Hi: "The cardiologist said they could possibly do a high risk angio and then put him on meds for the rest of his life."
"I can't see the doctors doing a bypass on his heart and then doing a bypass on his leg."
Some individuals are deemed high-risk for open-heart surgery, or even minimally-inavsive surgery or catheter-based procedures (angioplasty with or without stenting).
Outcomes can not be predicted. Pre-existing medical conditions (cardiac or otherwise), negative factors, and especially comorbidities (medical conditions known to increase the risk of death in addition to the most significant condition that causes an individual's stay in the hospital), as well one's general overall health are taken into consideration.
In general-only here, even though heart surgery, or non-surgical catheter-based procedures carries risks (and the possibility of complications, some unforeseen), and is considerably riskier in the older crowd, it is reported that more individuals, even in the early/mid-to-late 80s, and well into the 90s, are undergoing procedures, thanks to the advancements made in this area, and of course, some highly-skilled doctors.
In some cases, those with severe peripheral artery disease (PAD), blockages in the legs, may/can be treated with stents or laser angioplasty, as opposed to a bypass, Sometimes, drug-therapy is the only option deemed viable as may/can be the case with coronary artery disease (CAD) as well.
Most important,communicate well with his doctors at ALL times. The very best of luck to your father down the road of life.
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That's an odd term that has been mentioned here only once before, several years ago, and one which should certainly be clarified by his cardiologist.
Noteworthy, mentioned in a Texas Heart Institute article about the causes of high blood pressure (hypertension), one cause is being older than 60. Blood vessels become more brittle with age and are not as flexible.
About Blood Pressure (BP)
The complex human body is usually able to keep BP within acceptable limits, but sometimes, changes in lifestyle, or health, make this difficult. This can cause the BP to become consistently higher, lower than normal, spike up, then drop down.
Compensatory mechanisms that control BP involves changing the diameter of veins and small arteries (arterioles), the amount of blood pumped out from the heart per minute (cardiac output), and the volume of blood in the vessels.
High BP can be related to various heart disorders, and sometimes kidney, liver, or adrenal gland problems. One's susceptibility to develop it can even be caused by an imbalance somewhere within the body's precise regulating systems.
Health dangers from BP vary among different age groups and depending on whether systolic, diastolic, or both, is elevated. Isolated diastolic hypertension, isolated systolic hypertension and diastolic/systolic hypertension, increases the risk of cardiovascular disease, cerebrovascular disease, renovascular disease.
High systolic BP appears as a significant indicator for heart complications, including death, in all ages, but especially in middle-aged and older adults.
Additionally, pulse pressure is important, the difference between systolic and diastolic. Usually, the resting (in sitting position) pulse pressure in healthy individuals is 40 mmHg, give or take a bit. A consistently narrow (say 20-25 or less) or consistently wide (say 60-65 or more) pulse pressure is not good.
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In general, swelling or edema (with or without accompanying symptoms), in one or both extremities (e.g., legs, feet, ankles), has various causes, which includes but is not limited to, some heart conditions (a common one being congestive heart failure), kidney and liver conditions, being overweight, related to age, and venous insufficiency (VI).
Best of luck down the road of life.
WebMD member (since 8/99)
MedlinePlus - Trusted Health Information for You
Foot, leg, and ankle swelling
Painless swelling of the feet and ankles is a common problem, particularly in older people. It may affect both legs and may include the calves or even the thighs. Because of the effect of gravity,....
Other conditions that can cause swelling to one or both legs include:...
Hi: Most important, any irregularity/abnormality on an ECG (electrocardiogram) should be thoroughly investigated by a qualified doctor.
"My husband said he suffered no symptoms of having had an attack"
Heart attacks may/can occur without any tell-tale symptoms occurring or being recognized by the individual, known as a "silent" heart attack.
"Can this incident show up as a heart attack on an EKG?"
Seems unlikely, unless those severe spasms were occurring at the time and somehow distinctly disrupted/interferred (pain may/can do this) with the heart's electrical conduction system. HeartSite
It is important to remember that EKGs are not 100% accurate. Normal recordings can be obtained in patients with significant heart disease or some "abnormalities" may exist in the presence of a normal heart.
"Should I make an appointment with the cardiologist who did the study to talk with him directly?"
"Is there anything that I can do -- diet or exercise maybe - that would reverse the LV enlargement?"
Depends on the actual cause, though in general, maintaining a healthy diet and daily exercising (unless contraindicated by ones' doctor/s) is most often beneficial.
......"palpitations and episodes of tachycardia (I'd wake up in the middle of the night with a heart rate of 120 )."
"Left ventricle is mildly dialted"
As reported, an enlarged or dilated left ventricle (LV) is usually due to cardiomyopathy (heart muscle disease) or valvular heart disease, either a leaking valve (regurgitation) or a narrowed valve (stenosis). Other causes may/can include uncontrolled high blood pressure (hypertension), other.
"LV diastolic function abnormal."
Left ventricular diastolic dysfunction (LVDD), aka diastolic dysfunction (DD), or diastolic heart failure (DHF), can develop when the heart's walls stiffen (become non-compliant), in which the heart has difficulty filling up with blood during diastole (diastolic, the heart's resting/relaxation phase), though interestingly, the heart is still often able to pump out a normal percentage of the blood (i.e., left ventricular ejection fraction/LVEF). Normal resting range LVEF is 50%/55%-70/75%. Average is reported as being in the low to mid 60s.
......"but still have them when I eat certain foods."
Then it's of course essential to avoid those particular foods.
"I think it has same thing to do with vagus nerve or anxiety. When I take a vacation they seem to go away"
Well, as applicable, if you are having anxiety issues, talk to your doctor(s) about this and perhaps an anti-anxiety med can be prescribed.
As posted previously, some individuals have reported, palpitations (PACs, PVCs), atrial fibrillation (AF), or tachyarrhythmias (tachycardia, supraventricular tachycardia/paroxysmal supraventricular tachycardia) being triggered off by GERD/acid reflux/heartburn, swallowing (food or drink), gas, bloating, belching, burping, or coughing, or after a heavy meal/on a full stomach.
These are known as indirect causes or an "reactive-arrhythmia". This may/can also be a side effect of some foods (which includes additives and preservatives), drinks, or drugs. On the flip side, in some cases, belching, burping, or coughing may/can terminate/relieve an irregular heartbeat.
As applicable, the most common type of palpitations, premature ventricular contractions (PVCs, occurs even in many heart-healthy individuals), described that the heart is flip-flopping, fluttering, jumping, pausing or stopping briefly (though it's actually not doing that), pounding, skipping, thumping, or strong, hard, or forceful beats being felt in the chest, neck, throat, has various causes (cardiac and non-cardiac) or triggers.
PVCs are typically harmless (benign), be it isolated (single), couplets (2-in-row), triplets (3-in-a-row) or salvos (short bursts of 3 or more in-a-row), bigeminy (occurring every other beat), trigeminy (occurring every third beat), quadrigeminy (occurring every fourth beat), etc.
Best of luck down the road of life.
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