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Search results for "Cardiovascular Diseases" [disease_category]

481 questions were found.

1.	How long should you wait after giving the digoxin dose before you get a digoxin level?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
2.	In a patient with a history of rheumatic fever, do you need to use subacute bacterial endocarditis prophylaxis for pilonidal cyst excision?     Disease Category:  Cardiovascular Diseases; Bacterial Infections and Mycoses     Asker Specialty:  Family Practice     Patient Age:  Middle Age
3.	45-year-old man with hypertension on Tenex. Had questionable side effects including headache, fatigue, and lightheaded. Are these really side effects of Tenex?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
4.	In this patient with TIAs (transient ischemic attacks) and no cardiac murmur, should I do an echocardiogram anyway?     Disease Category:  Nervous System Diseases; Cardiovascular Diseases     Asker Specialty:  Family Practice
5.	What are recommendations for subacute bacterial endocarditis prophylaxis for hysteroscopy?     Disease Category:  Cardiovascular Diseases; Bacterial Infections and Mycoses; Female Genital Diseases and Pregnancy Complications     Asker Specialty:  Family Practice     Patient Age:  Adult
6.	Patient's blood pressure is always elevated here in the office. She also sees a cardiologist and blood pressure seems to be fine there so question is what is her blood pressure really?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
7.	Can Zoloft truly cause chest pain? She looked it up in a reference and it was listed as a side effect but can it truly do it?     Disease Category:  Nervous System Diseases; Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
8.	What are the dosage forms available for Lipitor?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
9.	What is the maximum dose of digoxin? (patient seen in emergency room had digoxin level less than 0.03)     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
10.	What are the indications for getting a digoxin level?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
11.	Why would you use an alpha and beta blocker like Coreg for heart failure?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
12.	This young woman has atypical chest pain. Can you ignore it? She has a strong family history of coronary disease. Our young police chief just had a coronary artery bypass graft.     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
13.	Child has pectus carinatum. Radiologist told Dr. X sometimes there are associated congenital heart problems. Dr. X wants to study up on this. Does the patient have these associated problems?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adolescence
14.	What kind of cardiac evaluation can you do in someone like this status post coronary artery bypass graft with terrible lungs who cannot do a regular treadmill?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
15.	Can Ultram cause edema or constipation?     Disease Category:  Cardiovascular Diseases; Digestive System Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
16.	78-year-old woman with blood pressure 210/110. She's on Univasc and Toprol XL 100. She has a history of an angiotensin-converting-enzyme-inhibitor (ACEI) cough and palpitations on Procardia. Is it still essential hypertension? My question is: I can still treat her with medication, but if it doesn't come down right away, when do I think about secondary hypertension?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
17.	How soon should you ambulate a patient with a deep vein thrombosis?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
18.	Are her headaches related to her elevated diastolic blood pressures? She has a booming headache today and her blood pressure is 180/96.     Disease Category:  Nervous System Diseases; Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
19.	This guy is dizzy when he's active but no other symptoms. What gives a doctor more uncertainty than dizziness and fatigue? How often is an etiology found?     Disease Category:  Cardiovascular Diseases; Nervous System Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
20.	What should I do with this man who complained of left neck fullness and now has a possible thrombosis on magnetic resonance imaging (MRI)?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
21.	What is the cause of her intermittent light headedness?     Disease Category:  Nervous System Diseases; Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
22.	Should I use Serevent in association with her heart medications which include a beta blocker. Will her heart medications need to be adjusted? Dr. X aware of known concerns about Serevent in these patients.     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
23.	A 74-year-old woman with elevated cholesterol and history of myocardial infarction, on diet therapy. Her total cholesterol is approximately 290 down from approximately 340 and low-density lipoprotein (LDL-cholesterol) is approximately 210 down from approximately 240 on diet only. What to do? One wonders how aggressive one should be.     Disease Category:  Nutritional and Metabolic Diseases; Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
24.	History of coronary artery bypass graft, low-density lipoprotein (LDL) cholesterol approximately 140. He's going to Texas for 3 months. Should I continue lipid lowering diet or start medication now and ask him to find doctor in Texas?     Disease Category:  Nutritional and Metabolic Diseases; Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
25.	Why is this patient continuing to go "down hill"? Two cardiologists have seen her and have not come up with the answer. Maybe her potassium is low or digoxin is high. She refuses Captopril.     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
26.	81-year-old man with terrible kidneys (renal failure), colon cancer, iron infusion brought hemoglobin from approximately 7.0 to 8.0, yesterday reticulocyte count approximately 4.0%. Is this from blood loss or kidney failure?     Disease Category:  Urologic and Male Genital Diseases; Neoplasms; Digestive System Diseases; Cardiovascular Diseases; Hemic and Lymphatic Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
27.	This patient has a history of bleeding ulcer, can we give him heparin for his suspected acute myocardial infarction?     Disease Category:  Digestive System Diseases; Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
28.	17-year-old boy with "documented" micturition syncope. Heart rate 40 when seen. But I'm not sure I'm satisfied with that diagnosis. He had a normal thyroid stimulating hormone but I'm going to get a free thyroxine (Free T4). The question is, was this micturition syncope?     Disease Category:  Cardiovascular Diseases; Urologic and Male Genital Diseases     Asker Specialty:  Family Practice     Patient Age:  Adolescence
29.	I saw a woman this morning with chronic obstructive pulmonary disease and worsening dyspnea, still smoking, still oxygen dependent, recent 10 pound weight gain, oxygen saturation was fine. Why is she more short of breath? Is her cor pulmonale worse?     Disease Category:  Respiratory Tract Diseases; Cardiovascular Diseases     Asker Specialty:  Family Practice
30.	She is a fall risk and she has atrial fibrillation. Do I really want her on Coumadin? Probably not due to fall risk.     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
31.	What different strengths does Accupril come in? Patient currently takes two 20-milligram tabs.     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
32.	Phone call with patient. She was on Procardia and blood pressure still elevated so he added Vasotec and blood pressure went higher. Question is why did blood pressure go up with addition of Vasotec?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
33.	76-year-old woman with dyspnea for 3 to 4 days. History of congestive heart failure. On digoxin and Accupril. Lungs clear. Is there something else going on besides congestive heart failure?     Disease Category:  Cardiovascular Diseases; Respiratory Tract Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
34.	How old do you have to be before you don't need to aggressively workup hypertension (240-260/90)? This patient is 88.     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
35.	How often should a carotid doppler be ordered for follow-up on this 76-year-old woman with hypertension and cardiovascular disease?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
36.	What should I do now with this new atrial fibrillation?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
37.	Is it okay to use a cheap angiotensin converting enzyme inhibitor for congestive heart failure (eg, Mavik) or do you need to use one of the ones proven to help congestive heart failure?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
38.	What is the dose range of indapamide (Lozol)?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
39.	Man seen 2 days ago for hypertension. Needs more medications for hypertension. Dr. X wants to add a diuretic. Asked his nurse to find out how much diuretic is in Hyzaar which he is already on.     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
40.	What size pills does digoxin come in?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
41.	65-year-old man with chronic obstructive pulmonary disease, status post coronary artery bypass graft, chronic cough, congestive heart failure, rales at bases. Gave him Lasix, but that has not worked for the cough. Now what to do?     Disease Category:  Respiratory Tract Diseases; Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
42.	When does the incidence of Sudden Infant Death Syndrome (SIDS) go down (at what age)? I have a mother who is just paranoid. She has the monitor turned up so loud she can hear the baby breathing. Obviously she's not getting good sleep.     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Infant
43.	Woman got an echocardiogram this morning. "Biventricular thickening, might consider amyloidosis." How is it that I workup amyloid and is it worth it?     Disease Category:  Cardiovascular Diseases; Immunologic Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
44.	What about labile hypertension -- when do you treat it and when don't you?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
45.	Is the pain in her legs from intermittent claudication or is it from diabetic neuropathy?     Disease Category:  Cardiovascular Diseases; Endocrine Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
46.	I pushed on the aorta and it hurt in this young thin female. Should I do an ultrasound to rule out an abdominal aortic aneurysm? Must be very rare in young female but should I? Should you have pain when you push on the aorta?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
47.	He just started this patient with heart failure on a newly approved beta blocker (carvedilol). Is it really better than plain old propranolol for heart failure as it is probably about four times as expensive?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
48.	Why is his protime so different from time to time on the same dose of Coumadin?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
49.	What is the cause of her chest pain? What tests does she need?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
50.	Is it worth it to get a cholesterol on an 82-year-old man? (Total cholesterol approximately 220, low-density lipoprotein (LDL-cholesterol) approximately 160.)     Disease Category:  Cardiovascular Diseases; Nutritional and Metabolic Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
