Archive for the 'hypertensive diet' Category

Fun With GF/LG Food Review

November 5th, 2009 -- Posted in breast cancer prevention diet, congestive heart failure diet, cooking healthy for kids, diabetic weight loss diet, diet for rheumatoid arthritis, diet stroke, healthy eating, healthy eating articles, healthy living, hypertensive diet | 1 Comment »

Fun With GF/LG Food Review

Gluten Free Quiche

Fun with GF/LG Food is the one cookbook that is a must for anyone who suffers from a sensitive stomach, diabetes, or hypoglycemia.

If you or a loved one suffers from a sensitive stomach, diabetes, or hypoglycemia, this Fun With GF/LG Food review shows how this cookbook may help you eliminate almost all the food related problems in a person’s life.

GF stands for gluten free and LG stands for low glycemic index, and in my Fun With GF/LG Food review, you’ll learn how to prepare food that anyone who suffers from food allergies, diabetes, IBS — or other conditions that limit what they can eat– can eat without fear and truly enjoy when they dine with you in your home.

All the recipes in this gluten free low glycemic index cookbook are marked with which ingredients may be prone to cause a reaction in someone sensitive to them, and substitutes are listed that can be used in place of these sensitive foods to make it possible to prepare the dish without having to fear that someone in the family or a guest at a party may react to the food in a bad way.

Click here to read my Fun With GF/LG Food review.

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Why is my blood pressure high? Natural ways to bring it down?

February 24th, 2010 -- Posted in hypertensive diet | 7 Comments »

Im 27 yrs old and not over weight! Recently my dr diagnosis me with prehypertension I must admit before nthis my eating habits were poor but ever since that day I completely changed my diet and started exercising a little! I purchased a blood pressure monitor so I check mu bp several times aday jst to make sure it doesn’t get to high! I noticed that sometimes when i’m just sitting and I check my bp it becomes slightly elevated but for for the most part it doesn’t rise that often ( not that I knw of). My mom is hypertensive but i’m not claiming that on my life just because she has it! Any natural remedies that work? My cholesterol levels are fine!

Stop any and all caffeine products. for some that can send your blood pressure soaring.
Lower your salt intake dramatically as that too can increase blood pressure.
You are on the right track with increasing exercise.
Over weight doesn’t always indicate anything.
I am considered morbidly obese with normal blood pressure and cholesterol levels.
Sometimes is CAN be genetics so don’t rule that out completely.
Did you know that stressing over your blood pressure can also raise it?
They say that blood pressure reading in a doctors office are notoriously high and often inaccurate, just from the anxiety of being sick and at the doctors office in the first place.
That’s why sometimes, the nurse will talk to you for a while and do all sorts of other things before taking your blood pressure, to calm you.

A Weight Loss Diet Plan That Works

February 10th, 2010 -- Posted in congestive heart failure diet, diabetic weight loss diet, healthy eating, healthy eating articles, healthy living, hypertensive diet, vegetarian weight loss diet | No Comments »

I was astonished when I came across the weight loss diet plan and stopped to read about the diet with a guarantee! I wondered how that could be possible. Diets, of course, are geared toward helping people conquer the fat cravings, but also they expect to be paid for doing so.

I could not believe this wonderful eDiets weight loss guarantee! There was a lot to know about this diet plan. It is not just one plan. No one size fits all. There were over twenty plans to choose from. I filled out a questionnaire, absolutely free they said. (I know they all say that). This time, it was really free. Your information is secure and the diets are all healthy.

Low carb was the only one I did not agree with. Years ago I did a low carb plan where even sweet peas were limited. It may have worked for a while, but left me feeling totally exhausted. Eventually, that plan failed me.

The twenty plans include specialized menus, excellent recipes and fast food restaurant choices. You customize your own personal plan to fit your goals. I tried the GI diet first, and then switched to the vegetarian diet when my appetite diminished.

