Alternatives to Berkey: Managing Side Effects and Blood in Stool
The side effect of Berkey medication is profuse bloody stools? Hello: My father is a dialysis patient. Two months ago, he underwent cardiac catheterization and had two drug-eluting stents placed. The doctor prescribed Brilinta (ticagrelor) and Clopidogrel (Plavix) to be taken onc...
Dr. Chen Jili Reply:
We recommend that you: 1. Discuss the above situation further with your attending physician. 2. Consider seeking a consultation at another medical facility. Thank you, and wishing you good health![Read More] Alternatives to Berkey: Managing Side Effects and Blood in Stool
Consultation on Low Blood Pressure Medication Before Cardiac Catheterization
Consultation on Hypotensive Medication Before Cardiac Catheterization Hello: My father has been on dialysis for about three months and has had two drug-eluting stents placed. Recently, he has been experiencing symptoms of low blood pressure. Since he is scheduled for a cardiac ca...
Dr. Wu Xueming Reply:
If blood pressure is low (systolic pressure below 100), antihypertensive medication should be temporarily discontinued.[Read More] Consultation on Low Blood Pressure Medication Before Cardiac Catheterization
Assessing Myocardial Ischemia: Understanding Your Treadmill Test Results
Inquire about the degree of myocardial ischemia? Hello Doctor, I am Mr. Huang, 35 years old, 170 cm tall, and weighing 68 kg. Recently, I have been experiencing chest tightness and difficulty breathing. After conducting a treadmill exercise electrocardiogram, the doctor suggested...
Dr. Wu Xueming Reply:
1. The exercise electrocardiogram report is positive, but the severity cannot be determined; there is a high suspicion of coronary artery disease. 2. Due to the possibility of false positives in the exercise electrocardiogram, coronary computed tomography angiography may be consi...[Read More] Assessing Myocardial Ischemia: Understanding Your Treadmill Test Results
Do I Need a Cardiac Catheterization? Understanding Your Heart Health Concerns
Doctor, do I need to undergo another cardiac catheterization? Hello, doctor. I occasionally experience dizziness and shortness of breath when climbing stairs, and my hemoglobin level is slightly below the standard value. Other symptoms are fine. I have undergone a Doppler echocar...
Dr. He Dongjin Reply:
Hello, the information you provided is limited, so I can't confidently say whether there are issues with the exercise test report without seeing the details. It's difficult to advise on how to feel reassured or what actions to take. Changhua Hospital cares about your we...[Read More] Do I Need a Cardiac Catheterization? Understanding Your Heart Health Concerns
Do I Need a Cardiac Catheterization? Understanding Your Heart Health Concerns
Doctor, do I need to undergo another cardiac catheterization? Hello, doctor. I occasionally experience dizziness and slight shortness of breath when climbing stairs. My hemoglobin level is slightly below the standard value, but other symptoms are fine. I have undergone a Doppler ...
Dr. He Dongjin Reply:
Hello, the information you provided is limited, so I can't confidently say whether there are issues with the exercise test report without seeing the details. It's difficult to advise on how to feel reassured or what steps to take. Changhua Hospital cares about your well...[Read More] Do I Need a Cardiac Catheterization? Understanding Your Heart Health Concerns
Should You Undergo Cardiac Catheterization After 24-Hour ECG?
Whether a cardiac catheterization is necessary based on the results of a 24-hour Holter monitor? Hello, Doctor. I recently completed a 24-hour Holter monitor, and the cardiologist suggested a cardiac catheterization due to my slow heart rate to assess my heart condition. I have a...
Dr. Wu Xueming Reply:
According to your report, there is a phenomenon of bradycardia. It is recommended to visit an outpatient clinic for a physician's evaluation to determine if a pacemaker is necessary.[Read More] Should You Undergo Cardiac Catheterization After 24-Hour ECG?
Understanding Heart Discomfort and Facial Nerve Issues: A Comprehensive Guide
Regarding heart discomfort and issues related to the face and head? Hello, Doctor. A year and a half ago, I experienced numbness in my chest, sharp pain in my jaw, pain in my left shoulder and left arm, and severe wrist pain in my left hand. Subsequently, I developed numbness on ...
