Choosing Between CT Scans and Catheterization After Myocardial Perfusion Testing
"Further examinations after myocardial perfusion imaging." Recently, a "myocardial perfusion scan" was performed, and the report states: Abnormal dipyridamole stress TI-201 SPECT myocardial perfusion imaging with (1) a mild, medium-sized, reversible perfusion ...
Dr. Wu Xueming Reply:
The report indicates mild myocardial ischemia. If there are no issues with the out-of-pocket expenses and you prefer not to undergo invasive coronary catheterization, a computed tomography coronary angiography (CTCA) can be performed to assess for any stenosis in the coronary art...[Read More] Choosing Between CT Scans and Catheterization After Myocardial Perfusion Testing
Understanding Myocardial Perfusion Imaging: Insights for Heart Health
Consultation for Myocardial Perfusion Imaging Report Hello Dr. Wu, I hope you don't mind me asking about my mother's heart examination. Recently, she has been feeling very short of breath during exercise and when climbing stairs. On August 22, I took her to the hospital...
Dr. Wu Xueming Reply:
The report indicates mild myocardial hypoxia. Please manage your blood pressure and lipid levels carefully. If you continue to experience frequent chest pain or discomfort, please discuss with your physician whether a cardiac catheterization is necessary.[Read More] Understanding Myocardial Perfusion Imaging: Insights for Heart Health
Can Weight Loss Help Avoid Heart Catheterization in Women?
Cardiac catheterization issues? Inquire on behalf of someone: A 40-year-old woman has been evaluated by a doctor and needs to undergo cardiac catheterization. However, she is reluctant to have an invasive procedure. Is there a possibility that weight loss could eliminate the need...
Dr. Cai Guiqin Reply:
It is recommended that you discuss the above situation with your attending physician to determine if further examinations are necessary. Thank you, and wish you good health![Read More] Can Weight Loss Help Avoid Heart Catheterization in Women?
Post-Catheterization Arm Pain and Yellowing Palms: Causes Explained
Post-cardiac catheterization, experiencing arm pain and yellowing of the palm? Hello, I had a cardiac catheterization two weeks ago where two stents were placed. Initially, the procedure was supposed to be done through my left hand, but due to the small size of the vessels, it wa...
Dr. Wu Xueming Reply:
Yellowing indicates that the bruise is healing. If there is no pain, redness, or swelling, there is no need to worry.[Read More] Post-Catheterization Arm Pain and Yellowing Palms: Causes Explained
Understanding Exercise-Induced Hypoxia: Insights from Cardiology
Exercise electrocardiogram hypoxia Dr. Huang: Hello, I have been experiencing swelling in my right foot after getting out of bed for a long time, but it only extends up to my ankles. In the morning, my feet are normal when I first step on the ground, but they gradually swell thro...
Dr. Huang Yinghe Reply:
Hello Mr. Lin: Common internal organ issues associated with lower limb edema include heart failure, renal dysfunction, or liver cirrhosis. Other causes may include local circulation problems, high dietary salt intake, and many others. If cardiac, hepatic, and renal function tests...[Read More] Understanding Exercise-Induced Hypoxia: Insights from Cardiology
Understanding Right Coronary Artery Blockage and Mitral Valve Regurgitation
Inquiry about right coronary artery branch occlusion issues? Dear Dr. Wu, My mother is 68 years old. At the end of last year, she experienced pleural effusion for the first time in her life. An echocardiogram revealed moderate to severe mitral valve regurgitation, which caused f...
Dr. Wu Xueming Reply:
If the heart's contractile function is poor and symptoms of heart failure and pulmonary congestion remain uncontrolled despite medication, it is advisable to address the issue of vascular obstruction. Surgical bypass surgery will only be considered when catheter-based interv...[Read More] Understanding Right Coronary Artery Blockage and Mitral Valve Regurgitation
Understanding Cardiac Catheterization: Misdiagnosis and Heart Health Concerns
Cardiac catheterization In January 2021, I underwent a nuclear medicine myocardial perfusion imaging test that indicated hypoxia; however, I do not have hypertension, diabetes, or hyperlipidemia, and I did not experience symptoms of chest tightness or chest pain at that time. The...
