Tag: Neurocardiogenic Syncope

Dr. Annie varughese

Our Houston Cardiologist Dr. Annie explains clearly: A heart attack occurs when an artery that caries oxygen-rich blood to the muscle of the heart (myocardium) gets to be blocked. The ensuing absence of oxygen reasons tissue to die in the piece of the heart supplied by the blocked artery. A heart attack is additionally called a myocardial dead tissue (MI).

Causes

Most heart attack are in a roundabout way brought on by coronary artery disease (CAD) or Atherosclerosis, a condition in which fatty deposits (plaque) build up on the walls of an artery. This contracts the arteries and limits blood stream to the muscle of the heart. A heart attack is normally activated by a tear or crack of the plaque, which prompts the development of a blood coagulation that obstructs the blood stream in the vein. Spasm of the artery can likewise add to the blockage.

Our Cardiology Doctors reveals some Risk Factors

The danger elements for showing at least a bit of heart attack are like those for creating CAD.

Wild hazard components include:

  • Early menopause
  • Postmenopausal status
  • Expanding age
  • African American, Mexican American, American Indian, local Hawaiian, or Asian ethnicity
  • Family history of cardiovascular sickness (These are sicknesses that influence the heart and veins.)

Danger calculates that you can control through way of life or treatment includes:

  • Smoking or introduction to used smoke
  • Hypertension
  • Large amounts of low- density lipoprotein (LDL) cholesterol
  • Low levels of high- density lipoprotein (HDL) cholesterol
  • Inactive way of life
  • Diabetes
  • Corpulence and overweight (particularly when concentrated around the waist)
  • Mental anxiety

Meet our heart doctors in Houston and know more side effects

The side effects of a heart attack may be much more inconspicuous in women than in men. Chest pain or inconvenience is commonly the most widely recognized side effect in men and women. On the other hand, women’s may be more prone to experience a portion of the other regular indications, especially shortness of breath, nausea or vomiting, and back or jaw torment.

Regular indications include:

  • Nausea or vomiting
  • Serious exhaustion
  • Dizziness
  • Feelings of heartburn or indigestion in the upper abdomen
  • Pain that radiates into the arms (on the left side more than the right)
  • Pain high in the back, jaw, or neck
  • Heart palpitations
  • Profuse sweating
  • Shortness of breath
  • A fear of impending death

Diagnosis process explained by our top cardiologists in Houston

The accompanying tests may be carried out to affirm the analysis of a heart attack:

  1. Electrocardiogram (ECG) — this test records the electrical movement of the heart. It is utilized to check whether the heart muscle was harmed and where the harm is placed.
  2. Blood tests— these may incorporate checking levels of compounds, troponin levels, and different tests.
  3. Echocardiogram — this test uses high-recurrence sound waves to envision the heart’s structure and capacity.
  4. Myocardial perfusion scan —this output utilizes little measurements of a radioactive substance infused into the circulatory system to envision how well blood is sustaining the heart muscle.
  5. Coronary angiogram —this is an obtrusive test where a catheter is put into the expansive supply route in the crotch and after that exceptional up the aorta and to the heart. Intravenous (IV) complexity is infused into the courses to envision blockages.

Get best treatment by our cardiology doctor in Houston-Dr. Annie

Likewise with men, heart disease is the most obvious killer for women, as well. Women represent about a large portion of the passing from heart attack. This makes it particularly essential for women to perceive the indications and get quick care.

Medicinal consideration inside the first hour after the indications begin can fundamentally diminish the measure of heart harm. An electric shock utilising a defibrillator alongside intravenous pharmaceutical may be managed if the pulse is dangerously irregular. Supplemental oxygen is generally given to increase oxygen in the blood and minimise tissue damage. We Houston cardiologist, provide comprehensive diagnostic evaluations. Trans esophageal echo test services in Houston uses sound waves to make images of the heart.

