Frank J. Pearl, M.D.
|Voluntary Professor of Medicine, University of Miami Miller School of Medicine, Miami, FL. Board certified in cardiovascular disease|
Increased exercise of both aerobic and weight resistance would be helpful. High triglycerides will lead to fatty liver. Ask you doctor about starting on Actos which helps fatty liver, sugar and triglycerides
The minor change in position should not matter. If there is any question about the adequate control of your BP ask your doctor about a 24 hour BP monitor. Everyone's BP is elevated some of the time. The
A Left Bundle Branch Block is a problem with the electrical system of the heart. It can cause dysynchrony which can cause a decrease in the ejection fraction. It is not low enough to consider bi-ventricular
You were found to have early cerebrovascular disease. You need to optimize your BP and cholesterol profile, keeping your LDL , 70. You probably also have early coronary disease since it is a systemic
1 -There was nothing that required treatment at that time but that was now 4 years ago. 2- There is no required follow up of a normal 3 - It depends on the clinical situation. You need to discuss