51.	What class of antihypertensives have the least effect on male sexual function?     Disease Category:  Cardiovascular Diseases; Urologic and Male Genital Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
52.	What should you do for asymptomatic carotid bruits or bruits in general? Folic acid?, Vitamin B1? Aspirin?     Disease Category:  Cardiovascular Diseases; Nervous System Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
53.	There are all sorts of rules about initiation of exercise programs in patients over X years of age. But, brass tacks, what should you do before you allow an older person to exercise and how should they start out?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
54.	I can feel a pounding aorta in this 58-year-old man. I'm not sure if it's normal. How often does an abdominal aortic aneurysm occur in patients under 60?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
55.	77-year-old woman. Should I put her on a cholesterol lowering drug? What benefit would it be at her age, other than a financial burden?     Disease Category:  Nutritional and Metabolic Diseases; Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
56.	45-year-old man admitted today, now in hospital, seen by tertiary care center visiting cardiologist today. Do you use intravenous nitroglycerine on everybody, even if you only need low dose, or is paste okay?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
57.	Should she be started on hormone replacement? She's 71 so is it too late to benefit her? I'm doing it due to coronary disease risk factors. I've heard that after 75 it doesn't do much good but at least we'll get 4-5 years.     Disease Category:  Nutritional and Metabolic Diseases; Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
58.	Elderly man status post deep vein thrombosis 2 years ago, on Coumadin. If the INR (international normalized ratio) and prothrombin time are a little over therapeutic, he feels good and has no swelling in his legs. If his prothrombin time gets down to 17 or 18 or INR (international normalized ratio) down to 1.9 or 1.8, he swells up and complains of pain. I don't know why this is so I keep him a ...     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
59.	He has decreased air entry on the left. Is he in more failure?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
60.	Will Inderal interact with her other medications? (Depakote, Asacol, Phenergan, Lorazepam, Levsin, Darvocet N)     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
61.	How old is it still safe to give a woman birth control pills?     Disease Category:  Female Genital Diseases and Pregnancy Complications; Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
62.	She has chronic nonspecific pain in her legs. I think it's arthritis but I wonder if it could be something else. Vascular or other cause?     Disease Category:  Musculoskeletal Diseases; Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
63.	Woman said, "By the way, I've been having these funny pains in my chest." History of motor vehicle accident, transection of thoracic aorta repaired, has not talked to the surgeons in 10 years. Do I need to follow up and what schedule to follow?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
64.	How to regulate the protime on this patient? With Coumadin 5, it's too high and with 2 it's too low and there's no dosage in between (the patient isn't eating lettuce).     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
65.	What is Lotrel?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
66.	How do you screen for homocysteinemia? Dr. X knows it is a risk factor for heart disease but treatment is probably folic acid which is pennies per day so should you spend the money to screen for it?     Disease Category:  Cardiovascular Diseases; Nutritional and Metabolic Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
67.	Are Lotensin tablets scored and what doses does it come in?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
68.	Patient with mild hypertension (150/80, 140/85). Should you go by their pressure in the office, or do you believe them if it's okay at home?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
69.	Conventional oral contraceptives are thrombogenic so I use Micronor for 3 months postpartum. I think that's right but I'm curious to know if that's how other people do it.     Disease Category:  Female Genital Diseases and Pregnancy Complications; Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
70.	Isn't there a stress test you can do for people who can't exert themselves?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
71.	Is the shortness of breath physiologic or due to anxiety? (history of chronic obstructive pulmonary disease, congestive heart failure)     Disease Category:  Respiratory Tract Diseases; Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
72.	Status post recent coronary angioplasty. If he can bring his lipids into order with diet alone, is that satisfactory or based on the evidence, should he be started right off on the lipid drugs?     Disease Category:  Nutritional and Metabolic Diseases; Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
73.	What do you say the risk of a heart attack is from calcium channel blockers to a man who is perfectly well controlled on verapamil and his mother wants him to change?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
74.	He admitted this male patient to the hospital early this morning with pericarditis. The question is, "What is the current treatment for acute pericarditis?"     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
75.	Female patient seen this morning. How long should you wait after delivering before starting oral contraceptives? I'm not sure if there are increased risks of blood clots.     Disease Category:  Female Genital Diseases and Pregnancy Complications; Cardiovascular Diseases     Asker Specialty:  Family Practice
76.	How often should he have an ultrasound or computerized tomography (CT) to follow his thoracic aortic aneurysm? Should I be doing one every time he has chest pain?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
77.	Patient with aortic valve replacement and triglycerides are over 2000. Had cerebrovascular accident (CVA) when her international normalized ratio (INR) was approximately 2.5. What should I do about the interaction between Coumadin and gemfibrozil?     Disease Category:  Cardiovascular Diseases; Nervous System Diseases     Asker Specialty:  Family Practice
78.	Is Verelan 240 milligrams scored? Verelan is expensive and this would be a way to cut costs (split the larger pill in half).     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
79.	In 40 to 50-year-old men with chest wall pain, how much workup is needed? Is a treadmill necessary? He knows there are many false positives with treadmills in women, but is that also the case in men? This is a frequent question he has.     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
80.	The cardiologist said in his letter that the patient has a distinct fourth heart sound. Why aren't I hearing the fourth heart sound? I couldn't hear it -- I guess I need to review heart sounds.     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
81.	17-year-old for a Reserve Officers' Training Corps physical. He has a Grade I to II systolic murmur. Should he get an echocardiogram?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adolescence
82.	Patient with chest wall pain. I think it is costochondritis, but am not positive, slight doubt.     Disease Category:  Cardiovascular Diseases; Musculoskeletal Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
83.	Should I put all diabetics on angiotensin converting enzyme (ACE) inhibitors to protect their kidneys, even if they don't have hypertension?     Disease Category:  Cardiovascular Diseases; Urologic and Male Genital Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
84.	What should I order for subacute bacterial endocarditis prophylaxis on patient with allergy to penicillin pre-operatively?     Disease Category:  Cardiovascular Diseases; Immunologic Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
85.	What is the cost of Losartan?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
86.	This patient has a history of irregular heart beat, bigeminy and trigeminy. He's having a few brief runs occasionally now. On Quinidine in the past. Should I treat these?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
87.	What is causing his chest pain? Is it cardiac or gastrointestinal?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
88.	She has a history of mitral valve prolapse but I can't hear a murmur or a click. Do you really need to give subacute bacterial endocarditis prophylaxis in this case? The podiatrist has taken the decision away and said he will give intravenous antibiotics before the procedure.     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
89.	Patient has had a pacemaker for 5 years. Seen for preoperative physical (cataracts). Electrocardiogram showed atrial fibrillation. Should I put her on Coumadin?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
90.	Is this chest pain due to coronary disease? Electrocardiogram just shows an old myocardial infarction.     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
91.	Is Prinivil the same thing as Zestril? We have Prinivil samples. She's on Zestril and doesn't have much money.     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
92.	85-year-old female with night sweats and tachycardia. Normal Holter and thyroid functions. What could be causing the night sweats and tachycardia?     Disease Category:  Cardiovascular Diseases; Endocrine Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
93.	Patient is reluctant to take medications so I have been treating with smaller doses than I would with some other patients. How do I control her hypertension and still get her cooperation?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
94.	I'll have to look this up -- how to measure the voltage on an electrocardiogram. What do you add to what to diagnose ventricular hypertrophy?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adolescence
95.	What should I do with this man who has had a negative extensive workup for palpitations and chest pain?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
96.	How often should you do screening blood work on a well adult or an adult with hypertension?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
97.	What are the New York Heart Association classes I - IV? Where is an explanation of these?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
98.	66-year-old woman. What to do about patient who is not taking prescribed Coumadin? She says she is taking it but lab work leads Dr. X to feel quite positively that she is not.     Disease Category:  Nervous System Diseases; Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
99.	The patient's appointment was for "back hurt" but also has a history of chest pain, angina, diabetes, hypertension, coronary heart disease. Question is how much do I have to workup today? He has a nagging concern about this with this type of patient.     Disease Category:  Musculoskeletal Diseases; Cardiovascular Diseases; Endocrine Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
100.	For cost effectiveness will it be best to change patient to verapamil sustained release from Tiazac?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
101.	How long should you leave a patient on Coumadin AND heparin? Can I stop the heparin as soon as the protime is therapeutic?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
102.	Have there been any studies with low molecular weight heparin in pregnancy because I have an obstetric patient who had a deep vein thrombosis with her last pregnancy and I'm wondering if I can use it?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
