Post-Catheterization Chest Discomfort During Exercise: What to Know
Post-cardiac catheterization exercise-related chest discomfort issues? Hello, Dr. Huang! I underwent my second cardiac catheterization on August 17, where a third stent was placed. The first procedure was on August 12, during which two stents were inserted. However, during the pl...
Dr. Huang Yinghe Reply:
Hello: It is quite common to feel some chest tightness or discomfort one to two weeks after undergoing coronary angioplasty with stenting. The stent opens the blood vessel, but it takes time for the vessel to heal. As long as there is no acute embolism leading to a myocardial inf...[Read More] Post-Catheterization Chest Discomfort During Exercise: What to Know
Can Patients with Myocardial Bridge Safely Use Nitrostat?
Can patients with myocardial bridge take isosorbide dinitrate? Hello, doctor. Recently, I experienced occasional chest tightness and subsequently underwent a cardiac catheterization, which revealed that I have a myocardial bridge. My attending physician prescribed Nitrostat (nitr...
Dr. Wu Xueming Reply:
Not recommended for use.[Read More] Can Patients with Myocardial Bridge Safely Use Nitrostat?
Understanding Cardiac CT and Exercise ECG: Key Insights for Heart Health
Cardiac Computed Tomography and Exercise Electrocardiogram? A relative underwent a health check-up and had abnormal findings on an electrocardiogram (ECG). They went to a major hospital for further evaluation, including a computed tomography coronary angiography (CT CAG) and a st...
Dr. Wu Xueming Reply:
1. If symptoms such as chest tightness persist despite medication treatment, a cardiac catheterization may be considered. 2. A 12-minute exercise electrocardiogram has met the required exercise load for the examination. 3. Chronic ischemic heart disease, unspecified indicates the...[Read More] Understanding Cardiac CT and Exercise ECG: Key Insights for Heart Health
Understanding Myocardial Bridge: Causes of Chest Pain and Risks
Myocardial bridge chest tightness and chest pain? Hello Director He, a few weeks ago I experienced chest tightness and pain, and underwent a series of tests (including echocardiogram and nuclear medicine scan). The nuclear medicine scan revealed mild ischemia, and my attending ph...
Dr. He Dongjin Reply:
Hello, anyone can experience sudden cardiac death, but your risk is not higher. He mentioned that blood flow occurs to the coronary arteries during diastole, so it's fine for you to exercise normally. The likelihood of chest tightness or chest pain is higher due to MVP (mitr...[Read More] Understanding Myocardial Bridge: Causes of Chest Pain and Risks
Understanding Heart Health: Navigating Hypertension and Cardiac Concerns
Cardiac examination results indicate myocardial ischemia. There is atheromatous arteriosclerosis, but the coronary artery calcium score is between 0 and 10? Hello, Doctor. I have a history of hypertension for about 7-8 years. I have been experiencing chest pain (at rest), so my c...
Dr. He Dongjin Reply:
Hello, C - The results of the coronary CT angiography are most accurate - no significant stenosis means there is nothing to worry about. The accuracy of nuclear medicine tests is lower than that of CT scans. Risk factors include not only hypertension, and we are human, not machin...[Read More] Understanding Heart Health: Navigating Hypertension and Cardiac Concerns
Post-Cardiac Catheterization: Understanding Rapid Heartbeat Concerns
Post-cardiac catheterization, it is possible for the heart rate to increase? Hello, doctor. My father experienced rapid heartbeat and discomfort at home two years ago, which led to an emergency visit. He was diagnosed with arrhythmia and underwent catheter ablation. Due to the un...
Dr. Li Han Reply:
Hello, regarding the question "Can heart rate be too fast after cardiac catheterization?" Your father experienced palpitations and sweating due to paroxysmal tachyarrhythmia two years ago and underwent electrophysiological study and radiofrequency ablation. From your wo...[Read More] Post-Cardiac Catheterization: Understanding Rapid Heartbeat Concerns
Post-Exercise Chest Discomfort and Arm Sensations: Causes and Concerns
After exercising, I sometimes experience chest tightness and warmth in my left arm that lasts for several days? Hello Doctor: I have a habit of jogging, which I have maintained for about 1 to 2 years (I started exercising regularly around 2017). This symptom began in the fall of ...
