04-01-2011, 07:40 PM
HOCM Px with syncope, wats the management?
|
syncope - babymedicine
|
04-01-2011, 10:40 PM
call his insurance company ,then dig a grave and burry him if they say no. lol. this is america.
04-01-2011, 10:49 PM
look babe, syncope is syncope, no matter what the cause... so if thats the point of ur Q. then do ur basics.....
but if u mean like this is the pt presenting to u COZ of hocm induced syncope and u wanna kno the Mx now re the HOCM, u gotta do the usu echo, BBs, maybe also give -ve ionotropes and tell pt to stay away frm heavy work and diuretics.... PLUS, syncope in hocm means PUT A DAMN IMPLANTABLE DEFIBRILLATOR INTO THIS PT NOW!! hope that helps.... good luck! Cheers! Adrian
04-01-2011, 10:53 PM
well suppose , the patients insurance got expired a day before, then whats the best next step?
 ))
04-01-2011, 11:02 PM
beta blockers are mainstay...diuretics too,,,,
refractory cases dual chamber pacing surgery. for arrythmias icd ,amiodarone thanks for review...
04-01-2011, 11:08 PM
side effects of amiodarone review....
pulmonary fibrosis hypothyroidism 85% hyperthyroidism 15% increased aminotransferases corneal deposits bluish gray skin discoloration
04-01-2011, 11:10 PM
gloworm....... HOCM and HCM are diff..............
in H OBSTRUCTIVE CM ... you STAY AWAY from diuretics... (diuretics are cool for HCM!) in the hOcm, NEGATIVE INOTROPES like CCB are can also be GOOD FOR YOU...! u mixin them up my gloworm........ Cheers! Adrian
04-01-2011, 11:14 PM
ok hold up...stop the presses ! ! wait ,stop.....
04-01-2011, 11:19 PM
calcium channel can be used only for patients with no resting/provocable obstruction ,if there is obstruction then it can cause cardiovascular compromise due to its vasodilatory properties... adrian ....please correct me ..i thought that hocm was a type of hcm.... |
| « Next Oldest | Next Newest » |