You might have the problem of hyperglycemia. The eDiet folks have a plan for that. You may be lactose intolerant. They have a diet plan for that. Of course, consult your doctor about these conditions before starting to diet. That is the smart thing to do.

I could not believe everything this plan provided to promote my success. I could ask any questions I had and a fitness trainer would answer them. You know, no diet works without being accompanied by exercise. I asked. The eDiet people answered. I lost 47 pounds of ugly fat and it was easier than any diet I had ever been on.

Now I meet with my online diet buddies who also used eDiet successfully. They gave us an online support forum. It is fun to chat with other dieters AND it keeps me in line to keep the weight off. We all are very grateful we stumbled across the weight loss diet plan.

High Blood Pressure and Tai Chi Therapy

January 14th, 2010 -- Posted in hypertensive diet | 3 Comments »

Way back in 2003, the Journal of Alternative and Complimentary Medicine’s Oct. 9th issue reported a study finding that Tai Chi “could decrease blood pressure and results in favorable lipid profile changes and improve subjects’ anxiety status. Therefore, Tai Chi could be used as an alternative modality in treating patients with mild hypertension, with a promising economic effect.” This study laid out a way to save our society, perhaps billions of dollars annually, and possibly save some patients with mild chronic hypertension the potential negative side effects of chronic lifelong medication. However, this largely hasn’t occurred.


I caught a glimpse why when I was staying in the beautiful mountain town of Otavala, Ecuador, with a woman known for her knowledge of traditional Indian medicines. A tour of young American medical students stopped here to listen and learn from the Indian woman’s tour of her herbal gardens. As I followed them, I asked a group of young bright medical students if they were aware that Tai Chi was found to reduce high blood pressure. One lovely young woman replied, “Oh, yes, I’ve heard that, but I would never prescribe it.”


I asked why, and she responded that she couldn’t because she didn’t know if it would work. Although Tai Chi studies do show that Tai Chi indeed helps lower high blood pressure, it is true that it does not reduce it in every person. However, it is also true that every drug prescription does not work on every person either. I suggested to the young medical student that she consider that many times I’ve been to the doctor, and he’s pulled out a prescription pad and explained, “Let’s give this a try, and see how it works for you, and if it doesn’t do the job, we’ll try something else.” Most of us are familiar with this, and by the confused look on the student’s face, I’m assuming her memory banks were bringing up similar images.


So, why are our medical universities giving students the impression that they should not be prescribing Tai Chi, since we know it can help lower high blood pressure for many, who if it is successful with them, can enjoy a lifetime free of chronic and costly medications? And not only do that, but offer a plethora of GOOD SIDE EFFECTS including a stronger immune system and healthier respiratory system. This is a deep and important question we need to be asking as patients and consumers, and health professionals must begin asking this question regularly in order to fulfill the duties of their Hippocratic oath. For, today we have even a much better understanding of Tai Chi’s potential than we did a few years ago, so ignorance or inconclusive data is not an acceptable explanation from our medical universities that train our future doctors, without teaching them about Tai Chi research, and what it portends for their future patients.


Today, we are clearer on exactly why Tai Chi is such a powerful therapy for high blood pressure sufferers. In a March 17, 2005, article by the Mayo Clinic staff posted at mayoclinic.com they lay out what a “stress response” is, and the effects it has on the body. This is at the core of high blood pressure problems and the physical changes chronic stress responses illicite that creates or aggravates hypertensive conditions.


In their article, they explain that a stress response, or “fight or flight” reaction involves our pituitary gland releasing adrenocorticotropic hormone (ACTH), which sets a domino effect signaling other glands to produce additional hormones, such as adrenal glands which flood the blood stream with stress hormones, such as “cortisol” and “adrenaline.”


When ordinary life’s daily frustrations trigger this effect over and over again, the results can be damaging to the mind and body. Many of us experience this domino effect of triggers and hormones daily, which is why about 1/3 of Americans, or over 90 million Americans, suffer from high blood pressure.