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Advanced Cardiovascular Care Center

Advanced Cardiovascular Care Center Heart Clinic in Houston provides the highest standard of excellence in Cardiovascular Care while exemplifying our ideals of customized patient care. Our goal is that of achieving superior patient satisfaction in every aspect of services given. We perceive our organization as a team of cardiology doctors in Houston working towards one common goal, that of our patients’ good health and well being. To that end, we pledge our services.

Our Cardiac Care Center in Houston offers health services in a warm, comforting, relaxing atmosphere. The practice is committed to high quality patient care in an ever-changing health care environment.

Dr. Annie Varughese Cardiology Doctor in Houston attended the Medical College of Georgia, Augusta, Georgia and subsequently completed her residency in Internal Medicine as well as Fellowship in Cardiovascular Diseases at the University of Texas Medical School in Houston. Dr. Annie Varughese Houston Cardiologist pursued further training in Interventional Cardiology at The Texas Heart Institute/Baylor College of Medicine and now has been in private practice in the Northwest Houston and Woodlands area for the past 20 years.

The practice operates under the direction of Dr. Annie Varughese, Board-Certified one of Best Cardiologists in Houston and leading cardiology specialist providing treatment for heart attacks, angina, hypertension and all aspects of cardiology. We are well-trained staff of Heart Doctors in Houston offers a variety of comprehensive, state-of-the-art services to diagnose, treat and manage heart disease. Our Top Cardiologists in Houston improve the lives of thousands of patients every year using advanced surgical and non-surgical procedures.

Dr. Annie Varughese Heart Specialist in Houston is an avid speaker regarding issues in cardiology including that of Women & Heart Disease and holds the title of Clinical Assistant Professor of Medicine at the University of Texas Medical School in Houston.

Signs of Heart Disease :-

Most heart attacks are indirectly caused by coronary artery disease or Atherosclerosis, a condition in which fatty deposits (plaque) build up on the walls of an artery. This narrows the arteries and restricts blood flow to the muscle of the heart. A heart attack is usually triggered by a tear or rupture of the plaque, which leads to the formation of a blood clot that blocks the blood flow in the artery. Spasm of the artery can also contribute to the blockage. The symptoms of a heart attack may be far more subtle in women than in men. Chest pain or discomfort is typically the most common symptom in men and women, common symptoms include

  • Nausea and vomiting
  • Severe fatigue
  • Dizziness, fainting
  • Feelings of heartburn or indigestion in the upper abdomen
  • Pain that radiates into the arms (on the left side more than the right)
  • Pain high in the back, jaw, or neck
  • Heart palpitations
  • Profuse sweating
  • Shortness of breath
  • A fear of impending death

Nuclear Stress Test :-

Nuclear Stress Test used in medicine and cardiology to measure the heart’s ability to respond to external stress in a controlled clinical environment. The stress response is induced by exercise or drug stimulation. Nuclear stress tests compare the coronary circulation while the patient is at rest with the same patient’s circulation observed during maximum physical exertion, showing any abnormal blood flow to the heart’s muscle tissue. The results can be interpreted as a reflection on the general physical condition of the test patient. This test can be used to diagnose ischemic heart disease, and for patient prognosis after a heart attack.

Transesophageal ECHO :-

This is an alternative way to perform an echocardiogram. A specialized probe containing an ultrasound transducer at its tip is passed into the patient’s esophagus. This allows image and Doppler evaluation which can be recorded. Transesophageal echocardiograms are most often utilized when transthoracic images are suboptimal and when a more clear and precise image is needed for assessment. This test is performed in the presence of a cardiologist, registered nurse, and ultrasound technician.

Cardiac Catheterization and Stenting :-

Cardiac Catheterization and Stenting is a minimally invasive procedure to access the coronary circulation and blood filled chambers of the heart using a catheter. It is performed for both diagnostic and interventional (treatment) purposes. Cardiac catheterization is a visually interpreted test performed to recognize occlusion, stenosis, restenosis, thrombosis or aneurysmal enlargement of the coronary artery lumens; heart chamber size; heart muscle contraction performance; and some aspects of heart valve function. Important internal heart and lung blood pressures, not measurable from outside the body, can be accurately measured during the test.