Dr. Cai Guiqin Reply:
It is recommended that you discuss the above situation further with your attending physician to determine if any additional examinations are necessary. Thank you, and wishing you good health![Read More] Understanding Cardiac Catheterization: Misdiagnosis and Heart Health Concerns
Understanding Your Heart Health: Insights from Recent Cardiac Tests
Cardiac-related examination report? Hello, Doctor He. A few years ago, I underwent coronary artery stent placement. Recently, I had follow-up tests including a myocardial perfusion scan and echocardiogram. The reports are as follows: Myocardial Perfusion Scan: - The baseline ECG...
Dr. He Dongjin Reply:
Hello, if there are more serious issues with your myocardium, further cardiac catheterization may be necessary. The situation regarding valve insufficiency is not severe and can be monitored for now. Changhua Hospital cares about you.[Read More] Understanding Your Heart Health: Insights from Recent Cardiac Tests
Managing Mild Myocardial Ischemia: Medication, Lifestyle, and Further Testing
Myocardial perfusion imaging and subsequent management? Hello Dr. Lee, my BMI is within the normal range, and I have no bad habits. In early December last year, I experienced discomfort after receiving the BNT vaccine and subsequently went to the hospital for blood tests. Aside f...
Dr. Li Han Reply:
Hello, regarding your inquiry about "stress and redistribution myocardial perfusion scan - abnormal results," with dyslipidemia but no other risk factors, is it necessary to undergo cardiac catheterization? I recommend that you consult your cardiologist, as they have a ...[Read More] Managing Mild Myocardial Ischemia: Medication, Lifestyle, and Further Testing
Understanding Heart Stents: Key Questions and Concerns for Patients
Cardiac stent Hello Doctor, my husband often feels chest tightness and discomfort. He went to the hospital for a heart examination, and the doctor arranged for a coronary angiography, stating that his heart oxygen levels are very low and that he needs to have a stent placed. They...
Dr. Wu Xueming Reply:
In cases of left main coronary artery disease or complex conditions involving multiple vessel lesions, bypass surgery is recommended. However, it is essential to discuss with both cardiologists and cardiac surgeons to determine the most suitable treatment option for the patient.[Read More] Understanding Heart Stents: Key Questions and Concerns for Patients
Understanding Your Heart Health: Insights from Myocardial Perfusion Reports
I would like to ask the doctor to review this report? 1. I would like to ask the physician to review these two reports regarding the degree of myocardial ischemia and myocardial perfusion: The Tl-201 myocardial perfusion SPECT scintigraphy was performed 5 minutes after intravenou...
Dr. He Dongjin Reply:
Hello, chest pain is generally not related to the heart rate. The symptoms should be considered atypical. The attending physician may use medication for management. If you still feel uncomfortable or are concerned, you may opt for a self-paid CT scan. Changhua Hospital cares abou...[Read More] Understanding Your Heart Health: Insights from Myocardial Perfusion Reports
Understanding Echocardiogram Results: When to Consider Cardiac Catheterization
Echocardiogram Hello Doctor! Could you please take a moment to review this echocardiogram report and let me know if further cardiac catheterization is necessary? Thank you! M-Mode Doppler: - Ao Diameter: 35.74 mm (normal range: 18.00 - 35.00) - MV E Velocity: 54.27 cm/s - LA Dia...
Dr. Chen Jili Reply:
It is advisable for you to discuss the above situation further with your attending physician. Thank you, and wishing you good health![Read More] Understanding Echocardiogram Results: When to Consider Cardiac Catheterization
Understanding Tachycardia and Ventricular Tachycardia: Symptoms and Management
Tachycardia Ventricular Tachycardia Hello Doctor: My symptoms started one night while I was driving when I suddenly experienced blurred vision, dizziness, and weakness, feeling like I was about to faint for about 3-5 seconds. I was startled and instinctively tensed my body and bl...
Dr. Wu Xueming Reply:
Please follow the doctor's instructions when taking medication and do not change the dosage on your own. If you experience any uncomfortable symptoms, please visit the outpatient clinic to discuss them with your physician.[Read More] Understanding Tachycardia and Ventricular Tachycardia: Symptoms and Management
Post-Cardiac Catheterization: Understanding Symptoms and Concerns
Post-cardiac catheterization? Hello Doctor: On November 21, I underwent cardiac catheterization and had two stents placed. The reason for the stent placement was that during a health check, a 70% stenosis was found in the left anterior descending coronary artery, although I did n...
