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  Reply # 1059343 4-Jun-2014 19:58
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gnfb:
joker97: PS - don't forget the aspirin ... and hope like hell it stops the platelets holding hands!
edit - stops a critical mass of platelets holding hands
edit edit - seriously, don't worry too much. that's probably not going to help. hence they put you on an antistress thing called a beta blocker - hey the docs really don't fully understand this, they have some weapons, some data, take care my friend!


Yes I actually do take a aspirin a day plus of course a fistful of other ones that do various things.

I would like to think that we are not far away from predictive hardware, I mean you can get a ecg in a iphone anything is possible.

I was however thinking of how we look to hi tec for answers when maybe we should also look at the obvious as well.

The same as when the yanks spent thousands developing a pen that wrote in space and the russians took a pencil.

I use to live thirty minutes form the hospital , I now live 10 minutes
simple stuff like that.


hi tec is not the blanket answer. when you do a test you get 4 kinds of results
- test is positive, and you actually have said condition you are testing for
- test is positive, but you don't have said condition despite the positive test
- test is negative, and you definitely don't have said condition
- test is negative, but you actually have said condition but not picked up by the test

say your iphone goes bonkers with red lights flashing every 3 days, you go to hospital and it was a mistake on the app, your life will be so miserable! in fact you won't have a life, but a false obsession.

say your iphone gives you the thumbs up but you are actually having a something going on. well, sayonara.

i really doubt a 24hr iphone ecg is going to be useful in predicting heart attacks. the quality of the data won't be there if you don't get wired with like umpteen wires. it also needs an expert to interpret the entire set. 

i also really doubt a 24 hr ecg is going to be any better than a regular heart specialist check up overall. 

but hey who knows, why don't you ask your heart specialist instead of the iphone!

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  Reply # 1059372 4-Jun-2014 20:20
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gnfb: 

The same as when the yanks spent thousands developing a pen that wrote in space and the russians took a pencil.

.


sorry to be a pedant, but that is a complete urban myth.

A pencil won't work in space because the shavings and bits of lead that flake off would get in all the complex electronics.  They are also a fire hazard being made of wood. 

Not only that, but NASA didn't even develop the space pen.  It was developed by some random guy, and he sold NASA the pens for.... about $3 each.

It's a funny story, but completely wrong.

 
 
 
 


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  Reply # 1059417 4-Jun-2014 21:28
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They were originally using mechanical pencils but the cost was $120ish USD a pencil and the US populace complained.

The Fisher pens were just under $3 USD and both the Russians and Americans bought them :) Doesn't sound as good as the made up story though :)

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  Reply # 1059420 4-Jun-2014 21:33
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Would be interested in what drugs and advice they gave you? I know aspirin is meant to be good, how about fish oil?

I've also read soy milk can also help

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  Reply # 1059438 4-Jun-2014 22:22
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Nope those two devices don't look at anything other than rate and do not really useful.

For anginal change you are looking at suttle changes in amplitude at particular part of the ecg these devices dont do that.

There are also variant heart pattern which don't change at all despite having a heart attack.

You can also have a heart attack with a normal heart rate...

A.



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  Reply # 1059840 5-Jun-2014 14:32
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NonprayingMantis:
gnfb: 

The same as when the yanks spent thousands developing a pen that wrote in space and the russians took a pencil.

.


sorry to be a pedant, but that is a complete urban myth.

A pencil won't work in space because the shavings and bits of lead that flake off would get in all the complex electronics.  They are also a fire hazard being made of wood. 

Not only that, but NASA didn't even develop the space pen.  It was developed by some random guy, and he sold NASA the pens for.... about $3 each.

It's a funny story, but completely wrong.


OHHHH and that was a favourite story next you will be telling me theres no Santa Clause!




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  Reply # 1059841 5-Jun-2014 14:34
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afe66: Nope those two devices don't look at anything other than rate and do not really useful.

For anginal change you are looking at suttle changes in amplitude at particular part of the ecg these devices dont do that.

There are also variant heart pattern which don't change at all despite having a heart attack.

You can also have a heart attack with a normal heart rate...

A.


So while I was in the ICU were all the machines and leads I was plugged into just to monitor not to predict or warn?




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  Reply # 1059842 5-Jun-2014 14:35
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By the way folks I have an appointment with my doc early next month where I will put to him some of these comments and thoughts thanks for all of them




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  Reply # 1059877 5-Jun-2014 15:39
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The Machines in ICU are to show the current state of affairs so that developing patterns can be seen in real time.

 

With skill and experience the patterns can be interpreted about what is happening then.

 

I suppose my contention is that there is a big difference between a 12 lead ecg on a machine thats cost 20K+, sitting an ICU or CCU costing thousands dollars per day and watched by medical/nursing staff who have trained for years; and iphone app.

 

 

 

A.


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  Reply # 1059880 5-Jun-2014 15:44
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gnfb: With the forever promised wearable technology, I was wondering if anyone knew of a wearable device That "monitored" your heart rate and feed that information back to a base (computer). There seems to be lots of devices now on the mrket but as far as I can tell, they are all deceptive as they say about heart rate monitoring but what they mean is if you push the button then connect with a usb then ...blah blah blah.

1.So wear on the wrist
2. wifi
3. feeds info back to base at regular intervals


I saw something like that the other week on Dr Sanjay Gupta's medical clip on CNN. Sends data to your doctor electronically.

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  Reply # 1059883 5-Jun-2014 15:54
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afe66: The Machines in ICU are to show the current state of affairs so that developing patterns can be seen in real time.

With skill and experience the patterns can be interpreted about what is happening then.
I suppose my contention is that there is a big difference between a 12 lead ecg on a machine thats cost 20K+, sitting an ICU or CCU costing thousands dollars per day and watched by medical/nursing staff who have trained for years; and app.
 
A.



I believe that during and after a bypass, or I guess any open heart surgery, the readings give awareness of the success or issues of the procedure. Graft leak, reactions, infections etc. Even in your room after ICU your measured with alarm parameters set.

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  Reply # 1059884 5-Jun-2014 16:00
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Lurch: Would be interested in what drugs and advice they gave you? I know aspirin is meant to be good, how about fish oil?

I've also read soy milk can also help


From what I have learnt, here is what lay detail I know.

Aspirin thins the blood and helps reduce platelets attracting to clots.
Beta Blockers such as Metoprolol reduce the heart rate, and this also gives some leverage from clots and high blood pressure
Statins reduce cholesterol and can help reduce cholesterol caused narrowings over time.

A lay summary, no more


gsr

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  Reply # 1059924 5-Jun-2014 17:29
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I wish we could predict heart attack by merely strapping a heart rate monitor. It's not that simple afaik.

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  Reply # 1059926 5-Jun-2014 17:29
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gnfb: So while I was in the ICU were all the machines and leads I was plugged into just to monitor not to predict or warn?


99.9% correct.

see this for some explanation to the brief answer https://www.ted.com/talks/peter_van_manen_how_can_formula_1_racing_help_babies

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