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Suggestion Of Advise For An Angioplast Patient With Stents Complaining Of Nausea
83 yo female, s/p angioplasty 4 days ago, w/ stents. No complications reported. Discharged home after 23 hr obs. Just transported to hospital with significant nausea, HR: 46. O2 sats: 92 on RA, BP: 132/78, responsive , denies abdominal pain, chest pain or Headaches. With this brady rate, and not seeing the monitor, not sure if in A-Fib/ Flutter or not. comorbids: type II diabetic , insulin dependent... BS unknown at present s/p CABG 20 yrs ago, with multiple caths and angioplasties since. + CVA , with freq. TIA s. Hypertension. Deconditioned. I am thinking several things for treatment: pacemaker, if a candidate. But again, not sure what is interfering with the heart s electrical system. Plus, not having a full knowledge of meds on board is also a minus. Your thoughts?
Thu, 9 Apr 2015
hi
with so many complications at that age is really a pitiable state.
post angioplasty, post CABG, recurrent TIA & Diabetic, now with bradycardia & nausea looks like patient has been suffering from complete heart block.
she is an ideal candidate for pacemaker.
if the ECG shows arrythmias & her left ventricular ejection fraction is low,pacemaker with ICD(intra cardiac defibrillator), is the treatment of choice.
pacemaker does not destroy the electrical system , but rather supports for improved functioning.
all the best,take care
with so many complications at that age is really a pitiable state.
post angioplasty, post CABG, recurrent TIA & Diabetic, now with bradycardia & nausea looks like patient has been suffering from complete heart block.
she is an ideal candidate for pacemaker.
if the ECG shows arrythmias & her left ventricular ejection fraction is low,pacemaker with ICD(intra cardiac defibrillator), is the treatment of choice.
pacemaker does not destroy the electrical system , but rather supports for improved functioning.
all the best,take care
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