Heart Murmurs
What is a heart murmur?
an abnormal sound caused by turbulent blood flow
What does Amlodipine and Gliclazide treat for in patients?
hypertension and Type 2 diabetes Mellitus
Why might people use homeopathic remedies?
Dissatisfaction with conventional medicine
Previous positive experiences
Belief that herbal medicine is safer
Family traditions and cultural beliefs
Repeated alcohol related injury can replace healthy liver tissue with what?
scar tissue
How do you test for a heart mumur?
Cardiac auscultation with stethoscope
By what mechanisms do Amlodipine and Gliclazide work?
Amylodipine is a Calcium Channel blocker
Gliclazide leads to depolarisation of beta cells and thus insulin release.
What could potentially cause a heart infection?
bacteria and fungi
Sometimes liver damage can reduce the production of which proteins that helps stop bleeding?
clotting factors.
Name either of the two most likely causes of the murmur, given patient history.
Mitral regurgitation
Infective endocarditis
What relationships does alcohol consumption have whilst paired with this medication and how might this explain some of the patients symptoms?
Amylodipine - headaches, drowsyness and orthostatic hypotension. Gliclazide - hypoglycaemia, headaches and dizziness.
What are some examples of herbal remedies that could cause endocarditis/infection?
Nosodes
What substance can accumulate inside liver cells because of excessive alcohol consumption?
Fat