Hello the doctor. To mum of 70 years. Suffers a hypertonia, intimate or cardiac nedosta...

[Lyudmila]

Hello the doctor. To mum of 70 years. Suffers a hypertonia, a heart failure, a ciliary arrhythmia. Accepts arifon, prestarium, digoxin. The strong dyspnea or short wind disturbs, constantly there is nothing to breathe . There were edemas of legs or foots. The doctor for simplification of a status has appointed or nominated Lasixum and a strophanthin. After putting off or taking out of edemas of legs or foots Lasixum have cancelled, and once a week recommended to do or make a strophanthin, but mum has refused to do or make these nyxes as enter into a vein, iz-for bad veins this procedure is very morbid, except for that is psychologically serious. After a cancelling of nyxes edemas have appeared in a month, but in an even greater degree with cyanosis. Whether It was necessary to prick again these nyxes and now we do not know what to do or make it is possible as that to facilitate a status without nyxes or really to agree on a nyxis of a strophanthin in a week. Psychologically to her it is serious, she considers or counts, that if have told or said to do or make for life, to mean to live remains not for long. Whether it is possible or probable in this case that that to prognosticate, whether reduce nyxes a life stimulating sick heart, how long it is possible to live on these nyxes? Whether it is possible to do without them? We Live far, internal consultation is unreal. Very much we hope for the answer.

[J.Dvorkin]

Dorogaya Ludmila!!!!!
Dlya podrobnogo soveta mne ne xbataet nekotoryx dannyx (Echocardiogramm, t. e. ultrazvukovoe issledovanie serdza kotoroe pomozet opredelit v chem problemma klapan li serdza ne v poryadke ili
problemma v samom myocarde naprimer infarkt v proshlom libo pervichnaya problemma myshzy).
Lechenie zastoynoy Cerdechnoy Nedostatochnosti nacinayut segodnya s Ingibitorov ACE i Diuretica prichem otsutstvie otekov ne pokazanie dlya prekrashchenia diuretika. Ochen vazno i osobenno pri nalichii Merz. Arrythmii lechenie Beta Blokatorami, tolko posle etogo nachinayut davat Serdechnye Glicozidy (V Vashem Sluchae eto Strophantine kotoriy v Mire Ne primenyaetsya) prichem v tabletkax i v ochen opredelennoy dozirovke t. k. eto yad.
Ecsche ochen vazno dlya vashey Mamy lechenie antikoagulantami (kak pravili Coumadin) t. k. pri Merz. A. v serdze voznikayut tromby kotorye mogut stat prichinoy Insulta.
S Uvazeniem Dr. Dvorkin, Israel
jakov@bgumail. bgu. ac. il

[Lyudmila]

Thanks for the answer. Unfortunately at us probably to make only an electrocardiogram. Prompt please Mum three years accepts digoxin on poltabletki odin-two times a day. Now to her intravenously enter a strophanthin and in breaks between nyxes it is recommended to accept and digoxin. Whether can cause or call such reception of medicines attributes of a poisoning (recently it was bad caused fast) whether and more can cause a strophanthin rising of pressure? At it or her a hypertonia. How correctly to accept a strophanthin and digoxin (through what time after reception of a strophanthin to accept digoxin?) thanks.