Understanding Severe Coronary Artery Blockage: Treatment Options and Risks
Three blocked coronary arteries? Hello everyone, my father is 60 years old (I created this account for him to facilitate the review of his basic information by various doctors). Recently, he underwent a cardiac examination at the hospital, starting with an MRI, which revealed som...
Dr. Huang Yinghe Reply:
Hello: In the case of narrowing or blockage in all three coronary arteries, lifestyle modifications and medication therapy are fundamental and necessary. This includes controlling hypertension, blood cholesterol, and blood sugar levels, as well as using antiplatelet medications. ...[Read More] Understanding Severe Coronary Artery Blockage: Treatment Options and Risks
Understanding False Positives in Exercise ECG: Common Causes Explained
Issues with Exercise Electrocardiogram (ECG) Hello Doctor: Last year, I had a stress electrocardiogram (ECG) done at a large hospital, which indicated signs of hypoxia. The physician suggested that I undergo a cardiac catheterization or a self-paid cardiac scan. However, due to c...
Dr. He Dongjin Reply:
Hello, the positive result may be related to respiratory issues, body weight, breast size, or even coronary artery compression. As long as you are safe and well, that's what matters. Changhua Hospital cares about you.[Read More] Understanding False Positives in Exercise ECG: Common Causes Explained
Understanding False Positives in Exercise ECG: Common Causes Explained
The most likely cause of a "false positive" result in an exercise electrocardiogram (ECG) is the presence of artifacts or noise in the signal, which can be due to factors such as patient movement, improper electrode placement, or technical issues with the ECG equipment....
Dr. Chen Jili Reply:
I recommend discussing this further with your attending physician. Wishing you good health.[Read More] Understanding False Positives in Exercise ECG: Common Causes Explained
Is Your Discomfort a Sign of Angina? Understanding Heart Health Symptoms
Could this situation be caused by angina? Hello, Doctor. I underwent a health examination at the end of last year, and a CT scan revealed signs of blockage at the distal end of the left anterior descending artery. After further coronary angiography, my attending physician indicat...
Dr. He Dongjin Reply:
Hello, since the cardiac catheterization showed no need for stent placement and you are not experiencing any chest discomfort, chest pain, or shortness of breath while jogging, let's hold off on medication for now if your blood pressure is normal. If the aforementioned sympt...[Read More] Is Your Discomfort a Sign of Angina? Understanding Heart Health Symptoms
Can You Get a Pet After Heart Catheterization? Important Considerations
Can I have pets after a cardiac catheterization procedure? Hello, my mother underwent a cardiac catheterization a few years ago and has previously cared for a miniature pet dog, and her overall health has been stable. Last year, the dog passed away, and my mother was very saddene...
Dr. He Dongjin Reply:
Hello, cardiac catheterization is unrelated to pet ownership. If you want to have a pet, go ahead and adopt a stray cat. Ping An Changhua Hospital cares about you.[Read More] Can You Get a Pet After Heart Catheterization? Important Considerations
Managing Hypertension: Choosing Between Specialists in Northern and Central Taiwan
Referral related to hypertension? In mid-February, I was diagnosed with malignant hypertension. However, due to the Lunar New Year holiday, I sought medical attention in central Taiwan, where I underwent an electrocardiogram and cardiac catheterization, among other related tests....
Dr. He Dongjin Reply:
Hello, please inform the physician directly that I would like to transfer my care back to the northern region due to my residence in the north. I would appreciate your assistance in issuing a medical summary and whether you could recommend a physician at Ping An Changhua Hospital...[Read More] Managing Hypertension: Choosing Between Specialists in Northern and Central Taiwan
Understanding Vascular Issues: From Brain Embolism to Heart Complications
I have issues such as cerebral vascular embolism and myocardial ischemia? About 4 to 5 years ago, I started experiencing issues and was diagnosed with cerebral vascular embolism. Later, I was also found to have myocardial ischemia, hypertension, and surprisingly, my blood glucose...
Dr. Lin Jixiong Reply:
Hello: Swelling in the limbs may be indicative of heart problems or obstruction in the venous blood vessels of the lower extremities. To confirm the diagnosis, it is advisable to consult a cardiologist for an echocardiogram or venography of the lower limbs. As for the caliber of ...[Read More] Understanding Vascular Issues: From Brain Embolism to Heart Complications
Understanding Heart Catheterization: Options for Managing Blockages
Cardiac catheterization? I have been diagnosed with hyperlipidemia (for an uncertain duration), diabetes (with a 6-year history), and a 2 cm vestibular schwannoma (diagnosed about a year ago). In December 2017, a nuclear medicine scan revealed that one of the three main coronary ...
