Changes in heart shape linked to abnormal rhythms
Dear Dr Roach discusses a case of hypertrophic cardiomyopathy and postoperative edema after pacemaker surgery. The reader asks if swelling indicated other heart issues. The answer covers hypertrophic cardiomyopathy risk, edema as heart failure sign, diuretic effects on electrolytes, and the potential for an implantable device if risk factors are present.
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Dr. Roach
A.K
Virginia Drive
Orlando
U.S
Canada
Open road calls to husband in open marriage tone
Dear Abby offers guidance on a long married couple facing differing retirement plans and a homebody spouse. The Open Road question explores balancing travel desires with partnership while maintaining closeness and avoiding desertion claims. The Extinguished Sparks column advises medical and psychological steps to rekindle intimacy.
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Abby
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