| Topic: |
Religions > Atheism |
| User: |
"Andrew B. Chung, MD/PhD" |
| Date: |
06 Nov 2006 01:04:51 AM |
| Object: |
Re: both ct scan and thallium stress test? |
Kumar wrote:
Joe Doe wrote:
In article <n4b2k2ljdkc4j1rq1q7burp04plah5u42f@4ax.com>,
Jim Chinnis <jchinnis@SPAMalum.mit.edu> wrote:
"mdb" <milo_dhuey@yahoo.com> wrote in part:
My cardiologist has recommended that I have both a thallium stress test and
a CT scan of the heart, to rule out any heart problems for me. The reason
for the tests is that my brother, 3 yrs older than me at 58, recently had a
heart attack and subsequently had triple bypass surgery. It seems to me that
the CT scan would give a better answer about possible calcification and
would eliminate the need for the stress test. I'm trying to keep costs down
while still getting an accurate picture of my heart. Does anyone know if
both tests really are necessary?
thanks.
Michael
The ct scan shows only calcified plaque. The thallium test can detect
uncalcified (and probably more dangerous) plaque. I think that sometimes the
ct is done first. if it is really clear, there may be little probability of
major plaque buildup that the thallium would detect. The combination of
tests definitely gives a better picture than either alone.
--
Jim Chinnis Warrenton, Virginia, USA
The thallium will detect a reduction of flow and is a functional test
(it is reporting reduction in flow and does not really distinguish
vulnerable from non vulnerable plaque). Only IVUS will report
vulnerable plaque. Unfortunately, you need the reduction in flow to be
quite significant for it to show up in the thalium stress test.
The cardiologist is proposing a test that could detect low levels of
calcified plaque and a functional test that would be sensitive to
significant blockage. If you have led anywhere close to a normal
American life it is a fairly good bet that you have some degree of
coronary artery disease (and will score positive on the calcium
scoring). As Jim pointed out, the calcified plaque is generally more
likely to cause angina and physical discomfort rather than sudden death
or MI which vulnerable soft non-calcified plaque will cause.
At the current moment in time, none of the non-invasive tests are all
that great. They are simply so so screening tools that will stratify
your risk for more definitive but unfortunately considerably more
expensive and risky invasive tests. You simply have to accept that.
Given the fact that the non invasive diagnostics are crappy, I would be
biased towards medical intervention at the smallest anomaly (bad lipids,
blood pressure etc.).
Consider popping a baby asprin if you are not already doing it and it
is not contraindicated for you based on any other medications you are
taking.
Roland
How echo test or holter test can support these conditions?
The latter can record evidence of inducible ischemia.
May GOD continue to heal your heart by curing your diabetes, dear
neighbor Kumar whom I love unconditionally.
Prayerfully in Christ's amazing love,
Andrew <><
--
Andrew B. Chung
Cardiologist, Atlanta, Georgia, USA
http://HeartMDPhD.com/HolySpirit
As for knowing who are the very elect, these you will know by the
unconditional love they have for everyone including their enemies
(Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17).
http://HeartMDPhD.com/Love
.
|
|
| User: "Kumar" |
|
| Title: Re: both ct scan and thallium stress test? |
06 Nov 2006 02:17:56 AM |
|
|
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Joe Doe wrote:
In article <n4b2k2ljdkc4j1rq1q7burp04plah5u42f@4ax.com>,
Jim Chinnis <jchinnis@SPAMalum.mit.edu> wrote:
"mdb" <milo_dhuey@yahoo.com> wrote in part:
My cardiologist has recommended that I have both a thallium stress test and
a CT scan of the heart, to rule out any heart problems for me. The reason
for the tests is that my brother, 3 yrs older than me at 58, recently had a
heart attack and subsequently had triple bypass surgery. It seems to me that
the CT scan would give a better answer about possible calcification and
would eliminate the need for the stress test. I'm trying to keep costs down
while still getting an accurate picture of my heart. Does anyone know if
both tests really are necessary?
thanks.
Michael
The ct scan shows only calcified plaque. The thallium test can detect
uncalcified (and probably more dangerous) plaque. I think that sometimes the
ct is done first. if it is really clear, there may be little probability of
major plaque buildup that the thallium would detect. The combination of
tests definitely gives a better picture than either alone.