Dr. Huang Yinghe Reply:
Hello: Based on your description, the symptoms do not seem to be related to cardiovascular issues or valve problems. Similar symptoms can sometimes be associated with gastroesophageal reflux, and less commonly, abnormalities in the arm's blood vessels, but these do not affec...[Read More] Post-Exercise Chest Discomfort and Arm Sensations: Causes and Concerns
Managing Medications Before Cardiac Catheterization: A Guide
Vascular obstruction Hello, Doctor. My grandfather is scheduled to undergo a cardiac catheterization next Monday, and he may be notified to be hospitalized this Saturday. I would like to ask whether he should continue taking the following medications or stop them (the doctor did ...
Dr. He Dongjin Reply:
Hello, you can continue taking your medication. Changhua Hospital cares about you.[Read More] Managing Medications Before Cardiac Catheterization: A Guide
Understanding Myocardial Ischemia: Treatment Options and Next Steps
Degree of myocardial hypoxia Hello, doctor! I underwent an exercise electrocardiogram, and my attending physician mentioned myocardial ischemia, recommending either a cardiac catheterization or a CT scan. However, another doctor suggested that it is mild and that medication would...
Dr. He Dongjin Reply:
Hello, based on a Duke Treadmill Score of -3, you are classified as moderate risk. The next steps should depend on your symptoms and any changes in your electrocardiogram (ECG), which I have not seen. Based solely on the report, it indicates moderate risk. If you are asymptomatic...[Read More] Understanding Myocardial Ischemia: Treatment Options and Next Steps
Understanding High Blood Pressure and 24-Hour ECG Results: What You Need to Know
High blood pressure and issues related to a 24-hour Holter monitor? Thank you, doctor, for taking the time to respond. I would like to ask about an incident that occurred around 3 or 4 AM one night when I was still awake. Suddenly, I felt anxious, had difficulty breathing, and my...
Dr. Wu Xueming Reply:
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive consumption of caffeinated beverages. It is recommended to adjust your lifestyle, avoid overly salty diets, and engage in regular exercise. However, if bl...[Read More] Understanding High Blood Pressure and 24-Hour ECG Results: What You Need to Know
Understanding Myocardial Ischemia: Insights from Perfusion and Catheter Tests
Myocardial perfusion imaging combined with cardiac catheterization? Hello Dr. He. Below is the English report from my myocardial perfusion test last year. I copied it from the health insurance app, and I'm not sure if it's the actual report. At that time, the technician...
Dr. He Dongjin Reply:
Hello, myocardial perfusion imaging can have false positive results. If the cardiac catheterization shows no issues, then there is truly nothing to worry about. Changhua Hospital cares about you.[Read More] Understanding Myocardial Ischemia: Insights from Perfusion and Catheter Tests
Understanding Echocardiogram and Stress Test Results for Heart Health
Echocardiogram and exercise electrocardiogram examination ~ Severity of cardiac issues and myocardial ischemia? Dear Dr. He, Please help me interpret the following echocardiogram and exercise electrocardiogram reports: 1. NORMAL HEART SIZE 2. PRESERVED LEFT VENTRICULAR SYSTOLIC...
Dr. He Dongjin Reply:
Hello, the ultrasound report indicates diastolic dysfunction. The electrocardiogram shows moderate myocardial ischemia (Duke treadmill score = 1), with a probability of cardiovascular stenosis estimated at 70%. It is recommended to undergo coronary angiography, cardiac catheteriz...[Read More] Understanding Echocardiogram and Stress Test Results for Heart Health
Is Right Heart Catheterization Enough Before Valve Replacement Surgery?
Cardiac catheterization prior to valve replacement surgery? Hello Doctor: I previously asked this question: "The aortic valve and mitral valve have been damaged by bacterial infection and both valves have vegetations, therefore surgical valve replacement is being considered....
Dr. Wu Xueming Reply:
The catheter entered the right ventricle, and coronary angiography could not be performed. Coronary angiography must be conducted via the femoral artery or the radial artery, placing the catheter into the aortic coronary artery opening. Right heart catheterization is performed to...[Read More] Is Right Heart Catheterization Enough Before Valve Replacement Surgery?
Pre-Surgery Cardiac Catheterization for Valve Replacement: Risks and Alternatives
Cardiac catheterization prior to valve replacement surgery? Hello Doctor: My father has damage to the aortic and mitral valves due to bacterial infection, and both valves have vegetations. Therefore, we are considering surgical valve replacement. Preoperatively, a cardiac cathete...