Cutting edge scientists like Dr. Herbert Benson, President of the Mind/Body Institute at Beth Israel Deaconess Medical Center in Boston, are discovering a stunning reality through their research. In a wonderful article by Jeanie Lerche Davis at WebMD Medical News entitled The Mysterious ‘Medication’ of Meditation (http://my.webmd.com/content/article/25/1728_ 57992.htm), she writes of how such researchers are discovering that “meditation can indeed be medication – creating long lasting physiciolgical effects that reduce high blood pressure and even help unclog arteries to reverse heart disease.”


Dr. Benson, who is also associate professor of medicine at Harvard Medical School, sought to prove how this effect could be shown objectively, and had five long-time meditation practitioners take MRI brain scans while meditating. Dr. Benson informed WebMD in the aforementioned article by Davis, “There was a striking quietude across the entire brain which was documented through MRI . . . The areas of the brain that became active from that quietude were those that control metabolism, heart rate, etc., . . . We knew meditation caused a relaxation response, but we couldn’t prove it. We knew that if you thought in a certain way, with repetition, that physiologic changes would occur in the body. Here now is proof that mind, in the form of repetition, is affecting the brain, which affects the body . . . “


Stroke Magazine reported on a study funded by the National Institutes of Health, conducted by Dr. Amparo Castillo-Richmond, from the Maharishi University, more specifically on high blood pressure afflicting black people. The meditating group saw a reduction in the thickness of one of the arteries that supplied blood to the brain. Which indicates that blood flow is increasing. The group only using diet and exercise saw their artery walls getting thicker, which indicated that less blood was flowing through to the brain. This finding led Dr. Castillo-Richmond to make the profoundly exciting assertion, “It’s possible to reverse heart disease through meditation.” In fact, not only hypertension, but up to 90% of other illnesses sending us to the doctor are being caused by stress, according to Dr. Herbert Benson. Which makes Dr. Benson’s and Dr. Castillo-Richmond’s findings that meditative techniques can so dramatically alter our stress producing “fight or flight” response in healthy ways even more wonderful.


Dr. Benson explains, that the relaxation response triggered by repetitive forms [like tai chi, yoga, etc.] can result in decreased metabolism, heart rate, breathing rate, blood pressure, and also slower brain waves.” Benson asserts that it is the repetitive nature of acts like praying the rosary, yoga, or tai chi’s physical repetitive muscular actions that provides the profound hope for reducing anxiety, mild and moderate depression, anger and hostility, hypertension, cardiac irregularities, and all forms of pain, which are made worse by stress.


This concept of Tai Chi being an effective tool for reducing or even avoiding incidence of high blood pressure or other illnesses all together, is echoed elsewhere. Mayoclinic.com also recommends Tai Chi for relaxation training in an article entitled, “Relax: Techniques to help you achieve tranquility” which also explains why relaxation is important and what you might experience by practicing tools that will help you relax.


They detail how you can improve body responses to stress, such as: Slowing your heart rate; Reducing blood pressure; Slowing your breathing rate; Reducing the need for oxygen; Increasing blood flow to the major muscles; Lessening muscle tension.


They go on to explain that practicing relaxation techniques may help you experience: Fewer symptoms of illness, such as headaches, nausea, diarrhea and pain; Few emotional responses such as anger, crying, anxiety, apprehension and frustration; More energy; Improved concentration; Greater ability to handle problems; More efficiency in daily activities. So, time and time again as we begin to examine one particular benefit of Tai Chi, such as lowering high blood pressure, we see a whole universe of potential opening up before us.