PFO & ASD Closure :-

PFO & ASD Closure is a form of congenital heart defect that enables blood flow between the left and right atria via the interatrial septum. The interatrial septum is the tissue that divides the right and left atria. Without this septum, or if there is a defect in this septum, it is possible for blood to travel from the left side of the heart to the right side of the heart, or vice versa. This results in the mixing of arterial and venous blood, which may or may not be clinically significant.

Advance Lipid Test :-

Advanced lipid testing can identify additional risk factors of coronary heart disease that standard blood-cholesterol tests typically do not. Advanced Lipid Testing can diagnose early diabetes, insulin resistance if you have a tendency towards clotting or if you are genetically prone to having a heart attack. We analyze your blood test results in combination with your family history, lifestyle, medications and existing clinical factors.

EKG Echocardiogram :-

It is an important part of the initial evaluation of a patient who is suspected to have a heart related problem. Small sticky electrodes are applied to the patient’s chest, arms and legs. However, with some systems, the electrodes may be applied to the chest, shoulders and the sides of the lower chest, or hips. Wires are used to connect the patient to an EKG machine. You will be asked to remain very still while a nurse or technician records the EKG. The electrical activity created by the patient’s heart is processed by the EKG machine and then printed on a special graph paper. This is then interpreted by your physician. It takes a few minutes to apply the EKG electrodes, and one minute to make the actual recording.

Echocardiography :-

An echocardiogram is a fairly common test that allows doctors to use sound waves to see the inside of one’s heart and see how it’s beating and pumping blood. This procedure can help identify various abnormalities in the heart muscle and valves. A doctor may suggest an echocardiogram if he or she suspects problems with the valves or chambers of the heart or the heart’s ability to pump. An echocardiogram can also be used to detect congenital heart defects in unborn babies.

Echocardiogram :-

Echocardiogram is a sonogram of the heart. Also known as a cardiac ultrasound, it uses standard ultrasound techniques to image two-dimensional slices of the heart.

Stress Echo :-

The stress echo test is done with heart stimulation, either by exercise on a treadmill with the patient connected to an electrocardiogram. People who cannot use their legs may exercise with a bicycle-like crank that you can turn with your arms. The level of mechanical stress is progressively increased by adjusting the difficulty (steepness of the slope) and speed. The test administrator or attending physician examines the symptoms and blood pressure response.

Holter-Event Monitor:-

A cardiac event monitor is a device used to monitor patients with transient cardiac symptoms.

Tilt Table :-

A tilt table test, occasionally called upright tilt testing is a medical procedure often used to diagnose dysautonomia or syncope. Patients with symptoms of dizziness or lightheadedness, with or without a loss of consciousness, suspected to be associated with a drop in blood pressure. The procedure tests for causes of syncope by attempting to cause syncope by having the patient lie flat on a special table or bed while connected to ECG and blood pressure monitors. The table then creates a change in posture from lying to standing.

External Counterpulsation Therapy :-

Enhanced External counterpulsation therapy is a procedure performed on individuals with angina or heart failure or cardiomyopathy in order to diminish their symptoms ischemia, improve functional capacity and quality of life. In various studies, EECP has been shown to relieve angina, and decrease the degree of ischemia in a cardiac stress test.

Peripheral Angiography and Stenting :-

Angiography is also commonly performed to identify vessel narrowing in patients with leg claudicating or cramps, caused by reduced blood flow down the legs and to the feet; in patients with renal stenosis and can be used in the head to find and repair stroke.

Carotid Stenting :-

Carotid artery stenting is an endovascular, catheter-based procedure which unblocks narrowing of the carotid artery lumen to prevent a stroke. Carotid artery stenosis can present with no symptoms or with symptoms such as transient ischemic attacks (TIAs) or cerebrovascular accidents (CVAs, strokes).

