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Answer:
I am sorry to hear about your brother. I am not sure I understand the question, but a pacemaker is used for slow heart rates and occasionally to improve heart failure symptoms. Infection is one of the most common complications. The arm swelling could be from a clot that formed when the wires were placed in the vein for the pacemaker. Blood thinners are usually used to treat this.
Answer:
Angina is usually associated with artery blockages but can be seen without major blockages. She should be evaluated for blockages. Regarding valves, angina is usually only associated with a very tight valve and not leaky valves as often. Cardiologist usually evaluate the valves by physical exam and ultrasound.
Answer:
There is some suggestion that ginseng may interfere with Warfarin. It is recommended not to take both. A neurologist has other medications that may help, that can be used with Warfarin.
Answer:
I would suspect that anxiety does have something to do with it. Showering itself is not a major stressor to the heart unless the water is very hot or cold. Regular exercise (5 days a week, 40 minutes or more, getting your heart rate to greater than 70 percent predicted) reduces the baseline heart rate and makes it less likely to go higher with minimal stress.
Answer:
Cryoablation in particular has no indication. It is simply an ablation technique. Ablation for atrial fibrillation is indicated in patients with symptoms who have failed a rhythm drug.
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