问问医生。我92岁了。我患有心房颤动和高血压，都通过药物控制。每当我晚饭后在椅子上放松时，我的心脏有时会感觉像是停了一下，然后又猛地重新跳动起来。这是我该担心的事情吗？ - Suppr

Suppr

超能文献

Ask the doctor. I am 92 years old. I have atrial fibrillation and high blood pressure, both controlled by medication. Every so often when I am relaxed in my chair after dinner, my heart feels like it stops and then starts up again with a jerk. Is this something I should worry about?

作者信息

Lee Richard

出版信息

Harv Heart Lett. 2011 Jun;21(10):8.

PMID:21698809

Abstract

摘要

相似文献

Ask the doctor. I am 92 years old. I have atrial fibrillation and high blood pressure, both controlled by medication. Every so often when I am relaxed in my chair after dinner, my heart feels like it stops and then starts up again with a jerk. Is this something I should worry about?问问医生。我92岁了。我患有心房颤动和高血压，都通过药物控制。每当我晚饭后在椅子上放松时，我的心脏有时会感觉像是停了一下，然后又猛地重新跳动起来。这是我该担心的事情吗？

Harv Heart Lett. 2011 Jun;21(10):8.

Ask the doctor. I am an 84-year-old man with atrial fibrillation, mild heart failure, and well-controlled high blood pressure. My doctor had me wear a Holter monitor and get a SPECT scan (which showed mild nonischemic cardiomyopathy). Now he wants me to have a cardiac MRI. What information would this test give that he doesn't already have?咨询医生。我是一名84岁的男性，患有心房颤动、轻度心力衰竭，高血压病情得到良好控制。我的医生让我佩戴动态心电图监测仪并进行单光子发射计算机断层扫描（结果显示为轻度非缺血性心肌病）。现在他想让我做心脏磁共振成像检查。这项检查能提供哪些他目前还没有的信息呢？

Harv Heart Lett. 2010 Nov;21(3):7.

Ask the doctor. A few months ago, I was diagnosed with atrial fibrillation. My doctor put me on blood thinners for a few weeks and then performed electrical cardioversion. Naturally, I was asleep during the procedure, but I understand that they shocked me twice and both times my heart briefly returned to a normal rhythm. But after a few seconds it went back into atrial fibrillation. NOw my doctor has offered me a choice. I can stay in atrial fibrillation and take a blood thinner for the rest of my life. Or I can try a medication to restore a normal heart rhythm and give cardioversion another try (but I'll probably have to take the antiarrhythmia drug for a long time). Any suggestions?咨询医生。几个月前，我被诊断出患有房颤。我的医生让我服用了几周的血液稀释剂，然后进行了电复律。自然地，在手术过程中我睡着了，但我知道他们电击了我两次，而且两次我的心脏都短暂地恢复了正常节律。但几秒钟后又回到了房颤状态。现在我的医生给了我一个选择。我可以维持房颤状态并余生都服用血液稀释剂。或者我可以尝试一种药物来恢复正常心律并再次尝试电复律（但我可能需要长期服用抗心律失常药物）。有什么建议吗？

Harv Heart Lett. 2001 Jul;11(11):8.

Ask the doctor. I like sports, and now that I am in my 60s and have had some trouble with my heart, I mainly enjoy them on television. My family sees how excited I sometimes get watching a game and they worry that it is bad for my heart. I think they are going overboard. Can you tell my family to relax so I can enjoy the Super Bowl in peace?问问医生吧。我喜欢运动，现在我60多岁了，心脏有点问题，所以我主要是在电视上看比赛。我的家人看到我看比赛时有时会很激动，他们担心这对我的心脏不好。我觉得他们有点过分了。你能告诉我的家人放松点，这样我就能安安静静地看超级碗比赛了吗？

Harv Heart Lett. 2010 Feb;20(6):8.

