THIS MONTH’S PROFESSIONALS

Dr. Latonya Law

Dr. Latonya Law

Family Nurse Practitioner

Dr. Latonya Law is a Family Nurse Practitioner, board certified by the American Academy of Nurse Credentialing Center (AANCC) and licensed by the state of Georgia. She is devoted to the advancement of medicine and contributes by holding memberships to the American Nurses Association, Black Nurses Rock, and Georgia Nurses Association.

Tessa Messinger

Tessa Messinger

Critical Care and Remote Clinical Practice

Tessa Messinger Tessa Messinger is an experienced RN whose body of work has includes coordination of patient enrollment and follow up in cardiovascular and Alzheimer’s trials. She has worked extensively with multidisciplinary team for management of TAVR and Mitra-Clip patients. Messinger currently works for the American Association of Critical-Care Nurses (AACN) as a Remote Clinical Practice Specialist, Nurse Peer Reviewer.

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This Month’s Questions & Answers

  • lezned
    lezned, SUPPORT NETWORK Member Asks
    Q.

    "I have permanent Afib.66 yr old female.Canged my lifestle + lost 40lb.My Dr,. keeps pushing for a cardioversion+ablation. I am on 120mg sotalol 2x a day.Eliquis 5mg 2x a day.Digoxin 0.125mg 1x a day. Diltiazem 120mg x 1 a day.I also have small silicone breast implants.I chose rate control. Irregular h.b. 24/7.Should I consider the other route?"

    A.

    Cardioversion is a low risk standard treatment option for patients with persistent atrial fibrillation and Catheter ablation is an invasive treatment which has been reported to result in up to 60%-70% of patients in stable sinus rhythm. Due to not having more information about your diagnosis it is recommended that you follow up with your provider for more discussion and treatment as they will have your medical records available which could determine why this procedure is being pushed. Thank you, Dr. Latonya Law

  • Sweetautumna
    Sweetautumna, SUPPORT NETWORK Member Asks
    Q.

    "I have a mildly lvh amd offen experience chest discomfort. Is that normal ? I’m not on any med because my blood pressure is back to normal and I do light walking for exercise to aid with regressing it back ."

    A.

    LVH is a term for a heart’s left pumping chamber that has thickened and may not be pumping efficiently. The thickened wall can cause the left chamber to weaken, stiffen and lose elasticity, which may prevent healthy blood flow. Without treatment you may experience symptoms of chest discomfort in which you should consult with your provider for further testing. Thank you, Dr. Latonya Law

  • SUPPORT NETWORK Member Asks
    Q.

    "My husband has Familial Hypercholesterolemia, and I have high cholesterol, but the doctor says it is not the same, why?"

    A.

    Cholesterol can be high for a lot of reasons. Lifestyle can play a large role, some medications increase cholesterol levels, some diseases can increase cholesterol levels (for example certain types of kidney disease and thyroid disease). Familial Hypercholesterolemia is different in that it is an inherited disease that leads to very high cholesterol levels starting very early in life. In most patients, FH is inherited as an “autosomal dominant” disease, i.e. a child of an affected parent has a 50/50 chance of inheriting Familial Hypercholesterolemia. You should discuss this further with your physician and you may find the website of the FH Foundation helpful as well. Thank you for this question.

  • MaryanneVio
    MaryanneVio, SUPPORT NETWORK Member Asks
    Q.

    "on the fence about advice from heart surgeon and cardioligist for future valve repair/replacement. have been monitored for the past 4 years but now the status has changed to moderate/ severe. i have anorexia since 18yrs. am now 52 years. they are concerned because of this. i am trying to gain more weight to help the odds. what do you think. should i wait or risk the odds of it getting really bad. i have more tired days. i do run everyday for 45 min."

    A.

    Cardiac procedures should be taken seriously … It is recommended that you follow all of your cardiologist orders in regard to your heart health. Thank you, Dr. Latyona Law

  • KatMarie
    KatMarie, SUPPORT NETWORK Member Asks
    Q.

    "Hello, I have a 40 yo daughter who had a Medtronic mitral valve implant at the age of 5 yo. Last month she was diagnosed with chf. All her tests, (echo, neck catheterization), came back okay. However, her e.f. is between 20-25 percent, but her symptoms ( dizziness, shortness of breath, fatigue), are mild to moderate at worse. She is on Entresto, spironolactone, generic coreg, and warfarin. Hopefully, these medications will work for her. However, I do worry about the affect these meds will have on her kidneys. What should she look for in terms of symptoms if her kidneys start having problems? Thanks."

    A.

    The main symptoms that she will notice could be related to the kidneys would be swelling of the extremities but it is recommended that your daughter follow up with your provider to monitor the lab values which could help indicate how the kidneys are functioning. Thank you Dr. Latonya Law

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