Understanding Cardiac Health: Insights from Stress Tests and Myocardial Perfusion
Exercise Treadmill Test and Myocardial Perfusion Report Hello Doctor, I have been experiencing chest tightness and palpitations for the past year. I underwent two types of examinations at the hospital, and the recent myocardial perfusion scan report indicated blockage in the term...
Dr. He Dongjin Reply:
Hello, the myocardial perfusion report is abnormal. It's hard to say if there is a problem; it is very likely that there is no issue, but without further examination, who can know? If you take cardiovascular-related medications, you don't necessarily have to take them f...[Read More] Understanding Cardiac Health: Insights from Stress Tests and Myocardial Perfusion
Medications to Avoid Before Myocardial Perfusion Imaging
Myocardial perfusion imaging... which medications need to be discontinued? Good morning, Dr. Wu! I apologize for the interruption. My grandfather is scheduled for a cardiac perfusion scan on March 28, and the consent form states that he should not take his hypertension and cardia...
Dr. Wu Xueming Reply:
Kanken[Read More] Medications to Avoid Before Myocardial Perfusion Imaging
Understanding Tl-201 Myocardial Perfusion Imaging Results for Chest Pain
Please consult Dr. Wu regarding the report on myocardial perfusion imaging. Thank you? Tl-201 Myocardium [Clinical History] Chest pain, rule out coronary artery disease (CAD). [Procedure] 1. A Tl-201 myocardial perfusion scan was performed following vasodilator stress with int...
Dr. Wu Xueming Reply:
The examination results indicate mild myocardial hypoxia. It is recommended to consult with a physician in the outpatient clinic to discuss the next steps for treatment.[Read More] Understanding Tl-201 Myocardial Perfusion Imaging Results for Chest Pain
Understanding Myocardial Perfusion Imaging: A Case Study of Ischemic Heart Disease
Please provide the details of the myocardial perfusion scan examination? HISTORY: A 28-year-old male (80 kg) presents with recent chest tightness and has been referred for the detection of ischemic heart disease. TECHNIQUE: Following the intravenous injection of 2 mCi of Tl-201...
Dr. He Dongjin Reply:
Hello, there should be no issues; just observe and take care. Changhua Hospital is concerned about you.[Read More] Understanding Myocardial Perfusion Imaging: A Case Study of Ischemic Heart Disease
Mild Myocardial Ischemia: Understanding Your Heart Health and Management
Mild myocardial ischemia Hello, Doctor He. I have had high blood pressure since I was 18 years old, and after turning 30, I started taking antihypertensive medication. I am currently 40 years old and take Amlodipine 5/80 daily. In November 2010, during a health check-up, the repo...
Dr. He Dongjin Reply:
Hello, mild myocardial ischemia. It is advisable to follow your attending physician's recommendations to maintain the current status. Blood pressure, dietary control, and exercise are sufficient. Changhua Hospital cares about you.[Read More] Mild Myocardial Ischemia: Understanding Your Heart Health and Management
Understanding Myocardial Perfusion Test Results: A Guide for Patients
Myocardial perfusion scan results? Hello Doctor, I have had high blood pressure since childhood, and after turning 30, I have been taking antihypertensive medication. Currently, I take Amlodipine 5/80 daily without interruption. In November 2010, during a health check-up, the rep...
Dr. Wu Xueming Reply:
Please engage in regular exercise and maintain a light diet, attend follow-up appointments regularly, and take your medication. If there are no symptoms, continue with routine monitoring.[Read More] Understanding Myocardial Perfusion Test Results: A Guide for Patients
Managing Suspected Myocardial Ischemia: Patient Insights and Recommendations
Suspected myocardial ischemia? Hello, I am the patient who just asked about angina. It seems that patients with frequent angina attacks cannot undergo nuclear medicine myocardial perfusion imaging. I get short of breath when I exercise and I'm a bit afraid of the exercise st...
Dr. Wu Xueming Reply:
A 24-hour electrocardiogram is not very helpful in assessing myocardial ischemia. Current medications, if they can control symptoms, are recommended to be continued.[Read More] Managing Suspected Myocardial Ischemia: Patient Insights and Recommendations
Understanding Myocardial Perfusion Imaging Results: A Guide for Patients
Could you please provide Dr. Huang's recommendations based on the ultrasound and myocardial perfusion results? Thank you very much? Taipei Medical University Hospital REPORT OF NUCLEAR MEDICINE STRESS/REDISTRIBUTION MYOCARDIAL PERFUSION SCAN Chart No: 13531711 Date: 08...
Dr. Huang Yinghe Reply:
Hello: The main abnormality in the examination results is mild to moderate myocardial hypoxia. The management approach varies depending on the symptoms and the level of risk. In severe cases, consideration may be given to performing a cardiac catheterization. Please return for a ...[Read More] Understanding Myocardial Perfusion Imaging Results: A Guide for Patients
Understanding Myocardial Perfusion and Echocardiogram Reports for Heart Health
Cardiac ultrasound and myocardial perfusion imaging? Dear Dr. Tsai, My father is 72 years old and weighs 47 kg. Below are the reports for his myocardial perfusion and echocardiogram. He underwent a coronary stenting procedure on July 18, 2022, due to an acute myocardial infarcti...