103.	A 40 year-old woman with left chest pain, tender 4th rib, lungs clear, heart normal, psychiatric overlay, suspect intercostal neuritis. How far do you go with a workup for chest pain? Attempting to keep costs down.     Disease Category:  Cardiovascular Diseases; Nervous System Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
104.	How often should I be seeing this patient with hypertension and hyperlipidemia?     Disease Category:  Cardiovascular Diseases; Nutritional and Metabolic Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
105.	She's on high dose prednisone for temporal arteritis. Can prednisone cause heart fluttering?     Disease Category:  Immunologic Diseases; Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
106.	I had a man with neuropathy and cardiomyopathy. Could this be due to Agent Orange? He was at the Veterans Administration hospital and chronic renal failure and congestive heart failure were on the death certificate, but not Agent Orange.     Disease Category:  Nervous System Diseases; Cardiovascular Diseases     Asker Specialty:  Family Practice
107.	Her sodium is 133 and potassium 3.3. Why is she borderline low on sodium and potassium? Could her Dilacor do it? (also on Ventolin and Slobid) I didn't look up Dilacor.     Disease Category:  Nutritional and Metabolic Diseases; Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
108.	Should this lady be on Fosamax or Premarin? She has a family history of coronary artery disease so I'd like to put her on Premarin, but she also has a family history of breast cancer so she's afraid to take Premarin.     Disease Category:  Cardiovascular Diseases; Neoplasms     Asker Specialty:  Family Practice
109.	Need to increase Ziac from 5 to 10 for better control. Is there a difference in price between the two doses?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
110.	Was her dizzy episode a transient ischemic attack or from her atrial fibrillation or what?     Disease Category:  Cardiovascular Diseases; Nervous System Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
111.	Why did the cardiologist lower his Lanoxin from .25 to .125? He was doing well on the .25. Now he says he goes in and out of atrial fibrillation with a rate of 130 at home.     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
112.	She gets tachycardia with exertion but it's worse during her period. Is it something to do with her hormones?     Disease Category:  Cardiovascular Diseases; Endocrine Diseases; Female Genital Diseases and Pregnancy Complications     Asker Specialty:  Family Practice     Patient Age:  Adult
113.	Could the cause of her weakness and dizziness be that she gets bradycardia at times from her medications? She's on Calan SR, a beta blocker and Lanoxin. Her pulse now is 88 but maybe it gets slow at times.     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
114.	Can you take Norvasc once a day?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
115.	I'm always uncomfortable with how quickly to move in terms of workup (patient had been having TIA (transient ischemic attack) symptoms for several weeks)     Disease Category:  Nervous System Diseases; Cardiovascular Diseases     Asker Specialty:  Family Practice
116.	What agent should I use next in this hypertensive patient? 78-year-old woman with blood pressure 210/110. She's on Univasc and Toprol XL 100. She has a history of an angiotensin-converting-enzyme-inhibitor (ACEI) cough and palpitations on Procardia.     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
117.	Patient with hypertension but history of adrenal insufficiency. Will I make her better or worse if I treat her hypertension?     Disease Category:  Cardiovascular Diseases; Endocrine Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
118.	What is the maximum dose of Vasotec?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
119.	Would it be better to put her on a potassium sparing diuretic or just potassium?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
120.	Why does she have these tachycardia spells (was 120, 130 by her report, now 90)?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
121.	What is the effect of Relafen on this patient who is on Coumadin for atrial fibrillation (also has congestive heart failure, arthritis)?     Disease Category:  Cardiovascular Diseases; Musculoskeletal Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
122.	Woman in early 30's with chest pain. I know in my gut she doesn't have heart disease, but I had a woman in her 20's who died of a myocardial infarction. How far do you go with the workup? Doctors practice medicine according to their last disaster.     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
123.	What do you do with an angiotensin-converting-enzyme-inhibitor-induced cough?     Disease Category:  Cardiovascular Diseases; Respiratory Tract Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
124.	What is the maximum dose of Dynacirc?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
125.	This patient has atrial fibrillation and takes aspirin. Should I put her on coumadin or should I stay with aspirin? The studies on coumadin vs. aspirin are variable. I'm not a strong one for coumadin because of drug interactions and if they fall they'll bleed. Do I do an echocardiogram and see how dilated her chambers are to make this decision?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
126.	This patient was in the hospital with third-degree heart block documented in the clinic but never occurred in the hospital. Discharged after stopping digoxin. Had another episode of similar symptoms 2 days ago. Does she need a pacemaker?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
127.	Coronary angioplasty and stent placed last week. Started on Ticlid, looks like she's allergic to it. She's supposed to be on Ticlid one more week. Obviously we've got to stop it. Do they want her on something else or just stop it?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
128.	A woman I saw last week has an abdominal aortic aneurysm (three and a half centimeters) and diverticulitis. She comes in with abdominal pain periodically. Is the abdominal pain her diverticulitis or her abdominal aortic aneurysm?     Disease Category:  Cardiovascular Diseases; Digestive System Diseases     Asker Specialty:  Family Practice
129.	What are the doses of long acting verapamil? I know the short acting but the long acting is something like 80 or 120.     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
130.	I don't know why she passed out but it's probably a combination of upper respiratory infection, taking two decongestant-antihistamine combinations, donating blood recently, et cetera.     Disease Category:  Cardiovascular Diseases; Virus Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
131.	What is the maximum dose of atenolol?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
132.	Patient with hypertension and abdominal bruit. Should I order an intravenous pyelogram?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
133.	This was Dr. X's partner's patient seen yesterday so he doesn't know name, age, et cetera, but he helped look up information. What is the reason for the inverted p waves on electrocardiogram?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
134.	Does her bulging fontanelle relate to her congestive heart failure? Would you do something more about the bulging fontanelle like an ultrasound or head computerized tomography (CT)?     Disease Category:  Cardiovascular Diseases; Nervous System Diseases     Asker Specialty:  Family Practice     Patient Age:  Infant
135.	60-year-old woman with new atrial fibrillation being seen by the physician's assistant. Is she at high risk for stroke and so should she be on Coumadin? Which age group is it more important to anticoagulate? Her age group (60's)? 70's? 80's?     Disease Category:  Cardiovascular Diseases; Nervous System Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
136.	Patient with atypical chest pain responded dramatically to "GI (gastrointestinal) cocktail" in emergency room. Now has only difficulty swallowing, no pain. Is it all right to keep treating with GI (gastrointestinal) cocktail or should he be scoped now?     Disease Category:  Cardiovascular Diseases; Digestive System Diseases     Asker Specialty:  Family Practice     Patient Age:  Adolescence
137.	Should aspirin be continued for cardiovascular protection if a patient has a history of gastrointestinal bleeding? If aspirin is continued, should I give something to prevent the side effects?     Disease Category:  Cardiovascular Diseases; Digestive System Diseases     Asker Specialty:  Family Practice
138.	Since these boys' father has Marfan's Syndrome, do these boys need further evaluation?     Disease Category:  Skin and Connective Tissue Diseases; Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adolescence
139.	Patient here for preoperative physical for coronary artery bypass graft. Can I change her Synthroid dose a week before her cardiac surgery?     Disease Category:  Endocrine Diseases; Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
140.	What's the dose of Losartan?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
141.	What is the strain pattern on electrocardiogram? What does it mean? How do you differentiate it from ischemia?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
142.	How do you run a nitroglycerine drip?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
143.	What causes portal vein thrombosis and how do you treat it?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
144.	Is there a drug interaction between indomethacin and captopril?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
145.	A patient heard that nicotine patches can cause myocardial infarction. Is this true? She heard it on the news.     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
146.	What antihypertensives should be used according to what comorbid conditions are present?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
147.	In a patient on warfarin for some other condition such as a deep vein thrombosis, should they also be on aspirin to interfere with platelet function if they have arteriosclerotic heart disease?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
148.	What causes Torsades de Pointes and how do you treat it? Overdrive with external pacemaker?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
149.	What would cause a widely split second heart sound with fixed splitting?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
150.	Should elderly people in the hospital get deep-vein thrombosis (DVT) prophylaxis with low-dose heparin even if they don't have a recognized indication?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
151.	Could thirst, hypertension, and headaches, with the thirst and headaches improving on an angiotensin converting enzyme (ACE) inhibitor be related?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
152.	When should you use carvedilol or other beta blockers (metoprolol) for congestive heart failure (CHF)?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
153.	What is the differential diagnosis of left axis deviation?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
154.	Is it contraindicated to give a beta blocker along with a calcium channel blocker?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
155.	What is the differential diagnosis of leg and ankle edema and how do you workup someone with edema?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
156.	What activities should be avoided in the immediate post cardiac catheterization period?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
