What Causes Vertigo: The Disease or Treatment?

More than 300 drugs approved for the treatment of various medical conditions, can cause Vertigo, Dizziness, or both. An exacerbation of Dizziness Vertigo or can other side effects of this drug. Doctors who prescribe the drug can not predict the effect on the patient's vestibular system, if it is the first time that patients taking this drug. Next: an innocent drug in the past, can cause symptoms of imbalance in old age.

When a cardiologist is an IV drug injection as part of the life saving procedures, the possibility of vertigo as side effects are not important. Doctors should focus on the issue of saving lives. This situation is different in the elective treatment of vertigo or dizziness is a side effect.

Shemesh Zecharya (MD) from the "Hadassah Ein Kerem" Hospital in Jerusalem is an illustration showing examples from the field of Cardio-vascular diseases.

What causes it and what the results of treatment?
If patients have severe imbalance with vertigo or dizziness - this question may be the most important issue in treatment. Based on the intensity it is possible to classify the disease into two categories: acute onset and gradual onset. I do not use the term "chronic onset" because of "acute attacks" could continue as a "chronic attack".

When the patient can tolerate the process of in-depth investigation of factors that accelerate the occurrence of vertigo or dizziness it, doctors and patients are able to isolate the factors that are relevant and can regulate a drug that causes it. On the next line we will try to relate to examples of more specific spectrum of treatment for Cardio-vascular disease.

Hyperlipidemia is a diagnosis of high blood fats such as total cholesterol, HDL cholesterol, LDL cholesterol or triglycerides. Image analysis of blood fat by an expert can assist in identifying an increased risk of cardio-vascular disease or weather there is no risk.

The first step in treatment is a special diet. If there is no benefit of dietary treatment, the doctor offers drug treatment, and the most common drug to reduce the risk of being classified as "statins".

This treatment can be applied slowly and gradually. In low doses, statins, this treatment was well tolerated. When there is a need to increase high-level doses, some patients will suffer from side effects, Vertigo, Dizziness or Tinnitus (sensation of noise in the ears or head) can occur.

Cardiac arrhythmia may be accompanied by vertigo or dizziness. The Cardiologist had to decide what causes: anti-arrhythmic drugs or cardiac arrhythmia itself. When a patient entered the emergency room, part of the routine data exchange includes a brief convey information using short-term professional among medical staff, and as a result, no one writes in the graph that there is a problem of imbalance.

If there are co-dominant symptoms: vertigo and treating the cardiac arrhythmia cardiologist must distinguish between abnormal cardiac activity episodic and side effects of anti-arrhythmic drugs. Drugs such as Lidocaine, Tocainide, Mexiletine, Moricizine or Dofetilide is in the list.

Other combinations are possible: vertigo due to drug side effects limited to episodes of cardiac arrhythmia.

A medical condition that may occur is more complicated when there is no vertigo, but no nausea or vomiting attacks. May occur during treatment by quinidine (nausea. can cause tinnitus), Procainamide, Propafenone, Amiodarone (nausea alone) and Ibutilide (nausea alone).

In the emergency room, under stress conditions is possible that someone will write in the patient's medical chart: "vertigo, nausea and vomiting," not just "nausea and vomiting".

It is clear that in patients with cardiac arrhythmias medical staff give the highest priority for investigation of the cardio-vascular parameters and (temporarily) ignoring all other factors. Patients who want assistance from / her vertigo or dizziness may remain frustrated.

Bottom line: even if cardiac symptoms are very light event, it is important to start a medical examination by a cardiologist, and then went to a clinic for evaluation and treatment of vertigo and dizziness.

What treatment you give your patients?
My patients came after the failure of physiotherapy, drug therapy such as betahistine or cinnarizine, which is given by otolaryngologists or sedative effect is prescribed by a psychiatrist. I offer my patients the metabolic intervention. In most patients is very effective.

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