Heart Health: Dr. Artang answers your questions - KTIV News 4 Sioux City IA: News, Weather and Sports

Heart Health: Dr. Artang answers your questions

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Matt Breen, Reporting "Kathy from Sioux City asks, 'What can be done about a high pulse rate if the patient has atrial Fibrillation and is already on medication?'"

Dr. Ramin Artang, Mercy Cardiology says, "As we have discussed in the past Atrial fibrillation is a common disease where the heart rate becomes irregular and fast. The treatment is to slow the heart rate and use blood thinner for stroke prevention. What Kathy is asking here, what if the person is already on medicine and the heart rate is still fast. It actually goes back to how fast. A study from the Netherlands back in 2010 investigated more than 600 patients half of them with strict heart rate control of less than 80 and the other half were allowed to have higher heart rates up to 110 beats per minute. It turned out that it did not make a difference on how well these people did in regard to their function, well being, hospital visits, stroke and heart attack. Those with strict heart rate control had to visit their doctor more often. So to answer Kathy, if the heart rate is close to 110 or less and person with atrial fibrillation is doing well, you don't need to worry or do more. If the heart rate is in 120s and above then it is considered inadequate rate control and there are multiple classes of medicine that can be used to slow it down and that choice of that is based on age of the person and other medical condition that the person may have. This person may need to discuss this with their primary care doctor or cardiologist."

Matt Breen, Reporting, "Pat from Sioux City asks, 'What can I do if I can't exercise? I have body aches (arthritis) all over and a Baker's Cyst behind both knees. I do swim for 2 hours a week. Even doing that I ache. Have been taking Tylenol and ibuprofen for aches?'"

Dr. Ramin Artang, Mercy Cardiology says, "Arthritis usually does not give pain all over the body. So What Pat may need to make sure is, is it really all arthritis or is she suffering from either inflammatory muscle disease, Rheumatoid Arthiritis or Another condition known as Fibromyalgia. Once she get the correct diagnosis it is possible that there are other type stronger medicine beside Tylenol and ibuprofen that can be much more effective in treating her pain so she can move easier and exercise if she wants to. From weight loss standpoint if your activity level is limited for different reasons, then ones calorie intake needs to be adjusted. I have used this calculator online for Pat, and based on her age, gender, body weight and height, calculated an average daily calorie intake for her. She can either count the calories herself or show this to the dietitian at the local grocery store like Hyvee and get instruction on how to achieve the goal calorie intake per day. This is the website that I used: www.freedieting.com. By using her data I have calculated that she needs, 1553 calories per day to maintain her weight and 1360 calories to start loosing weight." >>

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