- heart and blood vessel disease
- glomerulonephritis, a disease that causes inflammation in the kidneys
- inherited diseases, like polycystic kidney disease, which causes cysts to form in the kidneys
Usha Panneerselvam, MD
Specialty: Internal Medicine
Location and Office HoursWoodridge Medical Associates
351 Budlong Rd
Cranston, RI 02920
- BlueCross BlueShield
- BlueCross BlueShield of Rhode Island
- Great-West Healthcare Cigna
- Neighborhood Health Plan
- Tufts Health Plan
- United Healthcare
- Roger Williams Medical Center
What is chronic kidney disease?
National Kidney Foundation answeredChronic kidney disease (CKD) is a condition that damages your kidneys. It decreases your kidneys’ ability to filter your blood and keep you healthy. The two main causes of CKD are diabetes and high blood pressure. Diabetes occurs when your blood sugar is too high, causing damage to many organs in your body, including the kidneys and heart, as well as blood vessels, eyes and nerves. High blood pressure, or hypertension, occurs when the pressure of blood against the walls of your blood vessels increases. If uncontrolled, or poorly controlled, high blood pressure can be a leading cause of CKD, heart attacks and strokes. CKD can also cause high blood pressure. Many other conditions can harm the kidneys. These include:
What is interrupted aortic arch in children?
Johns Hopkins Medicine answered
This rare genetic disorder involves two defects. First, the aortic arch does not form a complete tube and is divided, or “interrupted.” The aortic arch is the part of the aorta (the major vessel that carries oxygen-rich blood from the heart to the body's tissues) that curves directly above the heart and begins the descent to the lower body.
Second, there is almost always a hole, called a ventricular septal defect (VSD), in the muscle wall (septum) that separates the two ventricles, or pumping chambers of the heart.
Because the aorta is interrupted and cannot carry blood from the left ventricle to the lower body as in a normal heart, it might seem that the child with this anomaly could not survive. However, some blood does enter the lower part of the aorta because of a small vessel, known as the patent ductus arteriosus (PDA) that connects the pulmonary artery to the descending aorta. (The patent ductus arteriosus is a feature of the fetal circulatory system that usually closes soon after birth.)
The pulmonary artery normally carries oxygen-poor blood to the lungs, so it might seem that blood entering the lower aorta from this vessel (through the PDA) would not carry enough oxygen to the lower body. However, in this case the ventricular septal defect (VSD) allows mixing of oxygen-rich blood from the left ventricle into the right ventricle, which pumps blood into the pulmonary artery.
What is an implantable cardioverter defibrillator?
This is a relatively small device most often placed within the chest under the collar bone. It has wires that attach into the heart. The purpose of this device is to use electrical pulses or shocks to help control life-threatening irregular heartbeats, primarily those that cause sudden cardiac arrest [SCA]. SCA is a condition in which the heart suddenly and unexpectedly stops beating, which usually leads to death. The device is primarily indicated in two types of settings:1. in patients who are actively having these types of life-threatening heart rhythm irregularities which has been documented while they have been on a heart rhythm monitor,
2. or in patients who have high risk medical conditions (such as a weakened heart muscle), and are expected to have this type of life-threatening abnormal heart rhythm.
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