In risk zone are vessels and heart.

 COVID-19 and his affect are worry keeping our readers, and in zone for risks are vessel and heart after COVID-19, thus need to control theirs condition after   COVID-19   and to do this right  shares for readers cardiologist Arshinova.

1. On my 77 y.old am having ischaemic heart disease with rhythm destroy, fibrillation for atrial, hypertension on 3-4 level shared Svetlana, for preventing thrombus am using anticoagulant , remedy for blood diluting  on 150 ng for 2 times/day. On the last year am endured COVID-19, in 3 weeks on the night am felt bleeding from a nose, and called for emergency, they are shared for stopped used Pradaxa for three days, and my friends shared, that am need add pause for half years, but who is right? And my doctor shared, that this remedy need use for all life.

Dear Svetlana, if a nose bleeding period had been for one time and on COVID-19 infection time, thus a stopped remedy used has been understood and need, and to say a  for sure, you need to do blood test and coagulogramma, and in a common in absence tendency to bleeding , for patients with a constant fibrillation form are needed a non-stopping course for anticoagulants. And in absence for bleeding a to do rest for 3 days or for moth is not need, and this is must to be not safe. Anticoagulants care from thrombosis, forming a most dangerous complication for arrhythmia. When a thrombosis forming and staying a big, he is breaking away from the place an attaching to the wall, and with blood current enters in head brain, causing vessel  blockage. This condition is calling stroke, which displaying on any day and on a time without justified remedy use, stopped.Thus, you need to prevent this disease. And remedy prescribe will save you against stroke. And for you selected right dosage as adequate by diagnosis. And am not to see a reason to stop cure course, which for you is for all life need. And one time nose bleeding is a not indication for stop use a remedy for future. And anticoagulants need to use with remedies protecting stomach membrane as  omeprazol for one month, rest for a few weeks, and again use.And rest need,that constant use is bad affecting on stomach. And in use for data regime he is useful as in use remedy Pradaxa. And for a strengthening blood wall use ascorutin, vitamin C on 500 mg for 2 times/day and similar.

2. On my 83 y.old am having diabetes for 2nd type , as insulin depending, a few month ago am endured Covid, after this my leg strong edema, use panangin on 2 pillls for 3 times/day, digoxin one pill on the morning, veroshpiron   on the morning, furosemid 4.0 intravenously for 2 times/day, but edemas still keeping. Help me!

Dear Galina! Before to concrete remedies advices am advise you to do a minimal cardiologic investigation, as by your remedies' info, you are having a constant form arrhythmia as systolic kind ,where pulse is very high. And in your case need to do ECCG, ultrasound heart, and they are answer on your lots of questions and about your  rhythm and does heart  parameters changes, than in favourable period, as heart camera are not vasodilated, diastolic or systolic heart failure having, how a much stronger heart relaxing and enough? If a having lowering shortening activity and increase pulse,thus doctor will correct dosage a digoxin  to a side for increase. If heart defects having, thus are not just remedies using,  but stationary cure. From a blood test doing NT-proBNP  IS on a hide heart failure, haemoglobin, ferritin, electrolytes stats a and a how affected COVID-19 on thyroid gland ,thus test blood on TTH.And an importance controlling level for glycoside haemoglobin, and regular check pressure level, as about a lowering or rising. And in you cure arrhythmia in scheme for cure is not enough anticoagulants as on dosage as varfarine , and with a right control  on INR  or apixaban, dabigratan, rivaroxaban as remedies using without a control blood test. And It's importance, that risks for thrombosis in that arrhythmia kind is very high. And parallelly with anticoagulants always use omeprazol, for a lowering risk a digestion system, and unfortunately are not doing this, as avoiding or forgetting, and in result we are cure erosion gastritis or stomach ulcer. And about diuretics and oedemas ,as furosemid intramuscularly is not having enough effect as on regime for 2 times/week.A most modem remedy as by effective and right requirement at home  conditions is torasemid.