157.	What drugs are contraindicated in the treatment of congestive heart failure in the face of aortic stenosis?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
158.	What would cause a right upper quadrant and epigastric bruit in an otherwise healthy 28 year-old woman?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
159.	Should you screen someone for a berry aneurysm with magnetic resonance imaging (MRI) if they have a family history of subarachnoid hemorrhage or intracranial aneurysm?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
160.	What is the clinical significance of distant heart sounds? Can it be a sign of congestive heart failure (CHF)?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
161.	Is ranitidine indicated routinely in stroke patients to prevent stress ulcers?     Disease Category:  Cardiovascular Diseases; Digestive System Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
162.	Do angiotensin converting enzyme inhibitors prolong survival if given routinely after a myocardial infarction?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
163.	What are the causes of a paradoxically split second heart sound?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
164.	How do you interpret different ankle/brachial blood pressure indices? What's bad, what's normal, is there a cutoff ratio for considering surgery?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
165.	How do you treat multifocal atrial tachycardia?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
166.	Do you need to use subacute bacterial endocarditis (SBE) prophylaxis for mild tricuspid regurgitation (TR)?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
167.	What do flattened T waves in all precordial leads mean in a 54-year-old woman with hypertension and potassium of 3.3 milliequivalents/liter?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
168.	Should adults with two or more cardiac risk factors take aspirin?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
169.	If someone is taking lovastatin and they get sore muscles but have a normal CPK (creatine phosphokinase), do you still need to worry about myositis from lovastatin?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
170.	Are beta blockers contraindicated in hypertrophic cardiomyopathy (idiopathic hypertrophic subaortic stenosis, IHSS)?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
171.	How do you use Enoxaparin (low molecular weight heparin)? How do you dose it in an obese person?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
172.	How do you know if ST segment elevation is real (that is, injury) or just J-point elevation?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
173.	How do you diagnose carotidynia and how do you treat it?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
174.	Can cardioversion or an external pacemaker cause a fever?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
175.	Is it true that men on captopril have a better quality of life than men on enalapril?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
176.	How do you decide who needs to be admitted to rule out myocardial infarction (MI) in patients who present to the emergency room with atypical chest pain?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
177.	Are mexiletine levels commercially available or clinically useful?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
178.	In a patient who had a transient ischemic attack (TIA), how narrow should the carotid be before you recommend carotid endarterectomy?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
179.	How should you dose Coumadin on someone you are just starting out on Coumadin (warfarin)?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
180.	Does it make any difference whether someone has their shirt on with a rolled up sleeve when you take their blood pressure?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
181.	What test should you order to rule out renovascular hypertension? Captopril renal scan?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
182.	How good is the evidence that mitral valve prolapse causes chest pain and what are the characteristics of the pain?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
183.	What two- and three-drug combinations are reasonable to consider for hypertension?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
184.	What drug should be used for chemical cardioversion of atrial fibrillation?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
185.	What did that recent New England Journal of Medicine article say about what types of fat are good for preventing coronary disease?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
186.	How do you treat refractory congestive heart failure?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
187.	Is is true that we should stop using sublingual nifedipine for acute treatment of high blood pressure (hypertension)?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
188.	What are the causes of low voltage on the electrocardiogram?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
189.	How do you interpret Troponin levels?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
190.	What do hyperacute (symmetric tall peaked) T waves look like on an electrocardiogram and what is their significance?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
191.	On a treadmill, what is a normal rate-pressure product and what does the rate-pressure product mean? What does the FAI (functional aerobic impairment) mean?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
192.	How do you convert (switch) someone from regular heparin to low molecular weight heparin (LMWH, enoxaparin)?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
193.	Is it okay to use a beta blocker with clonidine?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
194.	Is Timoptic a beta blocker?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
195.	What are good drugs to treat hypertension in the elderly?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
196.	How do you know when someone with heart failure should not receive digitalis because of diastolic dysfunction?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
197.	If someone has an artificial heart valve and their child has documented streptococcal sore throat, do they need to be treated with penicillin?     Disease Category:  Bacterial Infections and Mycoses; Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
198.	What is a normal left ventricular ejection fraction?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
199.	What would cause chronic exertional chest pain in a young adult or adolescent?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
200.	How do you treat ventricular tachycardia?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
201.	Is aspirin just as good as warfarin (Coumadin) for preventing strokes in patients with chronic atrial fibrillation?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
202.	What do the tall peaked T waves of an acute myocardial infarction look like? What else causes tall peaked T waves?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
203.	What does the Medical Letter say about Lozol (indapamide)?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
204.	What is considered normal for systolic blood pressure in the elderly in view of recent findings of benefit in treating systolic hypertension?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
205.	Is it okay to use the nicotine patch in someone with known coronary artery disease?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
206.	What drug should you give to prevent a patient from going back into atrial fibrillation once they convert to sinus rhythm? Diltiazem? No drug?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
207.	What does the JNC (Joint National Commission) say about which antihypertensive to start first (and what to add) in someone with no other illnesses or mitigating circumstances?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
208.	Should patients who are status post myocardial infarction (MI) be placed on beta blockers, aspirin and angiotensin-converting-enzyme (ACE) inhibitors indefinitely?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
209.	How long after a myocardial infarction do you get Dressler's syndrome? (Patient X, 3 mos)     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
210.	Is it ever normal to have an S3 or S4 gallop in an otherwise young healthy normal person?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
211.	Are there any diseases where doing cardiopulmonary resuscitation (CPR) is futile and you would not have to offer it as an option?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
212.	What are the indications for and dose for ticlopidine (Ticlid), Plavix (clopidogrel) and aspirin for prevention of transient ischemic attack and stroke?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
213.	What are the manifestations of polyarteritis nodosa and Wegener's granulomatosis and how do you tell them apart? (This patient had pleural and pericardial effusions and peripheral neuropathy secondary to vasculitis.)     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
214.	How do you diagnose cor pulmonale and how do you treat it?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
215.	Why do you need to get NAPA (N-acetyl-procainamide) levels as well as procainamide levels?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
216.	Does bradycardia contribute to heart failure? Is it an indication for pacemaker or stopping digitalis?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
217.	Are stories in the newspaper reporting an increased risk of myocardial infarction from calcium channel blockers accurate?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
218.	What was the outcome of the controversy about whether sodium in the diet aggravates hypertension?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
219.	Has the use of prophylactic heparin been studied to prevent pulmonary embolus in patients with congestive heart failure?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
220.	How soon following an acute deep-vein thrombosis (DVT) should the patient use a compression stocking?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
221.	Does bromocriptine cause hypertensive crisis and stroke? Is it no longer recommended for lactation suppression?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
222.	Which antihypertensives do not work as well in African Americans?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
223.	Is a history of pulmonary embolus a contraindication to hormone replacement therapy (postmenopausal estrogen)?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
224.	What is the upper limit of normal for the QRS duration?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
225.	What are the 5 P's of acute arterial occlusion?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
226.	What are the indications for a 24-hour blood pressure monitor?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
227.	Can you get an ejection fraction from an echocardiogram?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
228.	What are the indications and contraindications to thrombolytics and what is the dose?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
229.	What partial thromboplastin time (PTT) level should we be shooting for in someone on heparin?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
230.	How long does it take for a clinically unimportant coronary lesion to become clinically important; that is, how long before repeating a catheterization showing minimal disease if the patient has worse symptoms?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