Dr. He Dongjin Reply:
Hello, if the symptoms are not significant and there is a 50% blockage, you can start with medication and observe. Medication will not improve or reverse the blockage; it can only stabilize the symptoms without any changes. If you really do not want to undergo surgery, then takin...[Read More] Understanding Heart Catheterization: Options for Managing Blockages
Understanding Persistent Chest Discomfort After Normal Heart Catheterization
Chest discomfort (continuation of #130963) Hello, Doctor. After a normal cardiac catheterization in January last year, I have been experiencing persistent chest discomfort. Recently, the frequency of these episodes has increased. During my follow-up visit, the doctor suggested a ...
Dr. He Dongjin Reply:
Hello. Generally, the likelihood of issues arising within five years is low. It sounds like it could be a vascular spasm. If nitroglycerin (NTG) can alleviate the discomfort, then that should be the initial approach. Alternatively, you may ask your physician to prescribe some aut...[Read More] Understanding Persistent Chest Discomfort After Normal Heart Catheterization
Understanding Persistent Left Chest Pain: Insights and Next Steps
Persistent left chest pain for seven years? Hello, Doctor. I have some questions I would like to ask. I have undergone several tests, and here are my basic details: height 177 cm, weight 83 kg, BMI 26.4. My blood pressure, blood lipids (triglycerides, cholesterol, etc.), echocard...
Dr. He Dongjin Reply:
Hello, if you have been experiencing left chest discomfort for seven years without any serious issues, it should be okay, right? A CT scan is expensive, and the accuracy of a 24-hour Holter monitor and exercise stress test is not 100%. The symptoms are also atypical angina, so it...[Read More] Understanding Persistent Left Chest Pain: Insights and Next Steps
Understanding Myocardial Ischemia: Risks, Monitoring, and Medication Management
Myocardial hypoxia Dear Dr. He, I had an exercise electrocardiogram last September, and the doctor indicated that there was myocardial ischemia, classified as moderate risk. Later, I underwent a myocardial perfusion scan at another hospital, where the doctor reported the finding...
Dr. He Dongjin Reply:
According to current research, patients with stable angina who are on medication management and have undergone cardiac catheterization do not need to repeat exercise stress tests or myocardial perfusion studies, as the results are expected to be similar to the previous ones. Repe...[Read More] Understanding Myocardial Ischemia: Risks, Monitoring, and Medication Management
Breathlessness with Minimal Activity: Understanding Cardiovascular Concerns
Experiencing shortness of breath with minimal exertion? Hello Doctor: I have been experiencing chest discomfort frequently over the past two years. In January of last year, I underwent a cardiac catheterization at the hospital, and the doctor said everything was normal. Aside fro...
Dr. He Dongjin Reply:
Hello, the results of your cardiac catheterization are normal, which means there is nothing to worry about. However, have you been checked for mitral valve prolapse, gastroesophageal reflux, or post-nasal drip? Changhua Hospital cares about your well-being.[Read More] Breathlessness with Minimal Activity: Understanding Cardiovascular Concerns
Understanding Chest Discomfort: Is It Related to My Adrenal Tumor?
Chest discomfort? Hello, Doctor He. I am a patient with angina and am currently receiving treatment. My doctor prescribed Nicorandil. I would like to ask you why I sometimes experience a feeling of pressure in my chest, followed by intense contractions in my stomach, and then num...
Dr. He Dongjin Reply:
Hello, the symptoms you mentioned do not seem to be caused by an adrenal tumor; they are more likely related to autonomic nervous system dysfunction due to menopause. To confirm the diagnosis of angina, it may be necessary to arrange for a cardiac catheterization or a CT angiogra...[Read More] Understanding Chest Discomfort: Is It Related to My Adrenal Tumor?
Can Mild Cough Delay Cardiac Catheterization Procedure?
Can a mild cough undergo cardiac catheterization? My mother is scheduled to undergo a cardiac catheterization soon, but she currently has a mild cough. Is it safe for her to proceed with the procedure? Thank you for your response. The date of the examination is November 16, 2017.