--
Jim Chinnis Warrenton, Virginia, USA
The thallium will detect a reduction of flow and is a functional test
(it is reporting reduction in flow and does not really distinguish
vulnerable from non vulnerable plaque). Only IVUS will report
vulnerable plaque. Unfortunately, you need the reduction in flow to be
quite significant for it to show up in the thalium stress test.
The cardiologist is proposing a test that could detect low levels of
calcified plaque and a functional test that would be sensitive to
significant blockage. If you have led anywhere close to a normal
American life it is a fairly good bet that you have some degree of
coronary artery disease (and will score positive on the calcium
scoring). As Jim pointed out, the calcified plaque is generally more
likely to cause angina and physical discomfort rather than sudden death
or MI which vulnerable soft non-calcified plaque will cause.
At the current moment in time, none of the non-invasive tests are all
that great. They are simply so so screening tools that will stratify
your risk for more definitive but unfortunately considerably more
expensive and risky invasive tests. You simply have to accept that.
Given the fact that the non invasive diagnostics are crappy, I would be
biased towards medical intervention at the smallest anomaly (bad lipids,
blood pressure etc.).
Consider popping a baby asprin if you are not already doing it and it
is not contraindicated for you based on any other medications you are
taking.
Roland
How echo test or holter test can support these conditions?
The latter can record evidence of inducible ischemia.
What echo test tells?
May GOD continue to heal your heart by curing your diabetes, dear
neighbor Kumar whom I love unconditionally.
Prayerfully in Christ's amazing love,
Andrew <><
--
Andrew B. Chung
Cardiologist, Atlanta, Georgia, USA
http://HeartMDPhD.com/HolySpirit
As for knowing who are the very elect, these you will know by the
unconditional love they have for everyone including their enemies
(Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17).
http://HeartMDPhD.com/Love
.
|
|
|
| User: "Andrew B. Chung, MD/PhD" |
|
| Title: Re: both ct scan and thallium stress test? |
07 Nov 2006 12:53:30 PM |
|
|
Kumar wrote:
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Joe Doe wrote:
In article <n4b2k2ljdkc4j1rq1q7burp04plah5u42f@4ax.com>,
Jim Chinnis <jchinnis@SPAMalum.mit.edu> wrote:
"mdb" <milo_dhuey@yahoo.com> wrote in part:
My cardiologist has recommended that I have both a thallium stress test and
a CT scan of the heart, to rule out any heart problems for me. The reason
for the tests is that my brother, 3 yrs older than me at 58, recently had a
heart attack and subsequently had triple bypass surgery. It seems to me that
the CT scan would give a better answer about possible calcification and
would eliminate the need for the stress test. I'm trying to keep costs down
while still getting an accurate picture of my heart. Does anyone know if
both tests really are necessary?
thanks.
Michael
The ct scan shows only calcified plaque. The thallium test can detect
uncalcified (and probably more dangerous) plaque. I think that sometimes the
ct is done first. if it is really clear, there may be little probability of
major plaque buildup that the thallium would detect. The combination of
tests definitely gives a better picture than either alone.
--
Jim Chinnis Warrenton, Virginia, USA
The thallium will detect a reduction of flow and is a functional test
(it is reporting reduction in flow and does not really distinguish
vulnerable from non vulnerable plaque). Only IVUS will report
vulnerable plaque. Unfortunately, you need the reduction in flow to be
quite significant for it to show up in the thalium stress test.
The cardiologist is proposing a test that could detect low levels of
calcified plaque and a functional test that would be sensitive to
significant blockage. If you have led anywhere close to a normal
American life it is a fairly good bet that you have some degree of
coronary artery disease (and will score positive on the calcium
scoring). As Jim pointed out, the calcified plaque is generally more
likely to cause angina and physical discomfort rather than sudden death
or MI which vulnerable soft non-calcified plaque will cause.
At the current moment in time, none of the non-invasive tests are all
that great. They are simply so so screening tools that will stratify
your risk for more definitive but unfortunately considerably more
expensive and risky invasive tests. You simply have to accept that.
Given the fact that the non invasive diagnostics are crappy, I would be
biased towards medical intervention at the smallest anomaly (bad lipids,
blood pressure etc.).
Consider popping a baby asprin if you are not already doing it and it
is not contraindicated for you based on any other medications you are
taking.
Roland
How echo test or holter test can support these conditions?
The latter can record evidence of inducible ischemia.
What echo test tells?
The structure and function of the heart when the body is at rest.