231.	What are the causes of an elevated creatine phosphokinase (CK, CPK) and how do you work it up?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
232.	How big does the left atrium have to be before cardioversion for atrial fibrillation is unlikely to be successful (this patient was 5 centimeters)?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
233.	What is considered abnormal for an orthostatic (postural) blood pressure drop?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
234.	What should you do about a thoracic aortic aneurysm in an elderly patient?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
235.	What medicines does the patient need to be off before getting a captopril renal scan?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
236.	What are current recommendations for getting digoxin levels?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
237.	Should we be using low molecular weight heparin instead of regular heparin to treat deep-vein thrombosis (DVT) and pulmonary embolus?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
238.	By what mechanism do angiotensin-converting enzyme (ACE) inhibitors cause renal failure in someone with renal artery stenosis? Does it matter if unilateral or bilateral stenosis?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
239.	What does the workup for secondary causes of hypertension consist of?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
240.	Is it normal to have inverted T waves in Lead 3?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
241.	How do you know if ST elevation is abnormal on the electrocardiogram?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
242.	When should you be concerned about frequent premature ventricular contractions (PVC's) in an adult?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
243.	What is the normal Q-T interval? (QT interval)     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
244.	How do you dose heparin for a known or suspected pulmonary embolus or deep-vein thrombosis (DVT)?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
245.	What are the contraindications and risks of using Imitrex?     Disease Category:  Nervous System Diseases; Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
246.	What is propafenone and how do you use it to treat atrial fibrillation?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
247.	What are the options for ruling out renal artery stenosis in a patient with refractory hypertension?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
248.	How many elevated blood pressures should you document before starting treatment for hypertension in adults?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
249.	What causes jugular venous distension besides congestive heart failure?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
250.	There was an article in JAMA or New England Journal of Medicine within the past 5 years on the futility of doing CPR (cardiopulmonary resuscitation) in the elderly. What was the reference and what did they recommend?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
251.	What is the significance of premature ventricular contractions (PVCs) during an exercise challenge test? This patient had the same number at rest though.     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
252.	Who should get carotid endarterectomy? What are the indications?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
253.	Is benazepril (Lotensin) just as good as captopril and enalapril for congestive heart failure?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
254.	What is the adenosine-thallium exercise tolerance test?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
255.	If you think someone has temporal arteritis, should you wait to start Prednisone until after the temporal artery biopsy is taken, thinking the Prednisone will mess up the biopsy results?     Disease Category:  Cardiovascular Diseases; Nervous System Diseases     Asker Specialty:  Family Practice
256.	Is there any information on the use of Celebrex (celecoxib) in migraine?     Disease Category:  Cardiovascular Diseases; Nervous System Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
257.	Is chewing tobacco a risk factor for heart disease or cancer?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
258.	Is the estrogen patch less likely than oral estrogen replacement therapy to cause hypertension?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
259.	Does it make any difference if you take the blood pressure again in the same arm after a few seconds of the first reading? Do you get an accurate reading the second time?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
260.	What medicines can cause ankle edema? Can nonsteroidal anti-inflammatory drugs (NSAIDS)? Can calcium channel blockers?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
261.	How do you treat a tachycardia with a wandering atrial pacemaker (multifocal atrial tachycardia)?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
262.	What did that article in the New England Journal of Medicine say about how to diagnose acute myocardial infarction in the presence of left bundle branch block (LBBB)?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
263.	What does a right ventricle or right-sided myocardial infarction look like on the electrocardiogram?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
264.	When a porcine aortic valve (pig valve) fails, does it fail suddenly or gradually?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
265.	What test should be ordered to rule out mesenteric artery insufficiency?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
266.	In a patient with a completed stroke, what should be used for long term anticoagulation to prevent another one?     Disease Category:  Cardiovascular Diseases; Nervous System Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
267.	How do you interpret creatine kinase MB fraction? Is it the absolute value or the percent of total creatine kinase that you should look at?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
268.	When is it all right not to convert atrial fibrillation (normal rate, no congestive heart failure)?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
269.	What does exercise induced left bundle branch block (LBBB) mean on a treadmill (GXT)?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
270.	How do you treat pulmonary hypertension?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
271.	What is the Advanced Cardiac Life Support (ACLS) mnemonic to help remember causes of PEA (pulseless electrical activity) or EMD (electrical mechanical dissociation)?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
272.	What is the Westermark sign on chest radiographs (pulmonary embolus)?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
273.	What are normal pressures on a cardiac catheterization?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
274.	How does hypokalemia affect the electrocardiogram?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
275.	What is the drug of choice to treat hypertension in someone with chronic renal failure?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
276.	What would cause a lucency surrounding the heart on chest film? Normal finding?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
277.	What is cilostazol (Pletal) (for intermittent claudication)?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
278.	How should you rule out a thoracic aortic aneurysm or abdominal aortic aneurysm (AAA) in someone with a family history of abdominal aortic aneurysm?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
279.	What is new and different about Dyazide (not formulated the same as it was according to patient)?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
280.	What are the indications for working up possible secondary causes of hypertension?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
281.	How high can you let the creatine phosphokinase (CPK) get in someone on Mevacor (lovastatin) before you have to stop the drug?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
282.	How do you treat congestive heart failure when you also have chronic renal failure?     Disease Category:  Cardiovascular Diseases; Urologic and Male Genital Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
283.	What dose of captopril should you push for in congestive heart failure?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
284.	Captopril has some side effect that other angiotensin converting enzyme inhibitors don't have that made me think I should be using enalapril more. What was the side effect? (Maybe it was just that enalapril has a longer duration of action.)     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
285.	How should you anticoagulate someone in atrial fibrillation before you cardiovert them?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
286.	What would cause an irregular pacer artifact in a pacemaker that's capturing normally?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
287.	How do you treat diastolic dysfunction when seen on echocardiogram?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
288.	What are the indications for working up a patient for a hypercoagulable state? Should a patient be worked up after a single deep-vein thrombosis (DVT)?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
289.	What tests should you do on someone with Raynaud's phenomenon to rule out a collagen disease? What is the difference between Raynaud's phenomenon and Raynaud's disease?     Disease Category:  Cardiovascular Diseases; Immunologic Diseases     Asker Specialty:  Family Practice
290.	How long does the troponin stay elevated after a myocardial infarction?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
291.	What does VVIR stand for in terms of pacemakers?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
292.	What is the diameter of a normal aortic root? This patient's aortic root was 45 millimeters on echocardiogram (ECHO).     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
293.	Are angiotensin converting enzyme inhibitors contraindicated in hypertensive patients with a creatinine over a certain level?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
294.	What is Cozaar?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
295.	Should everyone over age 50 take prophylactic aspirin regardless of whether they have risk factors for coronary artery disease?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
296.	What difference in arm blood pressures is concerning for coarctation or aortic dissection?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
297.	Is a pacemaker an indication for subacute bacterial endocarditis prophylaxis?     Disease Category:  Bacterial Infections and Mycoses; Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
298.	What is the recipe for the gastrointestinal (GI) cocktail?     Disease Category:  Digestive System Diseases; Cardiovascular Diseases     Asker Specialty:  Family Practice
299.	What do elevated ST segments mean on an exercise tolerance test?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
300.	How should you examine for jugular venous distension and what is normal?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
301.	Is it reasonable to get periodic ultrasounds to rule out an abdominal aortic aneurysm in someone with a family history of abdominal aortic aneurysm?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
302.	Is it better to give Lasix (furosemide) all in one dose or to split it twice a day?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