Dr. He Dongjin Reply:
Hello, Changhua Hospital cares about you and hopes you are doing well.[Read More] Can Mild Cough Delay Cardiac Catheterization Procedure?
Understanding Myocardial Perfusion Scan Results: What They Mean for Your Heart Health
Myocardial perfusion imaging Hello Doctor: Recently, I have been experiencing left chest tightness and back pain. I underwent a myocardial perfusion scan, and the report is as follows: RESULT: Procedure: A stress and redistribution T1-201 myocardial perfusion scan was performe...
Dr. He Dongjin Reply:
Hello, is it not considered serious? Further cardiac catheterization may not be necessary. The symptoms of mitral valve prolapse with regurgitation are likely the cause of your chest tightness and back pain. Let's try to control it with medication and quit smoking for now. C...[Read More] Understanding Myocardial Perfusion Scan Results: What They Mean for Your Heart Health
Can a Family Member Accompany You During Cardiac Catheterization?
Regarding cardiac catheterization? I'm sorry, doctor, can a family member or friend accompany me during the cardiac catheterization procedure? I experience anticipatory anxiety and panic disorder, and having a hand to hold would help me feel more stable. I apologize for my s...
Dr. Lin Jixiong Reply:
Hello: The process of catheterization for examination and treatment involves radiation exposure, and it requires a sterile environment. It is not appropriate for physicians or assistants who are not involved in the procedure to be present. Dr. Lin Chi-Hsiung.[Read More] Can a Family Member Accompany You During Cardiac Catheterization?
Understanding Nuclear Medicine Reports: Insights on Myocardial Ischemia
Nuclear Medicine Report Inquiry Hello Doctor: A year ago, I underwent stenting of the left anterior descending artery and have been consistently taking antiplatelet medication and statins. Recently, my nuclear medicine report showed the following: 1. Stress T1-201 myocardial SPEC...
Dr. He Dongjin Reply:
Hello, based on the symptoms, it seems that it should be fine to just review the report. Observation is sufficient, and there is no need for further cardiac catheterization and stenting. Changhua Hospital cares about you.[Read More] Understanding Nuclear Medicine Reports: Insights on Myocardial Ischemia
Understanding Myocardial Hypoxia: Treatment and Monitoring Guidelines
Myocardial hypoxia Dear Dr. He, Last September, I underwent an exercise electrocardiogram that showed a positive response with signs of hypoxia. Three months later, I had a myocardial perfusion scan at another hospital, where the risk level from the exercise electrocardiogram wa...
Dr. He Dongjin Reply:
Hello, unless you undergo cardiac catheterization or a computed tomography angiography to confirm that the blood vessels are normal, a positive exercise electrocardiogram report indicates hypoxia, and the myocardial perfusion scan shows mild to moderate results. Would you dare to...[Read More] Understanding Myocardial Hypoxia: Treatment and Monitoring Guidelines
Understanding Myocardial Hypoxia: Treatment Options and Risks Explained
Myocardial hypoxia Hello Dr. He: You have interpreted my electrocardiogram, which scored 1 point, indicating a moderate risk with a problem occurrence rate of 2.9%. I also underwent a myocardial perfusion study, and the doctor mentioned that there is a mild to moderate area of hy...
Dr. He Dongjin Reply:
Hello, the on-site physician has assessed that a cardiac catheterization is not currently necessary. However, if you continue to feel uneasy and worried, which may cause you distress, then you may proceed with the cardiac catheterization. The apex, as shown in the image, refers t...[Read More] Understanding Myocardial Hypoxia: Treatment Options and Risks Explained
Understanding Myocardial Ischemia: Treatment Options and Risks
Myocardial hypoxia Dear Dr. He, Thank you very much for interpreting my exercise electrocardiogram report. You mentioned that I could undergo a nuclear medicine myocardial perfusion study, which I have arranged with my physician. Today, I returned for a follow-up appointment to ...
Dr. He Dongjin Reply:
Hello, to put it simply, doctors generally tend to prefer proactive measures such as cardiac catheterization. If after conducting numerous tests, the doctor only prescribes certain medications and issues a continuous prescription while suggesting to just monitor the situation, it...[Read More] Understanding Myocardial Ischemia: Treatment Options and Risks