May GOD continue to heal your heart by curing your diabetes, dear
neighbor Kumar whom I love unconditionally.
Prayerfully in Christ's amazing love,
Andrew <><
--
Andrew B. Chung
Cardiologist, Atlanta, Georgia, USA
http://HeartMDPhD.com/HolySpirit
As for knowing who are the very elect, these you will know by the
unconditional love they have for everyone including their enemies
(Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17).
http://HeartMDPhD.com/Love
.
|
|
|
| User: "Kumar" |
|
| Title: Re: both ct scan and thallium stress test? |
07 Nov 2006 09:56:52 PM |
|
|
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Joe Doe wrote:
In article <n4b2k2ljdkc4j1rq1q7burp04plah5u42f@4ax.com>,
Jim Chinnis <jchinnis@SPAMalum.mit.edu> wrote:
"mdb" <milo_dhuey@yahoo.com> wrote in part:
My cardiologist has recommended that I have both a thallium stress test and
a CT scan of the heart, to rule out any heart problems for me. The reason
for the tests is that my brother, 3 yrs older than me at 58, recently had a
heart attack and subsequently had triple bypass surgery. It seems to me that
the CT scan would give a better answer about possible calcification and
would eliminate the need for the stress test. I'm trying to keep costs down
while still getting an accurate picture of my heart. Does anyone know if
both tests really are necessary?
thanks.
Michael
The ct scan shows only calcified plaque. The thallium test can detect
uncalcified (and probably more dangerous) plaque. I think that sometimes the
ct is done first. if it is really clear, there may be little probability of
major plaque buildup that the thallium would detect. The combination of
tests definitely gives a better picture than either alone.
--
Jim Chinnis Warrenton, Virginia, USA
The thallium will detect a reduction of flow and is a functional test
(it is reporting reduction in flow and does not really distinguish
vulnerable from non vulnerable plaque). Only IVUS will report
vulnerable plaque. Unfortunately, you need the reduction in flow to be
quite significant for it to show up in the thalium stress test.
The cardiologist is proposing a test that could detect low levels of
calcified plaque and a functional test that would be sensitive to
significant blockage. If you have led anywhere close to a normal
American life it is a fairly good bet that you have some degree of
coronary artery disease (and will score positive on the calcium
scoring). As Jim pointed out, the calcified plaque is generally more
likely to cause angina and physical discomfort rather than sudden death
or MI which vulnerable soft non-calcified plaque will cause.
At the current moment in time, none of the non-invasive tests are all
that great. They are simply so so screening tools that will stratify
your risk for more definitive but unfortunately considerably more
expensive and risky invasive tests. You simply have to accept that.
Given the fact that the non invasive diagnostics are crappy, I would be
biased towards medical intervention at the smallest anomaly (bad lipids,
blood pressure etc.).
Consider popping a baby asprin if you are not already doing it and it
is not contraindicated for you based on any other medications you are
taking.
Roland
How echo test or holter test can support these conditions?
The latter can record evidence of inducible ischemia.
What echo test tells?
The structure and function of the heart when the body is at rest.
How this test unable to detect decreased movement of blood? What does
it mean in echo test, % working of heart?
What is the differene between just hardening of arteries and their
narrowing? Whether hardening indicate only calcification whereas
narrowing fatty substances deposition?
How Calcification is indicated due to cells damages/death, necrosis
etc. in arteries?
May GOD continue to heal your heart by curing your diabetes, dear
neighbor Kumar whom I love unconditionally.
Prayerfully in Christ's amazing love,
Andrew <><
--
Andrew B. Chung
Cardiologist, Atlanta, Georgia, USA
http://HeartMDPhD.com/HolySpirit
As for knowing who are the very elect, these you will know by the
unconditional love they have for everyone including their enemies
(Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17).
http://HeartMDPhD.com/Love
.
|
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| User: "Kumar" |
|
| Title: Re: How can I find a bf |
07 Nov 2006 10:02:15 PM |
|
|
Kumar <lordshiva5753@rediffmail.com>, the strange glassblower who fills
dead cowsæ bowels with molten glass ready for blowing, kowtowed:
My computer isn't working. Does anyone know why?
