Understanding Stress Cardiac Function Test Results and Palpitations
Please have the doctor review my cardiac stress test report? Hello Doctor: For the past month, I have been experiencing intermittent palpitations daily, where my heart suddenly beats strongly without any accompanying symptoms. On average, I feel this strong heartbeat 2 to 3 times...
Dr. He Dongjin Reply:
Hello, the report indicates that there is nothing wrong. The palpitations are not related to the cardiac scan results. Simple palpitations do not require aggressive medication or electrical ablation for autonomic nervous system issues. Changhua Hospital cares about your well-bein...[Read More] Understanding Stress Cardiac Function Test Results and Palpitations
Understanding Your Heart: Insights from Myocardial Perfusion Imaging
Myocardial perfusion scan; Doctor, is my condition okay? Clinical history: Rule out coronary artery disease (CAD). Procedures: Following the intravenous injection of 2 mCi of Thallium-201 chloride under stress conditions induced by Dipyridamole 0.56 mg/kg IV, stress SPECT imaging...
Dr. Li Han Reply:
Hello, according to the document, this examination was conducted to investigate the possibility of coronary artery disease (CAD). Clinicians sometimes consider a cardiac stress test when they perceive a 50% likelihood of CAD based on the patient's clinical presentation. The ...[Read More] Understanding Your Heart: Insights from Myocardial Perfusion Imaging
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 Perfusion Imaging Results for Heart Health
Myocardial perfusion scan report issues? Hello Dr. Wu, I would like to consult you regarding my father's heart examination (76 years old). He needs to rest after walking 200 meters and feels weak when opening a bottle cap. The myocardial perfusion imaging report is as follow...
Dr. Wu Xueming Reply:
The myocardial perfusion scan shows normal results with no signs of hypoxia, indicating that normal exercise is permissible.[Read More] Understanding Myocardial Perfusion Imaging Results for Heart Health
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
Understanding Cardiac Perfusion Imaging: Insights and Recommendations
Regarding cardiac perfusion imaging? Hello, Doctor. In 2021, I experienced chest tightness and palpitations, with my heart rate usually slightly elevated at 90-100 beats per minute, so I sought treatment at Taichung Cheng Ching Hospital. The physician ordered a myocardial perfusi...
Dr. He Dongjin Reply:
Hello, mild perfusion abnormalities indicate that it's not serious. You can just take medication and observe, so there's no need to worry. Changhua Hospital cares about you.[Read More] Understanding Cardiac Perfusion Imaging: Insights and Recommendations
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
Understanding Arrhythmias: Insights from Myocardial Perfusion Imaging
Arrhythmia Due to angina, a cardiac rhythm examination was performed, and the 24-hour Holter monitor results showed sinus rhythm. A stress and redistribution myocardial perfusion scan was subsequently conducted, with the following results: 1. Mild severity, reversible perfusion...
Dr. Wu Xueming Reply:
The myocardial scan shows signs of myocardial hypoxia. Please take your medication regularly and return for follow-up. If symptoms persist, discuss with your physician whether a cardiac catheterization is necessary.[Read More] Understanding Arrhythmias: Insights from Myocardial Perfusion Imaging
Assessing the Need for Cardiac Catheterization After Myocardial Perfusion Scan
Myocardial perfusion scan report / Please consult the director on whether a cardiac catheterization is necessary? REPORT OF NUCLEAR MEDICINE STRESS/REDISTRIBUTION MYOCARDIAL PERFUSION SCAN CLINICAL HISTORY: A 31-year-old male presents with recent chest tightness and has been ref...
Dr. Wu Xueming Reply:
The examination report indicates the presence of myocardial hypoxia. Please discuss with your physician whether a cardiac catheterization is necessary.[Read More] Assessing the Need for Cardiac Catheterization After Myocardial Perfusion Scan
Do You Need Another Heart Catheterization After Last Year's Procedure?
Do I need to undergo another cardiac catheterization this year if I had one last year? Hello Dr. Lee, I have been a dialysis patient for over a year and have hypertension, hyperlipidemia, and diabetes, along with coronary artery disease and mild arrhythmia. Recently, in the past...
Dr. Li Han Reply:
Hello, regarding your inquiry, "In the past half month, I experienced two episodes of blood pressure drops during dialysis, accompanied by symptoms such as cold sweats, vomiting, and nearly fainting. While this could be considered a common occurrence, both times my heart rat...[Read More] Do You Need Another Heart Catheterization After Last Year's Procedure?
Understanding Heart Test Results: Key Insights for Patients and Families
Consultation for Test Results Dear Director, This year, my mother suffered a fracture due to a car accident. An electrocardiogram (ECG) showed abnormalities prior to surgery, and a cardiac evaluation was scheduled after the fracture surgery. I would like to request your assista...
