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Ask the doctor. I had a heart attack 20 years ago. My doctor told me to stop taking vitamin E. My old cardiologist told me to take vitamin E every day to prevent another heart attack. What should I do?

作者信息

Bhatt Deepak L

出版信息

Harv Heart Lett. 2013 Nov;24(3):2.

PMID:24524176
Abstract
摘要

相似文献

1
Ask the doctor. I had a heart attack 20 years ago. My doctor told me to stop taking vitamin E. My old cardiologist told me to take vitamin E every day to prevent another heart attack. What should I do?
Harv Heart Lett. 2013 Nov;24(3):2.
2
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3
Ask the doctor. I am generally healthy, but I had a heart attack last year. At my age, 78 years old, I find it hard to take it seriously when my doctor and my children tell me that I should be lowering my cholesterol and exercising. It seems to me that the idea of trying to prevent "premature" death is silly in someone my age. It's not like I feel ready to die, but it's hard for me to believe that prevention works in someone who has already gone beyond his "three score ten" years.问问医生吧。我总体上还算健康，但去年我心脏病发作了。在我78岁这个年纪，当我的医生和孩子们告诉我应该降低胆固醇并进行锻炼时，我很难认真对待。在我看来，试图预防“过早”死亡这个想法，对于我这个年纪的人来说很愚蠢。我又不是觉得自己快要死了，但我很难相信预防措施对一个已经超过“古稀之年”的人会有作用。
Harv Heart Lett. 2000 Aug;10(12):7.
4
Ask the Doctor: Because I had a lot of rhythm abnormalities after my heart attack a few years ago, my doctor gave me an implantable defibrillator. I've gotten so used to it that I forgot I even had it until a few weeks ago when I was sitting at dinner and felt a big thump in my chest that nearly knocked me out of my chair. I went to my cardiologist, who did some tests and told me not to worry about it. As I see it, I just died and was rescued by this thing. Shouldn't something more be done for me?问医生：几年前我心脏病发作后出现了很多心律异常情况，医生给我植入了一个除颤器。我已经如此习惯它了，以至于直到几周前我都忘了自己身上有这个东西，当时我正坐着吃晚餐，突然感到胸口一阵重击，差点把我从椅子上震下来。我去看了心脏病专家，他做了一些检查后告诉我不用担心。在我看来，我当时就像死了一回，然后被这个东西救了。难道就没有更多的措施可以为我采取吗？
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Ask the doctor. I haven't had such good luck with my heart--a heart attack ten years ago and angioplasty with two stents inserted last year. Would it make sense for me to have a yearly stress test? If I had been doing that after my heart attack, maybe my doctor would have seen the blockage and we could have done something about it earlier.问问医生。我的心脏状况一直不太好——十年前心脏病发作，去年做了血管成形术并植入了两个支架。我每年做一次压力测试有意义吗？如果心脏病发作后我一直做这个测试，也许医生就能发现堵塞情况，我们也就能更早采取措施了。
Harv Heart Lett. 2005 Aug;15(12):8.
6
I've taken aspirin for years to prevent heart attack, and now I've developed an ulcer. My doctor told me to keep taking aspirin along with Prilosec. Why keep taking aspirin if it caused my ulcer?多年来我一直服用阿司匹林来预防心脏病发作，现在却患上了溃疡。我的医生告诉我要继续服用阿司匹林并搭配奥美拉唑。既然阿司匹林导致了我的溃疡，为什么还要继续服用呢？
Mayo Clin Health Lett. 2012 Mar;30(3):999.
7
Ask the doctor. I had a heart attack three years ago at age 78. My doctor started me on lisinopril, carvedilol, and aspirin. My total cholesterol is 190, and my LDL is 128. Should I be taking a statin?咨询医生。我78岁，三年前心脏病发作。我的医生让我服用赖诺普利、卡维地洛和阿司匹林。我的总胆固醇是190，低密度脂蛋白是128。我应该服用他汀类药物吗？
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8
Ask the doctor. After a heart attack six years ago, I went on Lipitor (atorvastatin) because my doctor said it was proven to reduce the risk of a second heart attack in high-risk people like me. Three years ago, I switched to a generic (simvastatin) to save money. Now that Lipitor is going generic, should I switch back? And can I be assured that the generic version will be as effective as brand-name Lipitor at preventing a second heart attack?
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9
Ask the doctor. I've been taking estrogen since I reached menopause seven years ago, and it really helped my hot flashes and other symptoms. When I started these drugs, I was told they would lower my risk for osteoporosis and heart attacks, but I ve been reading lots of negative articles about how they may increase risk for heart problems. Should I stop them?问问医生。自从七年前进入更年期以来，我一直在服用雌激素，它真的缓解了我的潮热和其他症状。刚开始服用这些药物时，我被告知它们会降低我患骨质疏松症和心脏病发作的风险，但我最近读了很多负面文章，说它们可能会增加心脏问题的风险。我应该停药吗？
Harv Heart Lett. 2001 Oct;12(2):7.
10
Bid farewell to an old but unhelpful friend. It's time to face the facts: vitamin E won't protect you from a heart attack or stroke.
Harv Heart Lett. 2005 Jun;15(10):3.