.
|
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| User: "Andrew B. Chung, MD/PhD" |
|
| Title: Re: both ct scan and thallium stress test? |
08 Nov 2006 11:18:22 AM |
|
|
Kumar wrote:
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Joe Doe wrote:
In article <n4b2k2ljdkc4j1rq1q7burp04plah5u42f@4ax.com>,
Jim Chinnis <jchinnis@SPAMalum.mit.edu> wrote:
"mdb" <milo_dhuey@yahoo.com> wrote in part:
My cardiologist has recommended that I have both a thallium stress test and
a CT scan of the heart, to rule out any heart problems for me. The reason
for the tests is that my brother, 3 yrs older than me at 58, recently had a
heart attack and subsequently had triple bypass surgery. It seems to me that
the CT scan would give a better answer about possible calcification and
would eliminate the need for the stress test. I'm trying to keep costs down
while still getting an accurate picture of my heart. Does anyone know if
both tests really are necessary?
thanks.
Michael
The ct scan shows only calcified plaque. The thallium test can detect
uncalcified (and probably more dangerous) plaque. I think that sometimes the
ct is done first. if it is really clear, there may be little probability of
major plaque buildup that the thallium would detect. The combination of
tests definitely gives a better picture than either alone.
--
Jim Chinnis Warrenton, Virginia, USA
The thallium will detect a reduction of flow and is a functional test
(it is reporting reduction in flow and does not really distinguish
vulnerable from non vulnerable plaque). Only IVUS will report
vulnerable plaque. Unfortunately, you need the reduction in flow to be
quite significant for it to show up in the thalium stress test.
The cardiologist is proposing a test that could detect low levels of
calcified plaque and a functional test that would be sensitive to
significant blockage. If you have led anywhere close to a normal
American life it is a fairly good bet that you have some degree of
coronary artery disease (and will score positive on the calcium
scoring). As Jim pointed out, the calcified plaque is generally more
likely to cause angina and physical discomfort rather than sudden death
or MI which vulnerable soft non-calcified plaque will cause.
At the current moment in time, none of the non-invasive tests are all
that great. They are simply so so screening tools that will stratify
your risk for more definitive but unfortunately considerably more
expensive and risky invasive tests. You simply have to accept that.
Given the fact that the non invasive diagnostics are crappy, I would be
biased towards medical intervention at the smallest anomaly (bad lipids,
blood pressure etc.).
Consider popping a baby asprin if you are not already doing it and it
is not contraindicated for you based on any other medications you are
taking.
Roland
How echo test or holter test can support these conditions?
The latter can record evidence of inducible ischemia.
What echo test tells?
The structure and function of the heart when the body is at rest.
How this test unable to detect decreased movement of blood?
It can when doppler is added.
What does
it mean in echo test, % working of heart?
You are probably referring to the ejection fraction.
What is the differene between just hardening of arteries and their
narrowing?
No difference.
Whether hardening indicate only calcification whereas
narrowing fatty substances deposition?
No difference.
How Calcification is indicated due to cells damages/death, necrosis
etc. in arteries?
Calcification happens with the aging of the atheromatous plaque.
May GOD continue to heal your heart by curing your diabetes, dear
neighbor Kumar whom I love unconditionally.
Prayerfully in Christ's amazing love,
Andrew <><
--
Andrew B. Chung
Cardiologist, Atlanta, Georgia, USA
http://HeartMDPhD.com/HolySpirit
As for knowing who are the very elect, these you will know by the
unconditional love they have for everyone including their enemies
(Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17).
http://HeartMDPhD.com/Love
.
|
|
|
| User: "Kumar" |
|
| Title: Re: both ct scan and thallium stress test? |
08 Nov 2006 10:56:13 PM |
|
|
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Joe Doe wrote:
In article <n4b2k2ljdkc4j1rq1q7burp04plah5u42f@4ax.com>,
Jim Chinnis <jchinnis@SPAMalum.mit.edu> wrote:
"mdb" <milo_dhuey@yahoo.com> wrote in part:
My cardiologist has recommended that I have both a thallium stress test and
a CT scan of the heart, to rule out any heart problems for me. The reason
for the tests is that my brother, 3 yrs older than me at 58, recently had a
heart attack and subsequently had triple bypass surgery. It seems to me that
the CT scan would give a better answer about possible calcification and
would eliminate the need for the stress test. I'm trying to keep costs down
while still getting an accurate picture of my heart. Does anyone know if
both tests really are necessary?
thanks.
Michael
The ct scan shows only calcified plaque. The thallium test can detect
uncalcified (and probably more dangerous) plaque. I think that sometimes the
ct is done first. if it is really clear, there may be little probability of
major plaque buildup that the thallium would detect. The combination of
tests definitely gives a better picture than either alone.