Carotid Ultrasound :-

Carotid Ultrasound is an ultrasound-based diagnostic imaging technique to reveal structural details of the carotid arteries, so as to look for blood clots, atherosclerotic plaque buildup, and other blood flow problems.

Cardiac MRI/Coronary CTA :-

Cardiac MRI/Coronary CTA – Cardiovascular magnetic resonance imaging is a medical imaging technology for the non-invasive assessment of the function and structure of the cardiovascular system. It is derived from and based on the same basic principles as magnetic resonance imaging (MRI) but with optimization for use in the cardiovascular system.

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Abdominal Aortic Aneurysm

Abdominal Aortic Aneurysm involves a widening, stretching or ballooning of the aorta that is within the abdomen. Aneurysm will grow larger and eventually rupture if it is not diagnosed or treated. The heart pumps blood in to a large artery known as the Aorta. It descends from heart to supply blood to all the parts of the body.

Abdominal_Aortic_Aneurysm_Location

 

Risk Factors of Abdominal Aortic Aneurysm

Smoking

High blood pressure

High cholesterol

Male gender

Emphysema

Family history

Obesity

 

Symptoms of Abdominal Aortic Aneurysm

In most cases, an un-ruptured abdominal aortic aneurysm (AAA) will cause no symptoms, unless it becomes particularly large.

 

Symptoms of an un-ruptured abdominal aortic aneurysm may include:

A pulsating feeling in your stomach (abdomen), usually near your belly button, that’s usually only noticeable when you touch it

Persistent back pain

Persistent abdominal pain

 

Other Symptoms Include:

Dizziness

Sweaty and clammy skin

Rapid heartbeat (tachycardia)

Shortness of breath

Loss of consciousness

 

Diagnosing Abdominal Aortic Aneurysm:

Your doctor will examine your abdomen. The exam also will include an evaluation of pulses and feeling in your legs. The doctor may find:

A mass in the abdomen

Pulsating sensation in the abdomen

Stiff or rigid abdomen

 

You may have an abdominal aortic aneurysm that is not causing any symptoms or problems. Your doctor may find this problem by doing a CT scan or ultrasound of the abdomen. Either of these tests may be done when you’re having symptoms.

 

Two Approaches of Surgery:

In a traditional (open) repair, a large cut is made in your abdomen. The abnormal vessel is replaced with a graft made of man-made material, such as Dacron.

The other approach is called endovascular stent grafting. This procedure can be done without making a large cut in your abdomen, so you may get well faster. If you have other medical problems, this may be a safer approach.

The outcome is usually good if an experienced surgeon repairs the aneurysm before it ruptures. However, less than 80% of patients survive a ruptured abdominal aneurysm.

 

Prevention

Eat a heart-healthy diet, exercise, stop smoking (if you smoke), and reduce stress to help lower your chances of having a blocked artery again.

Cardiology Doctor in Houston gives you medicine to help lower your cholesterol.

If you were given medicines for blood pressure or diabetes, take them as we asked you to.

People over age 65 who have smoked at any time in their life should have a screening ultrasound performed once.

There are many effective treatments for abdominal aortic aneurysms, which are based on the size of your aneurysm and how fast it’s growing.

 

Treatment of Abdominal Aortic Aneurysm:

If you have bleeding inside your body from an aortic aneurysm, you will have open abdominal aortic aneurysm repair.

If the aneurysm is small and there are no symptoms, your doctor may recommend checking the size of the aneurysm with ultrasound tests every 6-12 months, to see if the aneurysm is getting bigger.

Surgery is usually recommended for patients who have aneurysms bigger than 2 inches (5.5 cm) across and aneurysms that are growing quickly. The goal is to perform surgery before complications or symptoms develop.

An abdominal aortic aneurysm, also called AAA or triple A, is a bulging, weakened area in the wall of the aorta (the largest artery in the body) resulting in an abnormal widening or ballooning greater than 50 percent of the vessel’s normal diameter (width).