On call. I am a 57-year-old man with a dilemma. I understand from your articles that moderate drinking may help me avoid a heart attack like the one that killed my brother. But I've just been diagnosed with hypertension, and I was told that alcohol can raise my blood pressure and stress my heart. So I need to know if drinking is likely to help my heart or harm my health.随时待命。我是一名57岁的男性，面临着一个两难的困境。从您的文章中我了解到，适度饮酒可能有助于我避免像夺去我哥哥生命的那种心脏病发作。但我刚刚被诊断出患有高血压，并且有人告诉我酒精会升高我的血压并给我的心脏带来负担。所以我需要知道饮酒对我的心脏可能是有益还是会损害我的健康。

Harv Mens Health Watch. 2010 Nov;15(4):8.

On call. I am a 56-year-old man with high blood pressure. At my last check-up, my dentist found gum disease and referred me to a periodontist for treatment. I know that high blood pressure increases my risk of heart disease, and I've been told that gum disease does, too. Is it true, and will the treatment help?正在值班。我是一名56岁的高血压男性。在我上次体检时，我的牙医发现了牙龈疾病，并将我转诊给牙周病医生进行治疗。我知道高血压会增加我患心脏病的风险，而且我被告知牙龈疾病也会。这是真的吗？治疗会有帮助吗？

Harv Mens Health Watch. 2009 Sep;14(2):8.

Ask the doctor. I am a 79-year-old man with atrial fibrillation that is well controlled by Pacerone. I also take warfarin and aspirin to prevent stroke. I plan to have a tooth pulled next month and wonder if is is safe to go off the blood thinners. How are these medications handled when more serious surgery is needed?

Harv Heart Lett. 2010 Nov;21(3):8.

Ask the doctor. I am a 70-year-old man with high blood pressure that I control with medication, diet, and exercise. My mother, aunt, and maternal grandfather all died in their 50s after a single stroke. Is there an inherited tendency to hemorrhagic stroke? Are there any precautions I can take?咨询医生。我是一名70岁的男性，患有高血压，通过药物、饮食和运动来控制病情。我的母亲、阿姨和外祖父都在50多岁时因一次中风去世。出血性中风有遗传倾向吗？我可以采取哪些预防措施？

Harv Heart Lett. 2002 Jun;12(10):8.

Ask the doctors. I recently developed atrial fibrillation, and I wonder whether I need to take an anticoagulant. I am 81 years old, active, and don't really notice when I am in atrial fibrillation. I was taking my pulse every now and then and found it to be irregular. My doctor said I was going back and forth between normal heart rhythm and atrial fibrillation. I am in normal (sinus) rhythm now, but he says I should be on warfarin because I have high blood pressure. What do you think?问问医生吧。我最近患上了房颤，想知道自己是否需要服用抗凝剂。我81岁了，身体还算活跃，房颤发作时我其实没什么特别的感觉。我偶尔会测一下脉搏，发现脉搏不规律。我的医生说我的心律在正常心律和房颤之间波动。我现在处于正常（窦性）心律，但他说因为我有高血压，应该服用华法林。你怎么看？

Harv Heart Lett. 2012 Jul;22(11):2.

On call. I am a 71-year-old man with diabetes and high blood pressure. I take Glucophage for my diabetes and Zestril for my blood pressure, and my doctor says both problems are under good control, but I've developed a very annoying problem. Every time I eat, I develop terrible sweating on my face and neck. It only lasts 10-15 minutes, but my shirt collar gets soaked and I'm too embarrassed to go out to dinner. Am I allergic to something in food? Am I getting hot flashes as my wife did when she had the change of life?正在值班。我是一名71岁的男性，患有糖尿病和高血压。我服用二甲双胍治疗糖尿病，服用洛汀新治疗高血压，医生说这两个问题都控制得很好，但我出现了一个非常恼人的问题。每次我吃饭时，我的脸和脖子都会大量出汗。这种情况只持续10到15分钟，但我的衬衫领口都会湿透，我不好意思出去吃饭。我是对食物中的某种东西过敏吗？我是像我妻子更年期时那样在经历潮热吗？

Harv Mens Health Watch. 2005 Feb;9(7):8.

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