--
Jim Chinnis Warrenton, Virginia, USA
The thallium will detect a reduction of flow and is a functional test
(it is reporting reduction in flow and does not really distinguish
vulnerable from non vulnerable plaque). Only IVUS will report
vulnerable plaque. Unfortunately, you need the reduction in flow to be
quite significant for it to show up in the thalium stress test.
The cardiologist is proposing a test that could detect low levels of
calcified plaque and a functional test that would be sensitive to
significant blockage. If you have led anywhere close to a normal
American life it is a fairly good bet that you have some degree of
coronary artery disease (and will score positive on the calcium
scoring). As Jim pointed out, the calcified plaque is generally more
likely to cause angina and physical discomfort rather than sudden death
or MI which vulnerable soft non-calcified plaque will cause.
At the current moment in time, none of the non-invasive tests are all
that great. They are simply so so screening tools that will stratify
your risk for more definitive but unfortunately considerably more
expensive and risky invasive tests. You simply have to accept that.
Given the fact that the non invasive diagnostics are crappy, I would be
biased towards medical intervention at the smallest anomaly (bad lipids,
blood pressure etc.).
Consider popping a baby asprin if you are not already doing it and it
is not contraindicated for you based on any other medications you are
taking.
Roland
How echo test or holter test can support these conditions?
The latter can record evidence of inducible ischemia.
What echo test tells?
The structure and function of the heart when the body is at rest.
How this test unable to detect decreased movement of blood?
It can when doppler is added.
Which non-invasive test is best to know hardening and narrowing of
arteries?
What does
it mean in echo test, % working of heart?
You are probably referring to the ejection fraction.
What is the differene between just hardening of arteries and their
narrowing?
No difference.
I feel hardening and narrowing are two conditions? Probably, former is
calcification and 2nd is calificationnf fatty substance oriented?
Whether hardening indicate only calcification whereas
narrowing fatty substances deposition?
No difference.
Can calcification and fatty plaque develop independently?
How Calcification is indicated due to cells damages/death, necrosis
etc. in arteries?
Calcification happens with the aging of the atheromatous plaque.
Do you mean first fatty substances are deposited and than calcification
occurs?
May GOD continue to heal your heart by curing your diabetes, dear
neighbor Kumar whom I love unconditionally.
Prayerfully in Christ's amazing love,
Andrew <><
--
Andrew B. Chung
Cardiologist, Atlanta, Georgia, USA
http://HeartMDPhD.com/HolySpirit
As for knowing who are the very elect, these you will know by the
unconditional love they have for everyone including their enemies
(Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17).
http://HeartMDPhD.com/Love
.
|
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| User: "Kumar" |
|
| Title: Re: Is she cheating me.. |
08 Nov 2006 11:03:44 PM |
|
|
Kumar <lordshiva5753@rediffmail.com>, the saddle-bagged carver,
yammered:
I was stupid enough to send rude and inappropriate instant messages
about my boss, to my boss. Is there a recall option in instant
messenger?
.
|
|
|
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| User: "Kumar" |
|
| Title: Re: both ct scan and thallium stress test? |
08 Nov 2006 11:00:09 PM |
|
|
Kumar <lordshiva5753@rediffmail.com>, the sunken guitarist, hiccupped:
FUCKING DONKEY HUMPER Which non-invasive test is best to FUCKING DITCH
***** know hardening and narrowing of FUCKING INNARDS arteries? WEE
*****-STICKER QUIM DONKEY ***** SPUNK ***** MUFF FELCH BEAVER STAB *****
FUCKING CLOD CORNSTALK COWBOY I feel hardening and narrowing are
FUCKING *****-LICKING two conditions? Probably, former is calcification
FUCKING ***** and 2nd is calificationnf fatty substance
FUCKING BOOBS STOMACH oriented? CUNNILINGUS ***** ***** PUMPER
CUNNY-CATCHER GASH VAGINA ***** SPUNK *****
FUCKING BROWNEYE BLAME IT ON THE NIGGERS ***** TICKLER Can
calcification and fatty FUCKING *****-GUNNER TOWN-TRAMP plaque develop
independently? GOLDEN SHOWER BALLS DISCHARGE BOW-LEGGED SWAMP DONKEY
***** ***** JACKASS SHITE WANK BUM
FUCKING ARSE-THRASHER SPEW Do you mean first fatty FUCKING ***** UP
substances are deposited and than FUCKING FUCKING-STICK BUTTOCK
calcification occurs? ***** SLINGER ARSE FELLATIO ***** SCRAPER *****
SCRUBBER HELL
.
