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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Disorientation In Heart Disease Patients?

my grandpa was admitted for a blood pressure of 200/150 and palpitations and got treated in icu.echo shows ischaemic heart disease with mild mitral regurgitaion and regional valve abnormalities.he has been prescribed calaptin,stamlo2.5,clopilet a,monit,nebistar h,aforsance. he suddenly became disoriented this evening,spitting tablets,speech also got slurred.may i know what is happening to him
Tue, 19 Apr 2016
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Pulmonologist,  's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
Cardiac patients are prone to develop hyponatremia (low sodium) and this can cause CNS (central nervous system) symptoms like disorientation, slurred speech, not following commands etc.
So get done serum sodium level and if it is less then he needs correction by giving hypertonic saline (3%).
Another reason is brain hemorrhage and infarction. High blood pressure can cause spontaneous bleeding from tiny vessels of brain and this can cause hemorrhage and infarction. They can cause similar kind of CNS symptoms.
So also get done MRI of brain for the diagnosis of this.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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What Causes Disorientation In Heart Disease Patients?

Thanks for your question on Healthcare Magic. I can understand your concern. Cardiac patients are prone to develop hyponatremia (low sodium) and this can cause CNS (central nervous system) symptoms like disorientation, slurred speech, not following commands etc. So get done serum sodium level and if it is less then he needs correction by giving hypertonic saline (3%). Another reason is brain hemorrhage and infarction. High blood pressure can cause spontaneous bleeding from tiny vessels of brain and this can cause hemorrhage and infarction. They can cause similar kind of CNS symptoms. So also get done MRI of brain for the diagnosis of this. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.