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Author Topic: Anyone know the ins and outs of ischemia  (Read 2896 times)
paul.karen
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« on: June 16, 2009, 12:51:41 PM »

I have this i quess.
Is it something to worry about?  is there a fix or cure.  is it bad for people doing dialysis....
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Operation for PD placement 7-14-09
Training for cycler 7-28-09

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monrein
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« Reply #1 on: June 16, 2009, 01:13:50 PM »

Where is the ischemia?  Heart?  Bowel?  Other part of the body?
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Pyelonephritis (began at 8 mos old)
Home haemo 1980-1985 (self-cannulated with 15 gauge sharps)
Cadaveric transplant 1985
New upper-arm fistula April 2008
Uldall-Cook catheter inserted May 2008
Haemo-dialysis, self care unit June 2008
(2 1/2 hours X 5 weekly)
Self-cannulated, 15 gauge blunts, buttonholes.
Living donor transplant (sister-in law Kathy) Feb. 2009
First failed kidney transplant removed Apr.  2009
Second trx doing great so far...all lab values in normal ranges
paul.karen
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« Reply #2 on: June 16, 2009, 01:32:33 PM »

i had a nuclear stress test using adenosine.
So it is in my heart and the full name after reading my report closer is
inferoapical ischemia.
I looked it up on the web but the people here say it so i can understand it.
Alot of times when i read medical stuff it is like a foreign language.
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Curiosity killed the cat
Satisfaction brought it back

Operation for PD placement 7-14-09
Training for cycler 7-28-09

Started home dialysis using Baxter homechoice
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monrein
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« Reply #3 on: June 16, 2009, 02:02:17 PM »

http://www.mayoclinic.com/health/cardiac-ischemia/HQ01646

http://yourtotalhealth.ivillage.com/cardiac-ischemia.html


Here are two links that help to explain things.  The first is quite simple while the second is much more detailed.

My understanding is that ischemia means that a particular area of the heart (inferoapical in your case) is not being adequately supplied with oxygen.  There can be several reasons for this but essentially it means that the arteries are affected and in turn so is the heart.  Atherosclerosis or hardening of the arteries is one possibility but the bottom line is that ischemia puts you at a higher risk for a heart attack and so it needs to be treated.  Your doctor will decide how best to do this, depending on the underlying cause.
There are also things that you can do.  Eating less fatty foods, getting more exercise, not smoking are three key issues for every person but especially for us with ESRD because kidney health and heart health are very interconnected.

I hope you're doing well with the efforts to quit smoking Paul, and please let us know how your doctors decide to treat this so you can be active on the list.  All good wishes.


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Pyelonephritis (began at 8 mos old)
Home haemo 1980-1985 (self-cannulated with 15 gauge sharps)
Cadaveric transplant 1985
New upper-arm fistula April 2008
Uldall-Cook catheter inserted May 2008
Haemo-dialysis, self care unit June 2008
(2 1/2 hours X 5 weekly)
Self-cannulated, 15 gauge blunts, buttonholes.
Living donor transplant (sister-in law Kathy) Feb. 2009
First failed kidney transplant removed Apr.  2009
Second trx doing great so far...all lab values in normal ranges
paul.karen
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« Reply #4 on: June 17, 2009, 07:04:22 AM »

Thank you Monrein  :thx;..

The quitting smoking is very hard indeed.  Karen actualy bought the Nicotine patches yesterday.  I have always been skeptical of quick fixs.  But i may have to give it a shot. 

Ill post what the doc says once i see him.
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Curiosity killed the cat
Satisfaction brought it back

Operation for PD placement 7-14-09
Training for cycler 7-28-09

Started home dialysis using Baxter homechoice
8-7-09
Rerun
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« Reply #5 on: June 17, 2009, 09:18:13 AM »

Paul have you heard of the Smart Cigarette?  It is just like smoking without the bad affects. 

http://smartfixx.com/

Best of luck.  This may affect your transplant evaluation.  I hope not.    :cuddle;
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paul.karen
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« Reply #6 on: June 17, 2009, 09:37:01 AM »

 :waving; ReRun
Yes i have seen and heard of those smartsmokes.
I just want and need to stop even pretending :rofl;..
And this has already effected my TX listing. 
I am listed but as inactive, but at least im getting time on the list.
have an appt. for July 1st with a cardiologist to see whats up.
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Curiosity killed the cat
Satisfaction brought it back

Operation for PD placement 7-14-09
Training for cycler 7-28-09

Started home dialysis using Baxter homechoice
8-7-09
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