An article from Archives of Internal Medicine, as reported on NBC’s local WCAU Health (http://wcau-tvhealth.ip2m.com/index.cfm?pt=itemDetail&Item_ ID=112735&Site_Cat_ID=77) explained a Tai Chi research program at Tufts-New England Medical Center in Boston revealed a great deal. The article authors wrote, “Overall, these studies reported that long-term Tai Chi practice had favorable effects on the promotion of balance control, flexibility and cardiovascular fitness and reduced the risk of falls in elders . . . Cardiovascular and respiratory function improvements were noted in healthy people and those who had undergone coronary artery bypass surgery as well as people with heart failure, hypertension, acute myocardial infarction, arthritis and multiple sclerosis . . . Benefit was also found for balance, strength, and flexibility in older subjects; falls in frail elderly subjects; and pain, stress and anxiety in healthy subjects.” They add the actual ways that Tai Chi provides these benefits are not well known.


The fact is that less than .5% of the National Institute of Health’s budget goes to research alternative therapies, leaving yoga, meditation, tai chi, massage, herbal therapy, aroma therapy, and the entire massive field of alternative health systems to struggle over .5%, or a little over $100 million of the $28 billion (approx.) annual budget. Given the above studies, it boggles the mind that such a small portion of the health research dollars are going to Tai Chi.


To recap, about 1/3 of the American population suffers high blood pressure. Tai Chi is proven to be a beneficial therapy that not only has no bad side effects, but dramatically improves immune function, respiratory function, lowers the incidence of anxiety and depression, and profoundly improves the balance of practitioners. Tai Chi does more, but for our purposes here these profound realities are enough to show exactly why it is truly unbelievable that Tai Chi is getting so little scrutiny in medical research dollars, when it can save so many from chronic suffering and perhaps some from a lifetime of chronic costly medications.


It is time we all began to ask the question that all good consumers should ask, “What is the best way/product for my health?” If Tai Chi is that product, the next question is, “Why isn’t every physician offering it as an option to their patients with hypertension, as a prescription?” “Why aren’t all insurance policies covering such prescriptions for Tai Chi?” Ask and ye shall receive. We must become informed and demanding health consumers, in order to get the best health options available.


This article does not advocate self-treatment, and encourages all to make health choices in conjunction with their physician. However, if your physician is close-minded to anything but a certain group of health options, even when research indicates your choices may be wider, than it is time to have a good talk with your physician about possibly widening your options.

Bill Douglas
http://www.articlesbase.com/home-and-family-articles/high-blood-pressure-and-tai-chi-therapy-3929.html

Discover The Foods That Lower Your Blood Pressure

January 3rd, 2010 -- Posted in hypertensive diet | 5 Comments »

Believe it or not, there are foods that can help lower your blood pressure. While you should continue to take any medications that have been prescribed by your physician for your hypertension, and consult with him before adding anything to your diet, with proper supervision, natural blood pressure lowering foods can often be added to your diet as well.

What’s a good example of a food that can help lower your blood pressure?

How about garlic? Yes, it’s true. Garlic supplements have been shown to help lower your blood pressure by as much as 5-10%. A dose of 900 mg of garlic powder per day can help lower your cholesterol, reduce your triglyceride levels, and promote healthy blood circulation. However, since garlic does have blood thinning properties, it should never be combined with prescription blood thinners (Coumadin or Trental for example) or natural substances that also thin your blood such as vitamin E or ginkgo.

Fruits and vegetables can also help control your hypertension. These include oranges, greens, potatoes, beans, okra, cabbage etc. Some fruits will supply your body with additional vitamin C, which is also useful in assisting with lowering your blood pressure.

Since, cholesterol can have an unfavorable impact on your blood pressure, especially when your cholesterol levels are high, switching from regular dairy foods to low fat dairy foods is a priority. Low fat yogurt, cheese without fat or with less fat, low calories cheese, cottage cheese with fat levels of just one per cent … these are examples of dairy products that can help give you an advantage over your high blood pressure. You can still enjoy the dairy products, still enjoy the flavors and textures, just check the labels first to limit as much fat as possible.

