- Echocardiography
- Stress Test
- Dobutamine Stress Echocardiogram
- Holter monitoring
- ABPM
- Coronary Angiogram
- Coronary Angioplasty
- Rotational Atherectomy
- Orbital Atherectomy
- IVUS
- FFR
- Pacemaker implantation
- MD, Universiti Kebangsaan Malaysia (UKM)
- MMed Internal Medicine, National University of Singapore (NUS)
- Member of Royal College of Physicians (UnitedKingdom)
- Memberof Royal College of Physicians (London)
I need to know more about how your brother got his diagnosis – was it through an echocardiogram or other methods? In general, an enlarged heart is caused by many factors such as obesity, coronary heart disease, valve problems and so on. We need to check on his heart function – if the heart is functioning poorly and there is heart failure, a patient should not drink too much water. A less salty diet also needs to be recommended. People who have an enlarged heart should not have heart failure. If there is heart failure, apart from diet and water consumption restrictions, heart failure medication is also needed. I recommend that your brother get further tests in order to get a proper diagnosis.
Pain in the left chest can be caused by many problems. The most important thing is that you need a heart check to make sure the pain is not caused by coronary heart disease. There are many tests that can be done including an echocardiogram, treadmill stress test and CT coronary angiogram. However, the pain in the left chest needs to be examined further.
Blood thinning medicines need to be taken continuously after implanting the stent.
Do not rub with medicated oil again. There is already inflammation on the chest due to rubbing with medication oil. If you have chest pain and shortness of breath, you should immediately go to a doctor for further treatment to find out if there is coronary heart disease.
He will need to take blood thinning medicines too. It is necessary to pay attention to other risks such as diabetes, hypertension. If he smokes, it is important to stop smoking.
Yes, he can live a normal life if his condition is properly maintained and he does regular follow ups with his doctor.
It is not dangerous. But if there are symptoms such as pounding palpitations, further examination is needed.
Three years of pain in the chest and back can be caused by many things. I suggest you go to the hospital for blood and heart tests.
Yes, you need to check your heart to make sure it's not coronary heart disease. You also need to check the blood to make sure the thyroid is normal.
It is necessary to check the pain in your chest with a coronary CT scan and MRI of the brain to make sure there is no stroke or coronary heart disease.
Doctor, last February, I had a heart attack and then I had to have 2 stents implanted. But why do I still feel the pain until now? My ECG result was good. What happened to my heart, Doc? Thank you
If there is chest pain after implanting the stent, you need to do a treadmill stress test for a solution. You may need to do another catheter to see the state of the stent. I am afraid the stent could have become clogged again.
Can I check what you mean? When I did a treadmill test previously, you stopped me and said it was dangerous to continue. You also asked me if I felt any pain in my chest. I felt nothing and fine and I was confused why my treadmill stopped. Is this a sign of a weak heart? Is there any vitamin for it? It was 2017 before I had a total check up in HSC Kuala Lumpur and was diagnosed by you. Why wasn't I asked to do the treadmill when I had a check up? Only CT Scan that said there was 1 dirty line with plaque about 20%. Please give me some advice and explanation, because these few nights I have not been able to sleep, hard to breathe. What should I do, Doctor? Thank you very much. I am waiting for your reply asap.
There are many reasons for a treadmill to stop. Most of the time it’s because we have reached the heart rate stage and target we need. Sometimes if the tension is too high while running on the treadmill, the doctor will tell you to stop for fear that the tension will be high again if you continue. Or if there are symptoms and there appears to be a change on the EKG during the treadmill, you will be asked to stop too. A treadmill stress test is a test that indirectly checks for blockage of the heart vessels but a CT scan is a test that directly checks for blockage of the heart vessels. So a CT scan is much more precise than a treadmill stress test. If the CT scan shows just a little blockage, you don’t need a treadmill stress test anymore. I need your treadmill results from Indonesia for further information.
It has been more than 5 nights. I cannot sleep well because I have short breath. I wake up 1-3 times at night. I also lose my breath when I jog. I did a check up in 2017 and the result was good. There was only 1 line that was dirty around 20%. What is your analysis on this? I haven't smoked since March 2017 till now. Monday to Saturday I do exercise, a quick walk. Is it true that my heart is weak and I need a heart vitamin? Please give me your advice, Doc. What vitamin should I take? I consume fish oil and vitamin C everyday. Thank you, Doc. I am waiting for your reply.
Your 2017 results showed mild lesion, but you are still experiencing shortness of breath. I think it’s time to do a thorough heart check-up now. You may need to repeat the CT Coronary angiogram and echocardiogram. The other tests that need to be done are CXR and Spirometry as you were a smoker previously. I will suggest to come here for further check-up again to make sure the 20% stenosis does not get worse. Q10 is a heart supplement that can improve heart function but only for those with poor heart function.
Doctor, my husband was diagnosed with a heart rate that can stop/pause. He did a treadmill test and the result was fine, and also his blood test and LPA. But his trigliserida and uric acid levels are high. Magnesium and other things are fine as well. His calcium and thyroid levels are slightly under the limit, which the doctor said affects his current heart condition insignificantly.
The problem is he has abnormal electrical activity in the upper domain heart chamber. My husband is stressed and feeling down with this problem. He also has a gas problem in his stomach.
What is the treatment he should do for abnormal heart electricity? The doctor said that if it is not more than 10,000, then it is not a problem. But a heart problem scares us all. Please give me your advice, Doc. Thanks
Firstly we need to know how long the heart stops and whether the patient is symptomatic or not. If there is significant pause then he will need pacemaker implantation. For this, he will need to do a holter monitoring to determine the average heart rate. Apart from that your husband needs an echocardiogram to assess heart function.
Doctor, my father was diagnosed with heart failure because there are 4 severe blockages and very large swelling. After angioplasty, the doctor said surgery cannot be done because he is 65 years old and he cannot implant a stent because it will take 3 stents and it is high risk - there is a chance for him to pass away on the surgery table. His heart function is only 27% of the normal. Is there really no hope for this case, Doc?
There is still hope, don’t worry. You can send a CD for me to review. There is now a cure for heart failure. Your dad will need an MRI of the heart as well to check his heart function accurately.
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