Dr. Cai Guiqin Reply:
I recommend that you discuss the above situation further with your attending physician, focusing on symptomatic treatment or determining if further examinations are necessary. Thank you, and wishing you good health![Read More] Understanding Myocardial Perfusion and Echocardiogram Reports for Heart Health
Understanding Your Positive Exercise ECG: Next Steps for Heart Health
Cardiac issues The physician recently performed an exercise electrocardiogram (ECG), and the report is as follows: Conclusions: 1) Target heart rate (THR): 166 BPM. 2) Maximal heart rate: 160 BPM (96% of THR). 3) Resting ECG: Normal Sinus Rhythm (NSR). 4) Termination: A. Cau...
Dr. Wu Xueming Reply:
The positive predictive value of an exercise electrocardiogram is approximately 60 to 70 percent. Therefore, if it is not possible to confirm the presence of coronary artery disease, further testing is recommended, such as a nuclear medicine myocardial perfusion scan.[Read More] Understanding Your Positive Exercise ECG: Next Steps for Heart Health
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
Understanding Heart Symptoms: When to Seek Further Testing
Cardiac issues Hello, doctor. Three days ago, I started experiencing intermittent numbness and pain in my left fingertips. Last night, the numbness persisted for several hours, extending from my fingertips to my upper arm. I have been concerned that this might be atypical angina....
Dr. He Dongjin Reply:
Hello, your current symptoms are not related to angina, and you have no risk factors. The pain you are experiencing is generally not associated with atypical angina, and considering your young age, there is no need to worry too much. You may consider taking B vitamins or visiting...[Read More] Understanding Heart Symptoms: When to Seek Further Testing
Understanding Heart-Related Symptoms: When to Seek Further Testing
Cardiac issues Hello, doctor. Three days ago, I started experiencing intermittent numbness and pain in the fingertips of my left hand. Last night, the numbness persisted for several hours, spreading from my fingertips to my upper arm. I have been concerned that this might be atyp...
Dr. He Dongjin Reply:
Hello, your current symptoms are not related to angina, and you have no risk factors. The pain you are experiencing is generally not associated with atypical angina, and considering your young age, there's no need to worry too much. You may consider taking B vitamins or visi...[Read More] Understanding Heart-Related Symptoms: When to Seek Further Testing
Understanding Tachycardia: Insights from Myocardial Perfusion Studies
Tachycardia Hello, Director. Due to chest tightness and tachycardia, I underwent emergency blood tests and an electrocardiogram, both of which showed no abnormalities. I had a myocardial perfusion study under a standardized dipyridamole stress test, which indicated (1) no signifi...
Dr. He Dongjin Reply:
Hello, even during rest, your heart rate remains between 90-110 beats per minute, accompanied by chest tightness and rapid heartbeat. There are no abnormalities related to myocardial perfusion, as indicated by the myocardial perfusion report. It is recommended to discuss your hea...[Read More] Understanding Tachycardia: Insights from Myocardial Perfusion Studies
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 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
Should I Seek Further Evaluation for Heart Issues After Tests?
Is further examination necessary? Since November 2nd, I have experienced chest tightness and an increased heart rate. I went to a clinic where an electrocardiogram (ECG) indicated a heart issue, leading to a referral to the emergency department. However, blood tests, X-rays, and ...
Dr. Wu Xueming Reply:
The myocardial perfusion scan results show no signs of hypoxia, indicating a very low likelihood of coronary artery disease.[Read More] Should I Seek Further Evaluation for Heart Issues After Tests?
Understanding Myocardial Perfusion Scan Results: A Guide for Patients
Stress and Redistribution Myocardial Perfusion Scan Report Results Dr. Huang: Hello! My mother is 70 years old and has low blood pressure (approximately 100+/60-70 mmHg; this has been her baseline). She has a history of hypercholesterolemia (most recent lab report on 9/30: total ...
Dr. Huang Yinghe Reply:
Hello: "Stress and Redistribution Myocardial Perfusion Imaging" is a type of nuclear medicine examination that uses radioactive tracers to assess blood flow to the heart muscle, allowing for a rough determination of regional perfusion deficits in the myocardium. Your mo...[Read More] Understanding Myocardial Perfusion Scan Results: A Guide for Patients
Can Blood Donation Affect My Myocardial Injection Test?
Myocardial injection, examination, blood donation? Hello, Director. I am scheduled to undergo a myocardial perfusion imaging test this week. Can I donate blood a few days prior to the test? I usually donate about 250cc, and I would like to know if this will affect the examination...
Dr. Wu Xueming Reply:
It won't have any impact.[Read More] Can Blood Donation Affect My Myocardial Injection Test?