Dr. Li Han Reply:
Hello, regarding your inquiry about your wheezing, chest tightness, and "heart pain" sensations... honestly, there are many potential underlying causes, but it doesn't quite resemble typical angina symptoms. An evaluation can be conducted from both physiological an...[Read More] Post-Cardiac Catheterization: Understanding Symptoms and Concerns
Understanding Heart Valve Issues: Symptoms, Risks, and Management Strategies
In severe cases, the heart may race very quickly, and there can be significant discomfort in the chest, headaches, dizziness, overall weakness, difficulty breathing, throat discomfort, and feelings of nausea? I did not have these symptoms at first. About a month before I enlisted...
Dr. He Dongjin Reply:
Hello, you have been hospitalized before and no abnormalities were found, so there is no need for further hospitalization at this time. It appears that your panic disorder is caused by autonomic nervous system dysfunction, which will not lead to sudden death, so there is no need ...[Read More] Understanding Heart Valve Issues: Symptoms, Risks, and Management Strategies
Understanding Your Exercise ECG Report: Do You Need a Heart Catheterization?
Exercise Electrocardiogram Report Could you please help me review the report regarding the level of hypoxia and whether a cardiac catheterization is necessary? Thank you. Pretest ECG: sinus rhythm, rate: 85 bpm 2. Exercise time: 12'59" 3. The test was terminated du...
Dr. He Dongjin Reply:
Hello, based on the Duke Treadmill Score, a score of +8 falls into the low-risk category, indicating a 99% survival rate at 5 years. If there are no significant symptoms, you can be monitored for now. Changhua Hospital cares about your well-being.[Read More] Understanding Your Exercise ECG Report: Do You Need a Heart Catheterization?
Managing Myocardial Bridge: Relief Strategies for Chest Discomfort
Improvement of chest discomfort due to myocardial bridge? Hello Doctor, In July, I visited the emergency department due to chest tightness and difficulty breathing. Subsequently, after undergoing a cardiac catheterization in the cardiology department, I was diagnosed with a myo...
Dr. Wu Xueming Reply:
1. Is it possible for myocardial bridge to cause chest discomfort that could lead to myocardial ischemia and subsequently myocardial cell necrosis over time? A: The likelihood is extremely low. 2. Besides aerobic exercise, what specific methods can improve chest discomfort, and...[Read More] Managing Myocardial Bridge: Relief Strategies for Chest Discomfort
Understanding the Accuracy of Cardiac Catheterization: Insights and Considerations
What is the accuracy of cardiac catheterization? What is the accuracy of cardiac catheterization? Is this examination reliant on the physician or the equipment for judgment? Is there a possibility of misinterpreting a blockage as non-blockage, or is there a discrepancy in assessi...
Dr. Cai Guiqin Reply:
It is recommended to consult with a cardiology outpatient clinic. Thank you, and wishing you good health.[Read More] Understanding the Accuracy of Cardiac Catheterization: Insights and Considerations
Managing Mild Heart Valve Insufficiency: Tips for Symptom Relief
Mitral valve, tricuspid valve, pulmonary artery, mild regurgitation? Hello Dr. Li, I have been experiencing chest tightness, chest pain, palpitations, and shortness of breath frequently over the past six months. In April, I had an echocardiogram that showed mild mitral regurgitat...
Dr. Li Han Reply:
Hello, there are many causes of chest pain. It is the physician's responsibility to identify or rule out dangerous underlying conditions. However, based on the tests you have undergone, it seems that this concern has been alleviated. It may be beneficial to modify your lifes...[Read More] Managing Mild Heart Valve Insufficiency: Tips for Symptom Relief
Understanding Chest Tightness, Palpitations, and Breathing Issues
Chest tightness, palpitations, and shortness of breath? Good morning, Director He. Thank you for your guidance regarding my myocardial bridge issue last July. For the past three months, I have still been experiencing palpitations, chest tightness, and shortness of breath almost d...
Dr. He Dongjin Reply:
Hello, that's correct. Follow-up with an ultrasound in two to three years is sufficient. Mild mitral regurgitation and pulmonary regurgitation will not pose any health risks, and you can continue your normal activities. Yes, don't worry about chest discomfort or shortne...[Read More] Understanding Chest Tightness, Palpitations, and Breathing Issues