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- $Unique_ID{BRK00596}
- $Pretitle{}
- $Title{Fatigue, Fever, and Arthritis After Heart Surgery}
- $Subject{heart surgery complication fatigue fever arthritis Circulatory
- Special Procedures procedure operations operation Postpericardiotomy Syndrome
- cardiac surgeries salicylate salicylates}
- $Volume{P-3}
- $Log{}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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- Fatigue, Fever, and Arthritis After Heart Surgery
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- QUESTION: I had heart surgery several weeks ago, and thought I was doing fine
- until recently, when I began to experience extreme fatigue, a slight fever,
- arthritis pain and loss of appetite. I am being treated by my doctor, who is
- merely prescribing aspirin. Is this all that is needed to cure me?
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- ANSWER: Your physician is playing it conservatively, but by the book. The
- ever increasing number of heart operations has provided us with new insights
- into the results of the surgery, as well as syndromes which develop after the
- operations are performed. Your condition is known as "Postpericardiotomy
- Syndrome" and can occur in as many as 10 to 50% of all cardiac surgery
- patients. Certainly your symptoms fit this diagnosis, and your doctor
- probably has some additional evidence from laboratory tests that rule out
- other possibilities. The cause of this syndrome may be linked to immune
- responses, possibly set off by a viral infection. It is difficult to tell you
- how long this may persist, as that varies greatly from patient to patient.
- The use of salicylates (aspirin) is recommended, and can bring the symptoms
- under control in about 4 days. While steroids can be used to obtain a quicker
- result, such treatment may mask the symptoms of a true infection, and patients
- treated with this medication have more frequent relapses. The good news is
- that this syndrome usually runs its course without other complications or side
- effects. Your job is to relax, follow your therapy and obtain a complete and
- swift recovery.
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- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
-