Understanding Coronary Artery Stenosis and Its Psychological Impact
Coronary artery stenosis / psychoneurosis / trapezius muscle syndrome? Hello Dr. Wu, I apologize for the complexity and length of my questions and symptoms; it requires some time to digest. About three years ago, after a car accident, I began experiencing symptoms such as panic-l...
Dr. Wu Xueming Reply:
1. Based on your examination report, medication can be used for management unless there is no improvement in symptoms; therefore, a cardiac catheterization is not necessary. Additionally, according to health insurance regulations, stenting is only required for coronary artery ste...[Read More] Understanding Coronary Artery Stenosis and Its Psychological Impact
Understanding the Severity of Myocardial Ischemia: Key Insights
Could you please have the doctor assess the severity? Risk Factors: H/T(-); DM(-); Hyperlipidemia(+); Smoking(-); Family History(+); PROCEDURES: 1. A gated myocardial perfusion scan was performed with intravenous infusion of 3 mCi of thallium-201 during stress. A resting gated my...
Dr. Li Han Reply:
Hello, regarding the severity? The abnormal findings from the nuclear medicine myocardial perfusion scan have increased the likelihood of coronary artery disease to 80%. Based on professional judgment, the nuclear medicine physician assesses the risk to be moderate or higher, wit...[Read More] Understanding the Severity of Myocardial Ischemia: Key Insights
Understanding Venous and Circulatory Issues: Symptoms and Solutions
Venous and circulatory issues? Hello, Doctor. A few weeks ago, I started feeling a sensation of body swaying, and my body has been getting weaker. I consulted a traditional Chinese medicine practitioner who suggested that my blood isn't reaching my brain. After taking medica...
Dr. Li Han Reply:
Hello, regarding your questions about "prominent dorsal veins... could it be varicose veins" and whether "abnormal sensations such as numbness or pain in the extremities" are related? Generally speaking, an experienced clinician should be able to make a judgme...[Read More] Understanding Venous and Circulatory Issues: Symptoms and Solutions
Do I Need to Accompany My Elderly Parent for Cardiology Visits?
Is it necessary for the patient to be present for the consultation? Hello, doctor. My father is 78 years old and underwent a coronary angiogram in May. The doctor informed us that: 1. All three coronary arteries are severely blocked. 2. One artery requires two stents. 3. Another ...
Dr. Huang Yinghe Reply:
Hello: For coronary artery disease with blockage in all three vessels, there are three treatment approaches: 1. The most fundamental is lifestyle modification (diet and exercise) and pharmacotherapy (achieving target blood pressure, blood sugar, and cholesterol levels). Additiona...[Read More] Do I Need to Accompany My Elderly Parent for Cardiology Visits?
Understanding Coronary Artery Narrowing: Tests and Lifestyle Changes
Cardiovascular stenosis Hello Doctor: I have been experiencing left chest tightness (I previously had a heartbeat stop for about 3-5 seconds) and went to the hospital for a series of examinations. The results are as follows: 1. Electrocardiogram: Normal. 2. Chest X-ray: No enlarg...
Dr. Bu Shiyun Reply:
1. A multi-slice computed tomography (CT) angiography can be considered; if cardiovascular issues are identified, then cardiac catheterization may be warranted. However, the CT angiography is an out-of-pocket expense (not covered by national health insurance) and costs approximat...[Read More] Understanding Coronary Artery Narrowing: Tests and Lifestyle Changes