Seek counsel from our Heart Specialist in Houston if you suspect you are suffering from Abdominal Aortic Aneurysm for the best treatment options for you.

Visit us at: www.advancedcardiodr.com|Call: +1 281-866-7701

Best Treatment Options for Neurocardiogenic Syncope – Heart Specialist in Houston

Best Treatment Options for Neurocardiogenic Syncope – Heart Specialist in Houston

Syncope is defined as a sudden and transient loss of consciousness and postural tone with spontaneous recovery.

Neurocardiogenic Syncope is a specific form of passing out spells caused by sudden drops in heart rate or blood pressure. Neurocardiogenic syncope is the most common reason for fainting. Blood pressure rapidly falls, and blood flow to the brain becomes very low leading person to lose consciousness, usually for few seconds. Neurocardiogenic syncope can occur suddenly, in response to a startling event or strain (a needle stick, pain, fear, cough, or defecation). It can also occur after prolonged standing, heat exposure, or exertion.

Neurocardiogenic syncope is common and usually does not signal any serious problem or increased health risk. It can affect people of all ages, but is particularly common in young women. Neurocardiogenic syncope is put in the category of a reflex syncope, which is related to orthostatic intolerance. It is also known as Vasovagal syncope, Simple Faint, Neurally-Mediated syncope or Vasodepressor Syncope.

Symptoms Leading to Neurocardiogenic Syncope:

Neurocardiogenic syncope occurs in predisposed individuals in the following settings:

  • Immediately after exercise
  • After emotionally stressful events
  • After being in a warm environment
  • Infection, dehydration, and alcohol intake
  • After prolonged periods of quiet upright posture
  • Based on genetic make-up, dietary factors, psychological state

Neurocardiogenic Syncope Causes:

Neurocardiogenic Syncope most often happens to people in stressful or painful situations that causes them Anxiety, for example, when having blood drawn or receiving an injection.

In patients with overly sensitive nervous systems, straining and stress causes blood to pool in their legs. As a result, blood pressure may drop, reducing circulation to the brain. In others, their heart rate slows, sending insufficient blood to the brain, causing fainting.

Diagnosis of Neurocardiogenic Syncope:

  • It is important to rule out other reasons for the fainting episode(s).
  • Past medical history and thorough examination by the doctor determine diagnosis.
  • In carotid sinus massage, an individual’s carotid artery (in the neck) is massaged while being monitored by the doctor to observe any fainting response.

In tilt-table testing, the patient lies down on a table that is tilted upright to observe drops in their heart rate or blood pressure. This test is very effective in identifying patients with very sensitive nervous systems.

Treatment Options for Neurocardiogenic Syncope:

  • Anyone experiencing the symptoms of fainting should lie down immediately, with their legs elevated. They should be given plenty of room and air. If possible, whatever provoked the stress or Anxiety should be stopped.
  • They should remain lying down until complete recovery.
  • As stated above, fainters may die if kept upright and not allowed to lie down. However, this is very rare.
  • In people with frequent or disabling symptoms, treatment with beta-blockers may help. Other medicines that can be used include Scopolamine, Disopyramide, or Theophylline.
  • Some patients may need to be on a high salt diet or wear compression stockings.
  • For people with frequent episodes of fainting caused by Slow Heart Rate, they may need a pacemaker.
  • Vasovagal syncope is usually not a very serious problem and is usually very easily treated. If care is taken, repeat episodes may be avoided.

Prevention of Neurocardiogenic Syncope:

Anyone with a history of fainting when receiving injections or having blood drawn should lie down before the procedure. They should try not to look at the needle, and their legs should be kept elevated if possible.

Seek counsel from our Houston Cardiologist if you are suffering from Neurocardiogenic Syncope for the best treatment options for you. Advanced Cardiovascular Care Center…! Call on +1 281-866-7701.