303.	What should you do with a patient who has an asymptomatic carotid bruit?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
304.	What is the difference in price and otherwise between Cardizem, Cardizem CD and Cardizem SR?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
305.	Does Vancenase AQ cause hypertension?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
306.	Do nonsteroidal anti-inflammatory drugs (NSAID's) cause hypertension? How commonly?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
307.	Can you give estrogen replacement therapy to someone with a history of deep-vein thrombosis (DVT)?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
308.	Are calcium channel blockers contraindicated after acute myocardial infarction?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
309.	What is nimodipine (Nimotop)?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
310.	What is the reference to that algorithm for diagnosing a pulmonary embolus and what is the strategy?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
311.	In a patient with congestive heart failure, how can you tell whether they have systolic or diastolic dysfunction?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
312.	What is the reference to that article that said compazine (prochlorperazine) was effective for migraine?     Disease Category:  Cardiovascular Diseases; Nervous System Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
313.	What is Osler's sign (Osler's maneuver) (still feel artery after cuff pumped over systolic BP) and what should you do if you have a patient with it (pseudohypertension)?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
314.	What does it mean if you have upsloping ST depression on an exercise tolerance test (GXT)? What are the criteria for a positive test?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
315.	What does PPHN stand for? What does PFC stand for?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Infant, Newborn
316.	Can Vitamin E be used as prophylaxis against coronary disease? Is 400 International Units of Vitamin E per day too much?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
317.	Can a pulmonary embolus cause T-wave inversion and what electrocardiogram (ECG) changes would you expect?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
318.	What is pseudonormalization mentioned by Doctor X on Patient X's electrocardiogram (ECG)? (T-wave change)     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
319.	How does the mnemonic Kentucky and Tennessee work with S3 and S4 gallops?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
320.	Is there an association between high serum iron levels and coronary artery disease?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
321.	How do you treat an acute myocardial infarction (MI) in the emergency room? What things should be done?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
322.	What besides drug interactions would cause a patient to be resistant to Coumadin and have a subtherapeutic prothrombin time in spite of increasing Coumadin doses?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
323.	Does Claritin (loratadine) cause prolongation of the Q-T interval? Is it contraindicated with fluconazole or erythromycin?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
324.	Is Plavix (clopidogrel) any good to prevent transient ischemic attacks (TIA's)? What are the indications?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
325.	How do you give valproic acid (Depakote) for migraine headache prophylaxis?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
326.	Is a history of superficial thrombophlebitis a contraindication to the use of replacement estrogen?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
327.	When does the maximal swelling and deterioration occur after an intracerebral hemorrhage?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
328.	How do you work up someone with a transient ischemic attack (TIA)?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
329.	Where would a stroke be located that involved a right facial palsy and dysarthria?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
330.	Are oral decongestants contraindicated in patients with hypertension?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
331.	What is the difference between ischemia, injury, and infarction on the electrocardiogram (ECG)?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
332.	What is zolmitriptan (Zomig)? (like Imitrex)     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
333.	What antihypertensives are safe while breast feeding?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
334.	Can you slow atrial fibrillation with Norvasc?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
335.	Can an intracerebral hemorrhage cause a fever?     Disease Category:  Cardiovascular Diseases; Nervous System Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
336.	What are the indications for Digibind (digoxin immune fab)?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
337.	What would cause painful white cold fingers when the weather turns cold?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
338.	What are the side effects of amiodarone?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
339.	How do you differentiate ventricular tachycardia from supraventricular tachycardia with aberrancy?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
340.	How long should you keep someone anticoagulated after a successful cardioversion if they were anticoagulated before for the purpose of doing an elective cardioversion from atrial fibrillation?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
341.	How do you use labetalol to acutely lower blood pressure?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
342.	What does aortic stenosis do to the blood pressure?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
343.	Is there any interaction between warfarin (Coumadin) and the influenza immunization?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
344.	What is the captopril DTPA (diethylenetriamine pentaacetic acid) study and how is it done? Hospital X does not know what DTPA stands for even after looking at the package insert. DTPA is the isotope.     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
345.	What would cause global hypokinesis on an echocardiogram (ejection fraction 40%)? What kinds of cardiomyopathy are there?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
346.	What does Consumer's Union say about blood pressure cuffs?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
347.	How do you give Vitamin K if you want to reverse the effects of Coumadin if the prothrombin time is too long?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
348.	What is a reasonable heart rate to achieve for aerobic exercise?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
349.	How do you check for coronary artery spasm during cardiac catheterization? Inject ergonovine?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
350.	How do you listen for a renal artery bruit (what technique)?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
351.	What should you do about a Grade 1 or 2 systolic heart murmur in an otherwise healthy newborn?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Infant, Newborn
352.	What is the angiotensin converting enzyme (ACE) inhibitor of choice?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
353.	What are the causes of sinus tachycardia?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
354.	What should you do with extreme bradycardia (35) in an asymptomatic adult?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
355.	What is sotalol?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
356.	How much does Hytrin cost? Is there a generic?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
357.	What should you do about a borderline positive treadmill (GXT)?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
358.	What does a short run of ventricular tachycardia mean on treadmill testing (GXT)? What do premature ventricular contractions (PVCs) mean?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
359.	What drugs should patients with heart failure be on unless contraindicated, besides diuretics?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
360.	What is Norvasc (amlodipine)? Does it have any advantage over other calcium channel blockers?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
361.	Should someone with a midsystolic click but no murmur be on antibiotic prophylaxis for SBE (subacute bacterial endocarditis)?     Disease Category:  Cardiovascular Diseases; Bacterial Infections and Mycoses     Asker Specialty:  Family Practice     Patient Age:  Adult
362.	Should you treat white coat hypertension (200/120) or should you go by the home blood pressures (150/80)?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
363.	Does progesterone cause vasoconstriction, thereby causing hypertension?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
364.	How should you suspend anticoagulant therapy (warfarin, Coumadin) for surgery? Should you use heparin, low-molecular weight heparin, or nothing and for how long?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
365.	What are the indications for doing a thrombectomy or using thrombolytics for a patient with a deep-vein thrombosis (DVT)?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
366.	In this patient who is not responding to nonsteroidal anti-inflammatory drugs for superficial thrombophlebitis, what is round two?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
367.	This is probably in the Framingham study or something but I'm never sure how many blood pressures you need to make a diagnosis of hypertension.     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
368.	Drug representative visiting. I had a patient with hypertension, well-controlled. I started him on Celebrex and the blood pressure went to 200/110. "Can this happen?"     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
369.	I think below age 60 you're not supposed to treat atrial fibrillation with Coumadin but I'm not sure that's right.     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
370.	Two-year old girl with Kawasaki's diagnosed about 7 days into her illness. Put on high-dose aspirin. "I'm not familiar with aspirin toxicity. The kid is a little tachycardic." The question was whether aspirin toxicity could cause tachycardia.     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics     Patient Age:  Child, Preschool
371.	72-year-old female with abdominal pain. What are the signs and symptoms of mesenteric artery occlusion and how do you test for it?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
372.	We had an 8-year-old girl with joint pain and a positive antistreptolysin O titer but no other symptoms to go with rheumatic fever. "Is that mild rheumatic fever?"     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics     Patient Age:  Child
373.	65-year-old woman with a blood pressure of 180/110. Her ambulatory readings are better than that. "White coat hypertension is not supposed to be a concern, but now you hear little things that maybe it is a concern. Well, is it or isn't it?"     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
374.	21-year-old female. Father had a coronary angioplasty at age 36. Do you screen her for coronary artery disease and if so when do you start screening?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Internal Medicine     Patient Age:  Adult
375.	45-year-old woman, she's active but not on her feet all day, complaining of edema. Pedal edema, mildly edematous, leg edema with no signs of venous insufficiency or other causes for edema. "What do you do with these people?"     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Internal Medicine     Patient Age:  Middle Age
