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Viagra for use of ischemia?

Posted By: Flo on 2007-04-16
In Reply to:

Subject: Viagra for use of ischemia?

Doctor said Viagra twice when discussing medications for a woman patient with ischemic ulcers at the tips of the index and middle fingers and poor circulation to the left hand.

It was clear. I know it is the nice blue pill for men, but are you aware of any other uses for it?


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Viagra
Subject: Viagra

I had a very interesting conversation once with a Pharmacy Tech and he told me that the INITIAL developement of Viagra was as a cardiac drug.
Viagra for women with SOB?
Subject: Viagra for women with SOB?

It sure sounds like he's saying Viagra, although he is pronouncing it Vee-aygra.  I do see a few things about Viagra for CHF but not really in women.  Thank you.
Viagra is also used to help improve
Subject: Viagra is also used to help improve

respiratory function. 
drug s/l Vy-ack. Can't tell what its for. Female, so not Viagra. Does have bronchitis. nm
Subject: drug s/l Vy-ack. Can't tell what its for. Female, so not Viagra. Does have bronchitis. nm

,,
Not that one either:) States clearly 'Viag', like leaving off the end of Viagra. nm
Subject: Not that one either:) States clearly 'Viag', like leaving off the end of Viagra. nm

..
Maybe Sildenafil (Viagra)...RxList shows...
Subject: Maybe Sildenafil (Viagra)...RxList shows...

that this can also be used for PAH, which makes sense for the text you posted. Re-listen and see if you hear that. Otherwise, I would leave it blank. 


I'm not sure if you're a new MT or not (and I don't want to seem condescending if you're not) but just in case you are, I found this by:


1) Googled 'pulmonary hypertension treatment'
2) 'Sildenafil' grabbed my eye as having the essential sounds that the mushmouth used (LOL)
3) I looked up Sildenafil on the RxList.com medication site to be sure it was used
4) Again, I highly suggest you re-listen to the dictation and be sure that you hear 'Sildenafil'. .


(PLUS, I also learned something new today...that Viagra has other uses -- I absolutely love learning something new).


Male patient? May be sildenafil citrate (Viagra)
Subject: Male patient? May be sildenafil citrate (Viagra)


It was CNS ischemia
Subject: It was CNS ischemia

They had to check the chart on this one.
ischemia?
Subject: ischemia?


A search shows that Viagra IS prescribed for women, and with good
Subject: A search shows that Viagra IS prescribed for women, and with good

s
sildenafil is used for impotence (Viagra), do not know if that is listed as a problem for the patien
Subject: sildenafil is used for impotence (Viagra), do not know if that is listed as a problem for the patient?


s/l provocal ischemia
Subject: s/l provocal ischemia


not saying probable ischemia?
Subject: not saying probable ischemia?


Yes, a virus could cause ischemia
Subject: Yes, a virus could cause ischemia

Pericarditis can be caused by a virus which can lead to restricted blood flow to/from the heart because of damage done by the virus.


I assume it's possible the same type of thing could happen in other parts of the body as well....


possibly ischemia?
Subject: possibly ischemia?


erosive ischemia?
Subject: erosive ischemia?

Can an EGD be negative for erosive ischemia?  Its definitely not erosive gastritis.  These are the sentences.  These are not making sense to me.

Cardiology consultation was obtained.  The patient underwent a nuclear medicine scan which was negative for ____ ischemia. EGD negative for erosive ischemia.  The patient has been chest pain free since her admission.


peri ischemia?
Subject: peri ischemia?

It sounds like the doctor is saying "coronary artery disease with an apical myocardial infarction and some mild peri ischemia in that area.  I have not heard of peri ischemia before- has anyone run across this term?
also found provocative ischemia. sm
Subject: also found provocative ischemia. sm


ACC/AHA and ASNC release guidelines for the clinical use of ...





Factors that estimate the extent of left ventricular dysfunction are the best predictors of cardiac mortality, and markers of provocative ischemia are ...
www.findarticles.com/p/articles/mi_m3225/is_5_69/ai_114023775 - 34k - Cached - Similar pages


Improved Outcome of Elderly Patients (”Ż 75 Years of Age) With ...





... waiting”± with coronary arteriography followed by coronary mechanical reperfusion was used only for patients with spontaneous or provocative ischemia. ...
circ.ahajournals.org/cgi/content/full/95/2/342 - Similar pages

s/l centralagraphic evidence of ischemia
Subject: s/l centralagraphic evidence of ischemia

I cannot find this anywhere!  Please help.


mild preischemia or pre-ischemia? nm
Subject: mild preischemia or pre-ischemia? nm


yes sounds correct. i would myocardial ischemia
Subject: yes sounds correct. i would myocardial ischemia

then the other test (EGD) was neg for erosive ischemia
Have heard of *peri-infarct ischemia"
Subject: Have heard of *peri-infarct ischemia"

x
May be TIA if you are not reallyh hearing an M. Transient ischemia attack?
Subject: May be TIA if you are not reallyh hearing an M. Transient ischemia attack?


Long shot, but often dictate myocardial ischemia. nm
Subject: Long shot, but often dictate myocardial ischemia. nm

xx