I was the youngest guy in my CCU Unit this weekend...

[BrothaBill]

Zoomster, I hope you get better soon, and thanks a lot for sharing.

Lucias, I´ll be an avid reader of your posts from now one, LOL
Tell me, what do you recomend for screening before a cycle, cardio wise.

Yeah search my posts, ignore the ones where Ive been drinking, obviously when Im an ass. But< I recommend a blood test and an EKG, the Ekg is cheap and is simple way of determing the way the electricity crosses your heart, like < $100. Basically, if your T wave is inverted massively then you may Left ventricular hypertrophy, so then you shouldnt use AAS without an echocardiogram, or at least a chest xray. Laters Bro. And always check your blood pressure!

 

[lakebum]

Bro. Good luck for a speedy recovery. No matter what you read, do what you feel is right. If you say no AS than that is what it needs to be! Sorry I can't be of help on the plaque rupture rupture question. Peace be with you bro., and good luck!!!!!!!!!!!!

 

[Seth28]

lucias, dude, if you are going to give advice on here get your frickin facts straight- ventricular hypertrophy does cause a decrease in coronary perfusion (Not just endocardial, HUHHHH?) because if you look at what determines your coronary perfusion pressures, it is your Mean arterial pressure minus your Left Ventricular End diastolic pressure. So as I was saying a mechanical problem caused by ventricular enlargment (HTN, Aortic stenosis, MR or AR) or a fluid shift from AAS in an already compromised heart (ex CHF).

Also, Where you said "if your T wave is inverted you may have Left Ventricular hypertrophy" is DEAD WRONG. when looking at ST segments (not just T waves LOL) ST elevation shows ischemia, ST depression is Injury and and Q waves show damaged Myocardium. An Inverted T wave is a sign of hypoKalemia! and If you want to look at ventricular Hypertrophy there are six criteria:
1. lead V1 or 2 + Lead V5 or 6 = or > 35mm
2. any QRS in V5 or 6 >25mm
3. R in aVL >12mm
4. R in aVF >20mm
5. S in aVR>14mm
6. R in I + S in III > 25mm

Please dont downplay the risks involved, because its rare until it happens to you.

PS your post wasnt bad for a Nurse. Are you an RN or LPN?

Guess I dont get any karma for being the devils advocate

 

[Seth28]

oh yeah another thing you said "if your concerned about your RBC count take an aspirin" WTF are you talking about? Aspirin has nothing to do with your Red cell count! it is a glycoprotien IIB to IIIA crosslink inhibitor (or in laymens terms you may understand a platelet inhibitor) yes it is important in the prevention of thrombus formation and is important to take to prevent part of the coagulation cascade.

 

[BrothaBill]

lucias, dude, if you are going to give advice on here get your frickin facts straight- ventricular hypertrophy does cause a decrease in coronary perfusion (Not just endocardial, HUHHHH?) because if you look at what determines your coronary perfusion pressures, it is your Mean arterial pressure minus your Left Ventricular End diastolic pressure. So as I was saying a mechanical problem caused by ventricular enlargment (HTN, Aortic stenosis, MR or AR) or a fluid shift from AAS in an already compromised heart (ex CHF).

Also, Where you said "if your T wave is inverted you may have Left Ventricular hypertrophy" is DEAD WRONG. when looking at ST segments (not just T waves LOL) ST elevation shows ischemia, ST depression is Injury and and Q waves show damaged Myocardium. An Inverted T wave is a sign of hypoKalemia! and If you want to look at ventricular Hypertrophy there are six criteria:
1. lead V1 or 2 + Lead V5 or 6 = or > 35mm
2. any QRS in V5 or 6 >25mm
3. R in aVL >12mm
4. R in aVF >20mm
5. S in aVR>14mm
6. R in I + S in III > 25mm

Please dont downplay the risks involved, because its rare until it happens to you.

PS your post wasnt bad for a Nurse. Are you an RN or LPN?

Guess I dont get any karma for being the devils advocate

Karma, sure why not if you hit me back. I was referring to deep twave inversion characteristic of hypertrophic cardiomypathy in the context of abnormal heart to begin with. Obviously you would have known that if you had had real world experience instead of quoting at textbook so youre DEAD WRONG, the twave does spike downwards. And everyone looks for twave inversion in the context of ischemic changes. And to look for LVH criteria, I wasnt going to go into an ekg course in one post. obviously the Rwaves become more prominent b/c it represents ventricular depolarization-the more muscle that depolarizes, the larger the voltage, now why cant you explain that way its maybe b/c youre reading out of book. And in the case of hypertrophic cardiomyopathy- the Twave represents repolarization and it does go sharply inverted in HCM cases. The lvedp question you raised was again is way off point. From a coronary perfusion standpoint you should be more interested in diastollic dysfuction. The degree of filling in your LV.

AND hypokalemia you look for flattened T-waves, not inverted.
Widening of the QRS
ST depression
Finally development of U-waves

You should keep it a little more civil. And everyone should be safe, but the risks can be managed in normal people, thats why everyone should take care of their Bloodpressure and get a checkup with an ekg prior to use to screen for these rare abnormalities.

 

[Seth28]

I already did explain what to look for and I am not reading from a text, this is stuff I use everyday, If you want me to teach you anything, I mean I can go all the way from point A to Z without a problem here. Just let me know what a specific question and I can tell you why. You look for ST segment depression for ishemic changes, so maybe confusing it with just a T wave. Being one in a past life I can tell you most nursing schools dont even have a dedicated EKG course.
Also, you never explained how aspirin decreases your RBC? explain that one to me? i am all ears.

 

[BrothaBill]

I already did explain what to look for and I am not reading from a text, this is stuff I use everyday, If you want me to teach you anything, I mean I can go all the way from point A to Z without a problem here. Just let me know what a specific question and I can tell you why. You look for ST segment depression for ishemic changes, so maybe confusing it with just a T wave. Being one in a past life I can tell you most nursing schools dont even have a dedicated EKG course.
Also, you never explained how aspirin decreases your RBC? explain that one to me? i am all ears.

I left out the st increase and decrease b/c I was talking about twaves, but obviously we look at. I just ran two stress tests while posting. And I referring to the risk of thrombosis (clot formation) seen in things like polycythemia vera, not the reduction of RBC count which is something I dont have a clue how to do except phlebotomy which is the cornerstone treatment. What I was referring to was anticoagulation, like for people who have had mis or intermittent atrial fibrillation. Glad to see youre a little nicer this post. LOL, anyhow Gimme back some Karma. And we seem to be arguing separate points slightly differently.

 

[crmdogg]

this posts makes you think twice.-Josh

 

[BrothaBill]

Thanks Seth28,
I appreciate the discussion, and appreciate the criticism to help clarify, obviously I leave alot out of the posts to prevent wordiness, I look forward to future debates (or more likely agreements) between both (educated) of us. We were so close, yet so far, I should read posts more closely. Thanks for the karma and will hit you again after I can.