376.	77-year-old female. On Norvasc, but insurance will only pay for verapamil, nifedipine, or Plendil. What is the dose of Plendil?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Internal Medicine     Patient Age:  Aged
377.	I had a guy, 68-year-old man, with subclavian steal syndrome. Had to look that up, the signs and symptoms.     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
378.	Systolic hypertension in the elderly. Stop at two medications? Stop at three medications? Always an issue.     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Internal Medicine     Patient Age:  Aged
379.	82-year-old woman. Can Tamoxifen (being used for breast cancer) cause elevated blood pressure?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Internal Medicine     Patient Age:  Aged
380.	Woman here for her Depo-Provera shot. The nurse got a blood pressure about 160/95 and pulse about 110. Referring to the elevated blood pressure, the study physician said to the nurse, "I don't think that's a contraindication is it?"     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Internal Medicine
381.	Two patients with the same question regarding asymptomatic femoral bruits. "Why does she have this bruit? Do I need to look for peripheral vascular disease?"     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
382.	Two-year old girl with Kawasaki's diagnosed about 7 days into her illness. There is a recommended aspirin blood level for kids with rheumatoid arthritis but not that I could find for Kawasaki's disease. "Is there any utility in shooting for that blood level in a patient with Kawasaki's disease or should you just go with the recommended dose?"     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics     Patient Age:  Child, Preschool
383.	One-year-old girl. Physiologic murmur. In what percent of healthy well-child checks is a physiologic murmur heard?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Infant
384.	"What antihypertensives are OK in someone who wants to get pregnant?"     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
385.	67-year-old female with hypertension. Her question was, what do you do about widened pulse pressure. Should you treat it any differently from just systolic hypertension?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Internal Medicine     Patient Age:  Aged
386.	"Who would you give primary prophylaxis with aspirin for vascular events?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Internal Medicine
387.	Hypertension. Young woman, 28-years-old. "What all lab tests do I need to order?"     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
388.	28-year-old woman had a deep-vein thrombosis and pulmonary embolus with her first pregnancy. I diagnosed her with prothrombin mutation. I had a terrible time finding out how to treat her.     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Internal Medicine     Patient Age:  Adult
389.	This morning I asked my partner, who does treadmills, about a 58-year-old man who complained of typical chest pain and dyspnea. My question was how should we approach this chest pain. Should we send him to the cardiologist for further testing, or should we say the treadmill done three years ago was sufficient and work him up for gastroesophageal reflux disease or other causes.     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
390.	I have one more question but I haven't figured out what to do with this lady or even what the question is. She was an elderly woman referred by her dentist or ophthalmologist, I forget, but they said she didn't have much of a diastolic blood pressure. We got 150/0 here. So we were trying to figure out the differential diagnosis and what to do with that.     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Internal Medicine     Patient Age:  Aged
391.	86-year-old woman on Coumadin. What's the dose of Lovenox?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Internal Medicine     Patient Age:  Aged
392.	If you have a patient who had a coronary bypass or any heart surgery, say 10 years ago, when do you do a stress test to see how they are doing? This patient is doing fine but when should you follow up?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Internal Medicine     Patient Age:  Aged
393.	What percentage of doctors fail to check renal function one week after starting an ACE (angiotensin converting enzyme) inhibitor and are now in jail for malpractice?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
394.	81-year-old female with atrial fibrillation and edema. She looked sick so I got a digoxin level and it was 3.0. She was on digoxin 0.25 milligrams once a day. "How is the dose to be adjusted?"     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
395.	79-year-old man. Does one have to do any workup for coronary ischemia in elderly patients without any prior cardiac history that do have a lot of premature ventricular contractions?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Internal Medicine     Patient Age:  Aged
396.	"I have another one for you. It's actually quite interesting. It's a hospital case. What is the followup if any for Type B aortic dissection (below the subclavians)?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Internal Medicine     Patient Age:  Aged
397.	30-year-old man with alcoholic cardiomyopathy. Is it OK to drink at all?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
398.	There was a patient (50-year-old man) with left bundle branch block (questionably new or old) who had chest pain. I set him up for a stress echocardiogram, but the cardiologist said he could not do the stress echocardiogram due to the left bundle branch block. He wanted to do a pharmacologic stress echocardiogram (rather than exercise). "Why is that?"     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
399.	This is probably unanswerable but I have a 72-year-old woman who 3 or 4 weeks ago had a subendocardial myocardial infarction. She had already had some trouble with dizziness, but now she dropped her systolic blood pressure on standing (50 points) and was rehospitalized with chest pain. "I just wonder about this orthostatic hypotension and coronary spasm. Then what do you do? What other testing?...     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Internal Medicine     Patient Age:  Aged
400.	57-year-old white female. Factor V Leiden? Does it increase the risk of coronary disease? Should you screen for it?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Internal Medicine     Patient Age:  Middle Age
401.	"Is there any interaction between atenolol and methyldopa?"     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Internal Medicine     Patient Age:  Aged
402.	72-year-old man with hypertension. He is on Lotrel 5/20, Atenolol 100 milligrams, Cardura 4 milligrams and hydrochlorothiazide 12.5 milligrams. His blood pressure today is 166/72 by the nurse and I got 180 systolic. The question is where to go from here with his antihypertensives.     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
403.	Is there any way to get people to come to their appointments and monitor their blood pressure?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Internal Medicine     Patient Age:  Middle Age
404.	"This lady wanted to know if Centrum with Ginseng interacts with any of her medications."     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Internal Medicine     Patient Age:  Aged
405.	A woman with palpitations, good history for supraventricular tachycardia, heart rate up to about 200. The question is whether herbal supplements could be causing her tachycardia.     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics
406.	Can she take Plavix is the question. I know it affects platelets. What lab work do you need before starting Plavix? It doesn't really say. Are there any interactions with the other medications she's on (she already takes 11 other medications).     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
407.	82-year-old female. "That would be an interesting question -- if we know what improves survival in patients with diastolic dysfunction."     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Internal Medicine     Patient Age:  Aged
408.	Does a five-month-old with a ventricular septal defect meet criteria for respiratory syncytial virus vaccine (sic) (Synagis)?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics     Patient Age:  Infant
409.	"That would be an interesting question. Whether there is any difference between a physician managing Coumadin and Coumadin clinics managing Coumadin."     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Internal Medicine     Patient Age:  Middle Age
410.	45-year-old woman. "I looked up the definition for malignant hypertension following a request from a patient. They emailed wanting to know if they had it.     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
411.	I (investigator) noted an open book on the physician's desk and asked if there was an associated question recently. "I was looking up to see what the standards are for hypertension in the newborn and the workup of hypertension if it continued."     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics     Patient Age:  Infant, Newborn
412.	79-year-old female with atypical chest pain, status post coronary artery stent. "I don't think you could find such a thing, but you know what would be nice would be to have a comparison of the different types of stress tests. Sensitivity, specificity, ideal patient for each and the cost. Like a big table."     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Internal Medicine     Patient Age:  Aged
413.	Should we anticoagulate this elderly woman with a thoracic aortic aneurysm, atrial fibrillation, and recent retinal artery occlusion?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
414.	I have a patient. Her diastolic blood pressure is 20. Her systolic blood pressure is 160. She's already on three antihypertensives. I heard about the J-curve. What do I do?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
415.	I had a question with this man but to be honest I'm not going to look it up. He had a deep-vein thrombosis two weeks ago. I've been holding him off work. I'm going to let him go back now.     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
416.	I always thought atrial fibrillation would lead to emboli in large vessels but this woman had a retinal artery occlusion. "Is there any predilection for the size of the vessel occluded by an embolus from atrial fibrillation? Can it be any size vessel?"     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
417.	I saw an almost 3-year-old girl this morning. She had a ventricular-septal-defect murmur at birth, never had an echocardiogram, just went by the sound of it. She had a little murmur now in the pulmonic area, intermittent, I hear it with inspiration. The question was, well what is it exactly and where do I look it up exactly and I decided, well, I'm not going to find that anywhere, so I'm referr...     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics     Patient Age:  Child, Preschool
418.	Two-year-old girl with paroxysmal supraventricular tachycardia controlled on propranolol, broke through over the weekend. What should we do with her medications?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics     Patient Age:  Child, Preschool
419.	75-year-old man. What ultrasound surveillance is necessary after carotid endarterectomy and is any ultrasound surveillance needed?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
