that I had MRSA and endocarditis. I have heart damage from this and I am going to have to have a heart vavle replacement in a few years. I called the hospital a couple of days ago for clarification on exactly what happened and I was told that I didn't have MRSA it was MSSA, I am not really sure what the difference is, I know that I had a PICC line for 3 months infusing me with what I believe was vancomycini also remained on heaprin and cardizem cd. They are trying to say I must have had the infection when I came into the hospital? This is all according to their infectious disease nurse, all I want to know is why are they trying to say I had it when I came in and with my condition being so bad when I came back into the hospital I want to know which does it sound like I had, MRSA or MSSA? I just feel like they lying to me, are they afraid I am going to sue them or something?
Hi Guys,
I can't thank you all enough! I am unable to respond because I am still a level 1 which I don't unsderstand but I appreciate all of your answers!
I did want to add that right after the surgery (herniated disc l-4 s-1) they were going to send me right home and only kept me over because my husband insisted that back surgery shouldn't be an outpatient proceedure, plus I was running a fever. Anyway, the incision was about five inches long and my husband said when they were changeing the bandages the cut was so deep it was like black inside. Also they tried to culture my back with a q tip looking thing but they did not let me in on what they found. I have a 3 year old and she has had a sick mommy her whole life I feel like a horrible parent, but I am doing a whole lot better now. THANKS EVERYONE!!!
A: MSSA and MRSA are polar opposites you must have had one or the other. From what you've said it sounds like you contracted a MRSA bacteremia leading onto endocarditis.
MSSA stands for Methicillin Sensitive Staphlococcus Aureus, in other words Staph which responds well to typical antibiotics.
MRSA is methicillin resistant staph aureus, which is resistant to many antibiotics and is becoming a big concern as it's getting trickier to treat. Standard therapy is vancomycin which is what you had suggesting MRSA cultures were positive in your case.
Staph aureus (whether sensitive or resistant) is a common skin bacteria present on about 20% of the population. It normally causes no problems until it manages to enter a skin wound and can cause an infection, though some people may never have any problems with their skin bacteria. Once it gets into the blood it can travel to the heart and cause endocarditis. I think what they're trying to say is that you must have had the staph on you before you came into hospital, and that you didnt catch it during your stay in hospital.
I'm not sure why your wound wasnt closed. They usually only do this if it is expected the patient will go back to surgery within 24 hours, if the incision is too large to be practically closed. Or if the wound is so tiny it only needs a few steristrips or something and will close itself. This is something you can ask your surgeon/doctor. Not using gloves to change your dressing is inexcusable. With patients ever more aware of infection risks the nurses should be reprimanded. You should mention this to the head nurse on the ward you were in and im sure the message will be passed down to all staff.
The best thing to do is to ask to read your hospital notes. There it should say what cultures were sent off, why your incision wasnt closed etc. Thing is, infection will always occur in a percentage of people. It could be you would have got an infection no matter what they did.
At the very least you deserve an explanation for what has happened so I suggest making an appointment to discuss it with your doctor/surgeon.
Q: How fast and what kind of symptoms can high blood pressure cause?
In a matter of 2 weeks, my blood pressure has gone from normal to about 155/105. It's especially high in the evenings. Along with it I am having nervousness, a feeling of doom, not really feeling myself, intermittent headaches, non specific discomfort (gas?) bloated feeling, some ringing in ears. Prior to this I had irregular heartbeats for a month before this started. My doctor put me on Cardizem CD. Any advice would help. Thanks
A: High blood pressure (HBP) itself usually has no symptoms. Rarely, headaches may occur.
You can have HBP for years without knowing it. During this time, HBP can damage the heart, blood vessels, kidneys, and other parts of the body.
Some people only learn that they have HBP after the damage has caused problems, such as coronary heart disease, stroke, or kidney failure.
Knowing your blood pressure numbers is important, even when you're feeling fine. If your blood pressure is normal, you can work with your health care team to keep it that way. If your numbers are too high, you can take steps to lower them and control your blood pressure. This helps reduce your risk for complications.