Along these same lines, keep an eye on the fat content of any meats you consume. Whenever possible, chose meats with less fat. For example, the white meat that comprises chicken or turkey (without the skin) should be considered as one of the foods that help to control your hypertension. Similarly, egg whites instead of whole eggs are preferrable since the yolk of the egg is thought to contain high levels of cholesterol.

What else can you do?

Excessive consumption of alcohol, especially on a daily basis, can raise your blood pressure. So keep in mind that alcohol should always be taken in moderate amounts especially if you’re in a hypertensive state.

The good foods on your list can lose their effectiveness if they contain high levels of sodium. Since it’s well known to increase blood pressure, your sodium intake should always be carefully monitored.

Omega-3 fatty acids are considered a healthy addition to your diet.

Summing it all up.

Anyone can develop high blood pressure. African Americans are at higher risk for this serious disease than any other race or ethnic group. High blood pressure tends to be more common, happens at an earlier age, and is more severe for many African Americans. The good news is that hypertension can be controlled. Better yet, it can be prevented.

Eating a healthy diet, comprised of the right foods, can have huge benefits if you’re dealing with high blood pressure. In fact, a healthy diet can often be the deciding factor of whether you’ll need to take hypertensive drugs or not.

David Silva
http://www.articlesbase.com/non-fiction-articles/discover-the-foods-that-lower-your-blood-pressure-77369.html

Heart attack symptoms? sorry i already asked this?

January 2nd, 2010 -- Posted in hypertensive diet | 3 Comments »

my dad turned 46 in october. and well he doesnt exactly have the best diet. but he is not overweight. he hates going to the doctor. and he did drink quite a lot on christmas. but he jus takes a beer eveyr now and then. not like he gets wasted. after and argument with my mom he had a chest pain that extended to his left arm. but it is gone and he went to sleep. my dad hates the doctor and doesnt go for checkups. im scared :/ what do i do. tomorrows new years eve. his dad died of diabetes. his mom died from a heart attack and she was hypertensive. im not with him right now. and my mom called and said he said it doesnt hurt anymore and he if fast asleep. she set up an appointment for him.

It was probably not a heart attack because it doesn’t just stop and you usually can’t breath but it is probably a sign that something is wrong with his heart but if he goes to the doctor he should be fine

Anyone who can send me diet plans for my hypertensive mom?

December 25th, 2009 -- Posted in hypertensive diet | 2 Comments »


There are no special diets for patients with hypertension, she needs to eat less and do more regular vigorous exercise. The exercise itself also helps to lower blood pressure.

Do You Know The Causes Of High Blood Pressure?

December 24th, 2009 -- Posted in hypertensive diet | 6 Comments »

Even the blood pressure of a normal person will increase, when he gets to know that high blood pressure is one of the leading causes of heart attack and stroke in USA. Hence it is not surprising for why it is labeled as the ‘silent killer’!

But, what are the causes that the related statistics as for the number of patients is growing so fast? Let’s try to find a probable reason here.

First things first, there are two types of high blood pressures—Primary hypertension and secondary hypertension. Of the two, the former accounts for 95% of the cases. The causes of primary hypertension are many. When it is from a specific abnormality in one of the organs, it is known as secondary hypertension.

Primary hypertension has a vast membership. It has within its fold about 75 million Americans. But the diagnosis of this type of hypertension is not always easy. The type of attack varies from individual to individual. However, some common factors can be elucidated.

The main culprit found till date for high blood pressure is salt. So you should immediately cut extra iodine and salt intake as soon as you find that you are hypertensive.

Genetic factors are also playing a foul role for the serious types of ailments and primary hypertension. But the exact genes that have to take the blame are yet to be identified. The present research is on the renin-angiotension-aldosterone system. It is the system that helps to regulate blood pressure, controls salt balances as well as the elasticity of the arteries.