Dr. He Dongjin Reply:
Hello, the reports are all good, and the symptoms do not seem to indicate a heart problem. It may be worth considering cervical spine issues or autonomic nervous system disorders. It would be advisable to follow up with a neurologist. Changhua Hospital cares about your well-being...[Read More] Understanding Heart Discomfort and Facial Nerve Issues: A Comprehensive Guide
How to Advocate for a Heart Catheterization After Years of Symptoms?
Cardiac catheterization? I have seen countless doctors, and they only prescribe medications for my heart rhythm without offering any further treatment. How can I guide my doctor to perform a cardiac catheterization? Whenever I am in a slightly warm environment and walk for more t...
Dr. Wu Xueming Reply:
According to health insurance regulations, the indications for cardiac catheterization must include typical angina symptoms along with objective evidence of myocardial ischemia, such as a stress electrocardiogram or nuclear medicine myocardial perfusion imaging. Please discuss wi...[Read More] How to Advocate for a Heart Catheterization After Years of Symptoms?
Understanding Myocardial Ischemia: When to Consider Angiography?
Myocardial hypoxia Hello Doctor, I occasionally experience chest tightness and chest pain. I arranged for an exercise electrocardiogram, and the report is as follows: METs: 10.80, HR: 101%, ST change during exercise stage 4, 9:33. Flat ST depression at II (-2.90), III (-2.20), aV...
Dr. Wu Xueming Reply:
If symptoms can be improved under medication control, it may not be necessary to perform a cardiac catheterization.[Read More] Understanding Myocardial Ischemia: When to Consider Angiography?
Understanding Left Chest Pain and Insomnia: Heart Health Concerns
Chest tightness, insomnia? Hello, doctor. I would like to ask what kind of diseases or heart conditions could cause left chest tightness and insomnia. 1. I am currently having difficulty falling asleep and rely on Eszopiclone and antiarrhythmic medication to help me sleep. Afte...
Dr. He Dongjin Reply:
Hello, the cardiac catheterization showed that only one blood vessel is 10% blocked, which means there are no significant issues. Considering your symptoms, it is suggested that you consult a psychosomatic medicine specialist. Best wishes from Changhua Hospital.[Read More] Understanding Left Chest Pain and Insomnia: Heart Health Concerns
Post-Cardiac Catheterization: Managing Severe Leg Numbness and Pain
Post-cardiac catheterization? Hello doctor, my father underwent a cardiac catheterization in early April, during which three stents were placed through his arm and groin. The surgery went well, but now he experiences severe numbness in his legs every day, describing it as a tingl...
Dr. Wu Xueming Reply:
Based on the symptoms you described, they should not be related to cardiac catheterization. It is recommended to consult a neurologist for further evaluation.[Read More] Post-Cardiac Catheterization: Managing Severe Leg Numbness and Pain
Understanding Myocardial Perfusion Imaging: Key Insights and Next Steps
Myocardial Perfusion Scan Report Dear Director Wu, I recently sought medical attention due to abnormal chest discomfort on the left side. The doctor prescribed antihypertensive medication and aspirin, and arranged for a myocardial perfusion scan. The report is as follows: The ...
Dr. Wu Xueming Reply:
The report indicates the presence of myocardial hypoxia. Please visit the outpatient clinic to discuss further treatment options with your physician.[Read More] Understanding Myocardial Perfusion Imaging: Key Insights and Next Steps
Understanding Myocardial Perfusion Imaging Results and Next Steps
Myocardial perfusion imaging This is my father's myocardial perfusion scan. Could you please tell me what the issues are? Does he need to undergo a cardiac catheterization? Thank you. Tc-99m MIBI resting and dipyridamole stress myocardial perfusion gated SPECT shows modera...
Dr. Wu Xueming Reply:
If symptoms of cardiac discomfort persist despite medication treatment, it is recommended to undergo a cardiac catheterization.[Read More] Understanding Myocardial Perfusion Imaging Results and Next Steps
Post-CABG Heart Issues: Clarifying Concerns and Treatment Options
I would like to inquire about cardiac issues following CABG (Coronary Artery Bypass Grafting) related to the questions following number #206723? Hello Dr. Huang, I am the person with ID <a href="https://adoctor.tw/article/206723">#206723</a> who inquired abo...
