#ishaemic

 Am needing asking to doctor Poskrjebisheva ,as she is on zoz press for 2016 shared in issue as For are importance  are rhythm and frequently ,as she detailed described a how to fight with atrial arrhythmia ,as all put on shelves ,like .But i am having an often arythmia,as am interesting a how to fight her,asked Tamara,and about this asked and Lidia.

As today a cure for such disease or today a her calling as fibrillation is more easy,than in paroxysmal ,as attacking,and here doctors are put two goals as to control a pulse frequency and prevent stroke.

As an affect on arrhythmia influence a diseases as a reason for her display,as in one letter is called ischaemic heart disease,and on a much cases this is very true. And doctor put this diagnosis ,just from a factor a arrhythmia having and adult age. And on practise is more often,than ischaemic heart diseases a arrhythmia is causing hypertension. And this is a principally,so as an adequate cure a hypertension is preventing a future progressing arrhythmia.

And in such patients is an importance to exclude a pathology for thyroid gland,as a her rising function as hyperthyreosis ,and here testing for TT , T3, T4 AND share results for ECHO ECG AS HEART ULTRASOUND,and this is a help to put a arrhythmia reason as heart defect for example and to define a prognosis. Anf if put a constant arrhythmia form thus a sizes for a left pre heart is on ECHO CG are 42 mm,and age is 65/70 years,after a ready medicament right you can restore rhythm till norm. And a whole advises here are not useful.

As if decided a constant arrhythmia form,thus an importance relief a disease display and a quality for life, thus a need to control for pulse, as rare frequency for heart shortenings ,that reload heart, is ability with adrenal  blockers as bisoprolol as he is comfortable in use as 2.5 /5/10 mg for one times a day,and dose is must to have that a pulsation frequency is lead to 55/65 /70 hits , if a such frequency is a good enduring,and somethimes are needing using a heart glycosides  as digoxin  0.25 mg for one pill a day, as in a thin patient 0.5 pill, obesity till 1.5 pill a day as they are with a beta blockers is rare pulse. And remember a dose for digoxin is avoiding self changing,just with a doctor, its a high risk!

As for all patients are needing doing preventing stroke, which here is high risk,than in healthy patients,as here adding anti aggregants as derivatives for acetylsalicylic acidum as cardiomagnyl or thrombo acc or other and sometime a needing a very serious remedy is varfarin as preventing thrombosis, and not coagulating blood , and in his use a need an constant blood test , as INR  which is need from 2 till 3 as on begin a one time in three days as in selected dose is one time in a month. And consult with a doctor! And if he it prescribes,thus aspirin remedies are not using,as theirs using with varfarine is a high risk for bleeding. As a change for varfarine are dabigatran, rivaroxaban, or apixaban as more easier in use as not testing INR  as 110 mg for 2 times day or 20 mg a day, but theirs price is bigger,than varfarin, but not need in laboratory control.

As in any reason for arrhythmia she is a risk for a heart chronic failure,thus for her preventing and curing using remedies are fozinopril, enalapril, perindopril and analogists theirs as lozartan, valsartan, candesartan and dose selects by a  artherial pressure stats as in high and low use as 140/90, and better is less 130/80, and higher 90/100/60/80.