Now, let’s analyze threadbare how some of the causes of primary hypertension play their dubious role. The noticeable abnormality is that you have an increased resistance in the arteries; they are not as elastic, especially the small arteries that are at a distance from the heart. Obese people are haunted by this problem. Those eating too much salt, not doing any physical exercises and also the aging people are likely to own this sort of hypertension. The sodium in the salt is absolutely brutal on the high blood pressure patients.

Review your life styles and diet habits. You will be surprised yourself about the deficiencies that you have been putting on with, so far in your life. You have the high blood pressure. It’s the wake up call. Your arteries have become clogged. Even the County gutters are cleaned periodically, so that they don’t get chocked. You own the God-given divine instrument- your body! Reschedule your day’s routine and allocate time for walking and exercises. If you don’t do that, you may anyhow have to do walking exercises to your physician’s chamber!

Prevention is always better than cure! You need to say that to at least 75 million times to cure the BP patients!

Ashish Jain
http://www.articlesbase.com/advertising-articles/do-you-know-the-causes-of-high-blood-pressure-63572.html

Should I take blood pressure medication?

December 24th, 2009 -- Posted in hypertensive diet | 4 Comments »

I went to see a new physician today, and he said I have high blood pressure and should be on medication. I did some research, and found my blood pressure, which he measured at 128/88, is in the "pre-hypertensive" range. As much as I realize this is a cause for concern, I wonder whether trying to control it with diet and exercise might be a better idea (I’m 34 and fairly sedentary). My doctor didn’t seem interested in discussing alternatives to medication, but I don’t trust him very much. I don’t have any conditions such as diabetes or heart disease that would make high blood pressure especially dangerous. Is it a bad idea to simply not take the medication he prescribed and focus on getting enough exercise?

Diet and exercise should always be a first step before medication is given. You BP is not that high yet and if that is just the first time it has had that reading it could be caused from anything like stress, caffeine, smoking, alcohol, or salt. You need several readings in that area to call it pre-hypertensive range. Cut back on salt, no diet soda (it’s loaded with salt) caffeine, and stop if you smoke or drink and get any stress under control. Exercise is good and don’t eat a lot of fast foods, they use tons of salt. Get a BP monitor for home use (Walmart has them, the arm kind work better than wrist monitors) keep track of your BP. If it continues to stay up you should take the results to your Dr and discuss medication.

Cardiac or Psychiatric review? ER scenario (Med students).?

December 23rd, 2009 -- Posted in hypertensive diet | 3 Comments »

Jack is a 28 yr old sedentary male: pale, thin (non smoker) with a history of anxiety and unexplained chest pain and tachycardic events. He has had one event of SVT recorded on 24hr holter. All other events seen in ER have been sinus rhythm.

He lives at home with his parents who care for him. He rarely goes out the home due to extreme fatigue, dizziness and a flu like feeling which he attributes to his ‘condition’.

He is not depressed and has been refered to the local mental health team who report he has Chronic Fatigue Syndrome and associated Dysautonomia, (presumed to be due to inactivity). There is little on offer in terms of treatment – apart from a raised pulse of 90 sitting and a pronounced tachycardia upon standing, – all clinical observations are unremarkable.

He has previously undergone an Angiogram in the past, which was normal. Before the procedure, Jack reported he felt rather ‘freaked out’ and a supine pulse of 120bpm was observed. Of note was the procedure was stopped half way through due to an inappropriate sinus tachycardia (IST) of 170bpm before LV could be assessed. He was given IV Midazolam as a sedative and the procedure stopped.

The cardiologist at his previous Hospital feels confident Jack does not suffer from CHD due to his age, normal BP, saturation readings, no signs of oedema, normal diet. He does not wish to repeat the procedure for safety reasons.

Jack is admitted to Hospital several months later at midnight following a complaint of sudden onset severe chest pain, shortness of breath and tachycardia. He reports he was not exerting at the time of onset and was simply ‘’sitting at his computer”. On admission, he appears nervous, keen to explain his symptoms in detail and wants to know ‘when it will stop’.