Dr. Wu Xueming Reply:
The echocardiogram shows left ventricular hypertrophy and mild mitral and tricuspid regurgitation; the myocardial perfusion scan indicates myocardial ischemia. It is recommended that you visit the cardiology outpatient clinic to discuss further treatment options with your physici...[Read More] Understanding Heart Test Results: Key Insights for Patients and Families
Do You Need Angiography and Stenting After Myocardial Perfusion Imaging?
Is there a blockage in the blood vessels after a myocardial perfusion scan? Is it necessary to actively perform a cardiac catheterization and place a stent? Thank you? Hello Doctor, I recently underwent an exercise electrocardiogram and experienced issues with oxygen deficiency. ...
Dr. Wu Xueming Reply:
The report indicates the presence of myocardial ischemia, which can initially be treated with medication. If symptoms remain poorly controlled, catheter-based intervention may be considered.[Read More] Do You Need Angiography and Stenting After Myocardial Perfusion Imaging?
Understanding My Exercise ECG Report: Key Insights and Next Steps
Inquiring about my exercise electrocardiogram report? Conclusion: Positive Duke Treadmill Score: +1 (Low risk: +5; Intermediate risk: +4 to -10; High risk: < -10). Pre-exercise condition NYHA Class: Class II. Chest pain: Typical angina CCS Class: Class II. Resting ECG: normal....
Dr. Wu Xueming Reply:
If symptoms persist despite medication control, a myocardial perfusion imaging scan can be performed first to determine whether a cardiac catheterization is necessary.[Read More] Understanding My Exercise ECG Report: Key Insights and Next Steps
Interpreting Myocardial Perfusion Reports: Insights on Ischemic Heart Disease
Interpretation of Myocardial Perfusion Report Hello, Director Wu. Could you please help interpret the following report? I'm unsure what the issues are. Imaging findings: Dipyridamole Tl-201 myocardial perfusion gated SPECT: 1. Persantin (dipyridamole) 0.56 mg/kg was adminis...
Dr. Wu Xueming Reply:
The examination results indicate mild myocardial ischemia, which may suggest the presence of coronary artery stenosis. Please consult with your physician in the outpatient clinic regarding further treatment options.[Read More] Interpreting Myocardial Perfusion Reports: Insights on Ischemic Heart Disease
Understanding Myocardial Perfusion Imaging: Insights and Treatment Options
Myocardial perfusion imaging Hello, Doctor. I have been experiencing chest tightness. Both static and exercise electrocardiograms showed no arrhythmias, but the blood pressure during the exercise test was only 140. Subsequently, a myocardial perfusion scan was arranged. The atten...
Dr. He Dongjin Reply:
Hello, I don't have your other medical history, so it's hard to say if the myocardial perfusion scan shows any abnormalities. An electrocardiogram (ECG) during exercise is okay, but we also need to consider your symptoms to determine the next steps. It would be best to ...[Read More] Understanding Myocardial Perfusion Imaging: Insights and Treatment Options
Is Invasive Cardiac Catheterization Necessary for My Condition?
Is it necessary to perform an invasive cardiac catheterization? Consultation with the doctor: Due to having atrial fibrillation and slightly elevated heart failure indices, I am currently taking Apixaban, Carvedilol, Bisoprolol, Nebivolol, and Furosemide for control. My heart rat...
Dr. Wu Xueming Reply:
If there are no symptoms under medication control, it is not necessary to undergo cardiac catheterization; regular medication and outpatient follow-up are sufficient.[Read More] Is Invasive Cardiac Catheterization Necessary for My Condition?
Understanding Moderate Myocardial Ischemia: Key Insights from Your Report
Myocardial hypoxia Hello Dr. Wu, On March 30, I underwent a stress and redistribution myocardial perfusion scan at the hospital, and on April 14, when I returned to review the report, the doctor only mentioned that there was moderate myocardial hypoxia and immediately asked if I...
Dr. Wu Xueming Reply:
The report indicates the presence of moderate myocardial ischemia. If angina symptoms persist despite medication management, it is recommended to perform a cardiac catheterization.[Read More] Understanding Moderate Myocardial Ischemia: Key Insights from Your Report
Understanding Exercise ECG and Myocardial Ischemia: Key Insights
Exercise electrocardiogram, myocardial ischemia? Hello Dr. Wu: This is my exercise electrocardiogram report. Result: Interpretation of Exercise ECG: Normal ECG at target heart rate (85% predicted maximal heart rate). Conclusion: The Treadmill Exercise Test (TET) is negative fo...
Dr. Wu Xueming Reply:
The exercise electrocardiogram report is normal, but each report inherently has the potential for false positives and false negatives, and the testing methods are different, so comparisons cannot be made in this manner.[Read More] Understanding Exercise ECG and Myocardial Ischemia: Key Insights