Dr. Huang Yinghe Reply:
Hello: 1. Both situations exist. Patients who typically require bypass surgery often have multiple areas of stenosis in their coronary arteries. The surgery can only bypass the narrowed sections of the main coronary artery to improve perfusion, and some smaller branches may not...[Read More] Post-CABG Heart Issues: Clarifying Concerns and Treatment Options
Post-CABG Heart Issues: Understanding LVEF, MR, TR, and New Symptoms
I would like to inquire about cardiac issues following CABG (Coronary Artery Bypass Grafting)? Hello Dr. Huang, my father underwent CABG surgery on February 7th last year (bypassing four vessels: LAD, D1, OM2, PDA). Although his symptoms have improved significantly after the surg...
Dr. Huang Yinghe Reply:
Hello: 1. There were no significant changes in the electrocardiogram (ECG) before and after coronary artery bypass grafting (CABG), indicating the possibility of myocardial ischemia. 2. The ECG from March 1 of this year compared to the postoperative ECG shows a new (complete) lef...[Read More] Post-CABG Heart Issues: Understanding LVEF, MR, TR, and New Symptoms
Understanding Myocardial Perfusion Scan Results and Next Steps
Myocardial perfusion imaging Hello, I would like to ask if the following test results confirm any heart issues, and whether a cardiac catheterization is necessary? Thank you for your response, I really appreciate it. PROCEDURE: 63674 MYOCARDIAL PERFUSION SCAN WITH SPECT STUDY R...
Dr. Wu Xueming Reply:
The report indicates mild myocardial ischemia; please discuss subsequent treatment with the outpatient physician.[Read More] Understanding Myocardial Perfusion Scan Results and Next Steps
Post-CABG Heart Issues: Understanding LVEF, MR, TR, and New Symptoms
I would like to inquire about cardiac issues following CABG (Coronary Artery Bypass Grafting)? Hello Doctor, my father underwent CABG surgery on February 7th last year (bypassing four vessels: LAD, D1, OM2, PDA). Although his symptoms have improved significantly post-surgery, his...
Dr. He Dongjin Reply:
Hello, it is recommended that you discuss with your attending physician. If necessary, arrange for another cardiac catheterization to assess the condition of your blood vessels and determine whether the issues are due to vascular problems or degeneration of the heart itself. Chan...[Read More] Post-CABG Heart Issues: Understanding LVEF, MR, TR, and New Symptoms
Understanding Cardiac Catheterization Reports: Myths and Facts
Myths about Test Reports Indication: Known CAD Pre-Cath Diagnosis: Chronic CAD Post-Cath Diagnosis: 3VD-CAD, LM-CAD Intervention: Yes Complication: No Due to the patient's condition, a surgical consultation was requested; however, the patient refused surgery after ...
Dr. Li Han Reply:
Hello, this report includes the diagnosis, treatment decision-making process, doctor-patient discussion options, and records of the intervention process. It is recommended that you discuss this with your attending physician for a more appropriate approach. Changhua Hospital, Mini...[Read More] Understanding Cardiac Catheterization Reports: Myths and Facts
Understanding Cardiac Catheterization: Balloon Angioplasty vs. Stenting
Cardiac catheterization? Having undergone coronary stenting, all indicators are normal, with an LDL of 48, age 60, and weight 70 kg. There are no symptoms. Recently, a CT scan and myocardial perfusion study were performed, raising suspicion of stenosis. Therefore, the physician r...
Dr. Wu Xueming Reply:
If the lesion expands and the results are unsatisfactory, a stent should be placed in accordance with health insurance regulations.[Read More] Understanding Cardiac Catheterization: Balloon Angioplasty vs. Stenting
Understanding Myocardial Perfusion Imaging in Aortic Dissection Patients
Myocardial perfusion imaging Hello Dr. Wu, I have a history of type B aortic dissection and have had an aortic stent placed for four and a half years. Over the years, I have occasionally experienced chest tightness and pain, which prompted me to undergo a myocardial perfusion stu...
Dr. Wu Xueming Reply:
The myocardial perfusion scan shows mild myocardial hypoxia. If symptoms persist despite pharmacological management, coronary angiography may be considered.[Read More] Understanding Myocardial Perfusion Imaging in Aortic Dissection Patients