He sees a Doctor at approx 12.30 am as a priority 2 case.

Supine his observations were as follows:
———————————————————–

Heart rate 135 bpm
Blood pressure 169/142
Respiration rate 16
Sa 02 is 99%
Peak flow reading 450 (predicted 640).
Q Wave II & III changes are shown on ECG
Chest clear: A/t = bilaterally
Temp: 36.5
Awake & Orientated

Complaint:
—————

C/O ‘tight’ chest pain centrally radiating to the back.
Anxious ++

Diagnosis:
—————

Chest tightness, tachycardia & hypertensive on admission. Gradually settled. Given 5mg Diazepam (refused 10mg). Still appears anxious & describes symptoms of anxiety very well, but denies any psychiatric problem. ECG = Sinus tachycardia (I think Q wave was due to anxiety?). Refer to family doctor only.
——————————————————————————————————

QUESTION:

Jack denies he is having a panic attack and insists he has a physical problem, despite admitting feeling very anxious due to his symptoms.

He remains calm and polite, yet the medical staff are concerned at his diastolic readings which are abnormal and do not wish to discharge him until this has settled. 5mg Diazepam is given to Jack orally after his sustained hypertension and chest pain is observed for 30 mins in triage. He takes approximately 2 hours to feel calmer and report his chest pain has resolved. He says the medication has made him feel ’stoned and sleepy’.

30 mins later, his observations are:
————————————————–

Heart rate 128 bpm
Blood pressure is 138/85

The medical staff feel it is now safe to discharge Jack back home and feel a referral is un-necessary. He has been in Hospital triage – 2hrs 30 mins.

In less than 300 words explain:
————————————————

A) If you refer him for Psychiatric or Cardiac Review before discharge.
b) Note why you think Q waves changes are important in your decision.
c) Diazepam reduced hypertension & chest pain in Jack. Why?
d) Is there any real evidence of Ischemic pain in the absence of CHD?
e) Is Jack presenting with an IST or a Tachycardia due to anxiety?

——————————————————————————————————

Thank you – tough one, huh?!

Well my answer isn’t going to be 300 words, I’ll leave that to you. His cardiac symptoms have not been adequately evaluated. Perhaps he needs to have a stress cardiolyte.. His BP and heart rate are high and of great concern. I would do a work up for the cause of his hypertension. You state he is calm and but his BP swings from quite high to normal. I’ve seen this before in patients who have phenochromocytoma, a tumour on his adrenal glands.Since he has had a prolonged episode of chest pain why didn’t they draw bloodwork and check his cardiac enzymes. They should of done a Troponin test at least. To send him home without doing that is negligence. He should also have a CBC done incase he is anemic.His inferior Q wave changes are a source of concern, did he have a previous MI. He hasn’t had an echocardiogram to look for any structural problems with his heart or a stress test. The stress test would be difficult because of his high heart rate, they could try a stress cardiolyte..Anxiety can be a normal reaction to his physical symptoms and the Valium just helped to relax him. Since his angiogram was "normal" I can understand why the cardiologist ruled out any problems with his heart but he could have syndrome x or (it’s a stetch), coronaryartery spasm. He has been diagnosed with IST perhaps he should be reffered to a cardiac electrophysiologist for assessment of this problem. There are no ecg changes of ischemia on the ecg. Regarding psych, only after he has had all investigation of his cardiac problems. I am not familiar with a refferal for "Cardiac Review" He does have a documented arrythmia and unstable BP so yes, it sounds like he needs all the suport he can get to be less anxious.He has a documented arrythmia which I feel is made worse by his anxiety. I would not discharge him without knowing the results of at least 2 sets of cardiac enzymes are negative. Q waves are also important because they indicate the possibility of an old myocardial infarct. He should be closely monitored by his family Dr,who should investigate his hypertension symtoms.Take care, Donna

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