‘heart failure’

Obesity: medical and surgical treatments

Tuesday, January 12th, 2010

Medical treatment is to find and treat any and rare medical causes of obesity, such as a malfunction of the endocrine glands (thyroid, adrenal glands).

Traditional treatments of obesity, now banned, associated with diuretics, amphetamines (diet pills) and thyroid hormones, which are both ineffective and dangerous.

Today, several medicines are available to help fight obesity. A large majority requires a prescription, because their effects on metabolism are not trivial. Some drugs work well on the intestinal enzymes, they inhibit. They reduce 30% of fat absorption from the gastrointestinal tract and is complementary diets. Dietary restriction is necessary, particularly fat, on pain of severe diarrhea.
Other drugs act on the satiety centers of the brain by a mechanism similar to that of amphetamines. Only specialists can prescribe these products.

Surgery is used only in cases of morbid obesity when body mass index (BMI) exceeds 35 or 40, and weight 130 or 150 kg. Bariatric surgery is most commonly performed is to remove part of the stomach, limiting food intake. The results are spectacular in the coming weeks, but this surgery must be accompanied by a strict diet. Psychological support is recommended. Finally in the months following the intervention of small cosmetic surgery may be required to remove folds of skin and abdominal fat deposits disappear easily.

Other interventions include installation of a temporary balloon in the stomach, which by its mere presence, cut hunger and forced to make smaller meals.

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Coronary Heart Disease

Tuesday, December 8th, 2009

Coronary Heart Disease
Classification of coronary heart disease in clinical stages and according to ICD

Coronary heart disease, also called ischemic heart disease, are diseases of the heart caused by atherosclerosis (atherosclerosis). This causes oxygen deficiency (ischemia) in the heart muscle. Coronary heart disease are divided into acute (heart attack or myocardial infarction) and chronic (angina pectoris) forms.

The ICD has additional categories, mostly asymptomatic diagnoses. The classifications according to the ICD-9 and ICD-10 are quite diverse. Thus, part of the ICD-10 category of “certain current complications following acute myocardial infarction ‘(code I23) in ICD-9 classified under” no well-defined diseases and complications of heart disease “(code 429), and thus not subject to the coronary heart disease.

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