420.	35-year-old man. What are the long term complications for coarctation of the aorta repair in an adult who had the repair as a child?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics     Patient Age:  Adult
421.	I had a man in the hospital a week ago. He had a superficial vein thrombosis. I know you're not supposed to anticoagulate if it's superficial but I repeated the ultrasound three or four days later and it showed "slight extension."     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Internal Medicine
422.	"One thing I did look up last week was the definitions for the New York Heart Association Heart Failure classification. I needed it to complete some paperwork for one of my patients."     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Internal Medicine
423.	22-year-old woman complains that her heart feels like it's jumping out of her chest, light headed, dizzy, suffocating feeling, mother said she had a hole in her heart. Sounds like anxiety. I got thyroid functions, but my question is, "Do you go as far as to get a Holter monitor on these patients?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Internal Medicine     Patient Age:  Adult
424.	85-year-old man had left bundle branch block and had surgery and had a perioperative myocardial infarction. So the question was what further evaluation is needed in a patient with left bundle branch block who is undergoing noncardiac surgery?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Internal Medicine     Patient Age:  Aged
425.	22 year-old man. Does Ritalin raise blood pressure?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Internal Medicine     Patient Age:  Adult
426.	This lady is kind of a puzzle. 44-year-old woman. She has fibrosing mediastinitis. She had a jugular-atrial bypass. But I really don't know how to follow that (the graft surgery).     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Internal Medicine     Patient Age:  Adult
427.	37-year-old man. I looked up the smallest dose of Prinivil in the exam room, online.     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Adult
428.	Indications for carotid endarterectomy. Woman with 70-80% stenosis so she's not quite there, but I don't know.     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
429.	54-year-old woman with chest pain. What is the sensitivity and specificity of adenosine thallium and dobutamine echocardiogram in women compared to men?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Internal Medicine     Patient Age:  Middle Age
430.	There is a company doing very well here that sells screening ultrasound for carotid artery stenosis, abdominal aortic aneurysm, and ankle-brachial reflexes, all three for one hundred dollars, or you can get just one for thirty-five dollars. I've sent a few people. My partners say, "What are you doing that for?" They have no symptoms. But sometimes they find things even without symptoms. So I do...     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
431.	What is the differential diagnosis of sinus tachycardia in a 10-year-old?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics     Patient Age:  Child
432.	What do you do with heparin anticoagulation in pregnancy?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Internal Medicine
433.	This is another question. 65-year-old man, smoker, doesn't take care of himself. Pressured by his wife. This private screening service showed that he most probably has blockage of at least one of his vessels. (The screening service is a computerized tomography scan of the heart, marketed directly to patients.) "What should I do?" I didn't ask for this. Do you know how much work this is?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
434.	"When are you too old to have varicose vein surgery?"     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
435.	50-year-old white female. How concerning a risk factor is an elevated C-reactive protein?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics     Patient Age:  Middle Age
436.	This patient has an ulcer on his foot from peripheral vascular disease, no diabetes. We have a podiatrist in town who wants to do surgery on this ulcer. The physician called the vascular surgeon who already knows the patient and said, "With her circulation, do you think that's reasonable?"     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
437.	57-year-old woman with irregular heart rhythm had been started on flecainide. I (investigator) saw her looking in a reference. I said, "I saw you looking in . . . " She said, "Tambocor. I didn't know what it was.     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Internal Medicine     Patient Age:  Middle Age
438.	Two weeks ago I was deposed on a patient who was in a motor vehicle accident and had heart disease. One of the questions the attorney asked was "Is there a source you can go to to see if someone with heart disease should be driving?"     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice
439.	This is a 72-year-old man on Lotrel 5/20, Atenolol 100 milligrams, Cardura 4 milligrams and hydrochlorothiazide 12.5 milligrams. I read recently that alpha blockers increase the risk of myocardial infarction and if that is the sole medication, you should switch, but they never say what to do if the patient is on a combination of medicines or if the alpha blocker is being used for benign prostat...     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
440.	Five-year-old boy seen by my partner for kindergarten physical, mentioned he had been having some chest pain. Got an electrocardiogram which showed a QTc (corrected QT interval) of 440 milliseconds, otherwise normal electrocardiogram. "Any further workup needed?"     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics     Patient Age:  Child
441.	46-year-old woman. Two-year history of Raynaud's phenomenon (all 3 color changes). What is the recommended evaluation and therapy?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Middle Age
442.	63-year-old woman went to a vascular surgeon for varicosities and she did a Valsalva (I don't know what test this is) and the blood went down but not up. So the question is, "Can we just address the painful superficial veins and leave the deep venous system alone or is the problem with the deep system causing the painful superficial veins?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Internal Medicine     Patient Age:  Middle Age
443.	"What is effect of magnesium on potassium?"     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
444.	If you are on 3 medications for hypertension and you're not controlled, do you add a fourth medication or do you take away some of the others and change medications?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Family Practice     Patient Age:  Aged
445.	What bolus dose of propranolol does this infant need?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics
446.	What are the presenting symptoms and treatment of Kawasaki's Disease?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics
447.	What do I need to know about heart lesions and other heart conditions?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics
448.	How is a heart transplant done? What are the risks for atrial arrhythmias? Ventricular arrhythmias?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics
449.	What is the importance of left-atrial pressure in post-cardiac surgery patients? How do you manage these patients?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics
450.	What are the procedures for single ventricle heart in a baby? What kind of heart surgery?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics
451.	How do I manage fluids for kids with heart disease?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics
452.	Would the use of nitric oxide in this cardiac patient be beneficial?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics
453.	What is the absorption rate of clonidine patch over time?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics
454.	What do I need to know about hypoplastic left heart?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics
455.	Is the ductus arteriosus closing on this cardiac patient?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics
456.	Liver getting bigger and heart problems. Was he in heart failure or not?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics
457.	What is the half-life of this drug I want to use on a post operative heart patient?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics
458.	What is happening on a physiologic level with this cardiac patient whose ductus arteriosus is not closing?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics
459.	What does Nipride do?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics
460.	When do you hear ventricular septal defect heart murmurs?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics
461.	Do we need to do a work-up on this patient with a pacemaker who is having severe chest pains?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics
462.	Liver getting bigger and heart problems. Should we give him Lasix or not?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics
463.	What is the dose of propranolol?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics
464.	How do we manage this patient's blood pressure?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics
465.	Is this patient in danger of cardiac tamponade? They have an arrhythmia.     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics
466.	What are outcomes of a patient with ectopia cordis?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics
467.	Why is there desaturation in this hypoplastic left heart when all other signs are normal?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics
468.	How to best treat a patient with the combination of atrial septal defect and bronchopulmonary dysplasia?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics
469.	What dosage of Lotensin does this two-year-old need?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics     Patient Age:  Child, Preschool
470.	Could the patient's prior medication (L-asparaginase) have caused deep venous thrombosis?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics
471.	What/how should the ventilator management be done for this patient who has had heart surgery?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics
472.	What is the mechanism of hypertension in coarctation of the aorta?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics
473.	What are the sources of hypertension? Is post-streptococcal one?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics
474.	What is the prognosis for this premature baby with cardiac disease?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics
475.	What are the effects of hypercarbia on cardiovascular function?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics
476.	Can a heart transplant patient have Sudafed?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics
477.	Do we immobilize pulmonary arteries at this institution? Do we do this procedure? (Resident mentioned sarcoma.)     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics
478.	How do I manage atrial flutter?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics
479.	What are the structure and physiology of heart malformations?     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics
480.	Should we restart prostaglandins on this infant? His ductus arteriosus is not closing.     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics
481.	What types of surgical procedures and treatments would you use on these patients with heart abnormalities? (tricuspid atresia and hypoplastic left heart)     Disease Category:  Cardiovascular Diseases     Asker Specialty:  Pediatrics

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