Dr. Wu Xueming Reply:
Based on the situation you described, a simple coronary angiography does not involve entering the left ventricle, so there is no need to worry. As for alternative examination methods, it is necessary to discuss this with your attending physician.[Read More] Pre-Surgery Cardiac Catheterization for Valve Replacement: Risks and Alternatives
Understanding Cardiac Catheterization: Is It Necessary for Your Health?
Cardiac catheterization Hello Dr. Huang, I previously inquired with another physician about my family member's symptoms of rapid breathing and a sensation of being pricked. My family member is 55 years old and has not yet reached menopause. The physician I consulted earlie...
Dr. Huang Yinghe Reply:
Hello: Based on your description, a 55-year-old female with a history of secondhand smoke exposure and no hypertension. If there is no history of diabetes or high cholesterol, and no family history of cardiovascular disease, the likelihood of coronary artery disease is indeed low...[Read More] Understanding Cardiac Catheterization: Is It Necessary for Your Health?
Post-Cardiac Catheterization: Why Is My Dad's Leg Still Hurting?
After cardiac catheterization, the leg may still experience pain? Hello, I would like to inquire about my father. He underwent a cardiac catheterization procedure on May 28, and it has been almost four weeks since then. He is in his fifties. Post-operatively, he experienced a sig...
Dr. He Dongjin Reply:
Hello, this is likely related to the surgery and may not necessarily indicate a problem. It is advisable to consult your cardiologist for further evaluation. Changhua Hospital cares about your well-being.[Read More] Post-Cardiac Catheterization: Why Is My Dad's Leg Still Hurting?
Should You Consider Cardiac Catheterization for Myocardial Ischemia?
Is cardiac catheterization necessary for myocardial ischemia? Hello Doctor, a few days ago I went to see a cardiologist because I experienced shortness of breath while sitting. After performing an exercise stress test, the doctor informed me that I have myocardial ischemia and or...
Dr. Wu Xueming Reply:
According to your report, there is indeed a condition of hypoxia in the myocardium. Medication treatment can be initiated; if symptoms do not improve, consideration should be given to undergoing a cardiac catheterization.[Read More] Should You Consider Cardiac Catheterization for Myocardial Ischemia?
Coronary Blockage vs. Stenting: Key Considerations for Elderly Patients
Coronary artery obstruction vs. cardiac stenting Grandfather (79 years old) underwent a cardiac catheterization last May. After the examination, the physician informed that all three arteries were significantly blocked. The physician explained that the treatment options included ...
Dr. Huang Yinghe Reply:
Hello: In the case of all three coronary arteries being narrowed or blocked, both catheterization and bypass surgery can immediately improve cardiac blood flow and enhance quality of life. The survival rate for early bypass surgery is better than that of catheterization; however,...[Read More] Coronary Blockage vs. Stenting: Key Considerations for Elderly Patients
Understanding Coronary Artery Blockage: Stenting Options and Benefits
Coronary artery obstruction Hello Dr. Wu, my grandmother recently underwent a cardiac catheterization, and the doctor informed us that all three major coronary arteries are blocked (each artery requires several stents). I would like to ask Dr. Wu: 1. If we first place a stent i...
Dr. Wu Xueming Reply:
Cardiac catheterization is used to assess the presence of significant narrowing or blockage in the coronary arteries. If the examination reveals considerable stenosis and the patient exhibits symptoms of myocardial ischemia along with supporting evidence, the placement of a coron...[Read More] Understanding Coronary Artery Blockage: Stenting Options and Benefits
Post-Catheterization Hematoma: Concerns and Management Tips
Large hematoma after cardiac catheterization? Hello, doctor. I would like to ask about my condition. I had a cardiac catheterization 5-6 days ago, and currently, there is a large hematoma at the site where the catheter was inserted in my right leg, and I am experiencing increasin...
Dr. Huang Yinghe Reply:
1. Postoperative hematomas are quite common and typically resolve on their own within two to three weeks. In rare cases, if a pseudovascular tumor forms, further intervention may be necessary. Please have your physician examine the wound during your follow-up visit. If the hemato...[Read More] Post-Catheterization Hematoma: Concerns and Management Tips