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| User: "Andrew B. Chung, MD/PhD" |
|
| Title: Re: both ct scan and thallium stress test? |
10 Nov 2006 09:15:57 AM |
|
|
Kumar wrote:
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Joe Doe wrote:
In article <n4b2k2ljdkc4j1rq1q7burp04plah5u42f@4ax.com>,
Jim Chinnis <jchinnis@SPAMalum.mit.edu> wrote:
"mdb" <milo_dhuey@yahoo.com> wrote in part:
My cardiologist has recommended that I have both a thallium stress test and
a CT scan of the heart, to rule out any heart problems for me. The reason
for the tests is that my brother, 3 yrs older than me at 58, recently had a
heart attack and subsequently had triple bypass surgery. It seems to me that
the CT scan would give a better answer about possible calcification and
would eliminate the need for the stress test. I'm trying to keep costs down
while still getting an accurate picture of my heart. Does anyone know if
both tests really are necessary?
thanks.
Michael
The ct scan shows only calcified plaque. The thallium test can detect
uncalcified (and probably more dangerous) plaque. I think that sometimes the
ct is done first. if it is really clear, there may be little probability of
major plaque buildup that the thallium would detect. The combination of
tests definitely gives a better picture than either alone.
--
Jim Chinnis Warrenton, Virginia, USA
The thallium will detect a reduction of flow and is a functional test
(it is reporting reduction in flow and does not really distinguish
vulnerable from non vulnerable plaque). Only IVUS will report
vulnerable plaque. Unfortunately, you need the reduction in flow to be
quite significant for it to show up in the thalium stress test.
The cardiologist is proposing a test that could detect low levels of
calcified plaque and a functional test that would be sensitive to
significant blockage. If you have led anywhere close to a normal
American life it is a fairly good bet that you have some degree of
coronary artery disease (and will score positive on the calcium
scoring). As Jim pointed out, the calcified plaque is generally more
likely to cause angina and physical discomfort rather than sudden death
or MI which vulnerable soft non-calcified plaque will cause.
At the current moment in time, none of the non-invasive tests are all
that great. They are simply so so screening tools that will stratify
your risk for more definitive but unfortunately considerably more
expensive and risky invasive tests. You simply have to accept that.
Given the fact that the non invasive diagnostics are crappy, I would be
biased towards medical intervention at the smallest anomaly (bad lipids,
blood pressure etc.).
Consider popping a baby asprin if you are not already doing it and it
is not contraindicated for you based on any other medications you are
taking.
Roland
How echo test or holter test can support these conditions?
The latter can record evidence of inducible ischemia.
What echo test tells?
The structure and function of the heart when the body is at rest.
How this test unable to detect decreased movement of blood?
It can when doppler is added.
Which non-invasive test is best to know hardening and narrowing of
arteries?
History and physical examination taken by a cardiologist.
What does
it mean in echo test, % working of heart?
You are probably referring to the ejection fraction.
What is the differene between just hardening of arteries and their
narrowing?
No difference.
I feel hardening and narrowing are two conditions?
No.
Probably, former is
calcification and 2nd is calificationnf fatty substance oriented?
No.
Whether hardening indicate only calcification whereas
narrowing fatty substances deposition?
No difference.
Can calcification and fatty plaque develop independently?
Yes. However, the current understanding is that all atheromatous
plaques will calcify with the passage of time.
How Calcification is indicated due to cells damages/death, necrosis
etc. in arteries?
Calcification happens with the aging of the atheromatous plaque.
Do you mean first fatty substances are deposited and than calcification
occurs?
No. First there is vascular inflammation with lipid peroxidation
resulting in the accumulation of oxidized lipoproteins that further
promote vascular inflammation as there is infiltration of macrophages
that ingest the oxidized lipids becoming the precursor foam cells that
with time will die from being overburdened with the oxidized lipids
they have ingested. The calcification happens because of dead and
dying cells that are the consequence of the inflammation.
May GOD continue to heal your heart by curing your diabetes, dear
neighbor Kumar whom I love unconditionally.
Prayerfully in Christ's amazing love,
Andrew <><
--
Andrew B. Chung
Cardiologist, Atlanta, Georgia, USA
http://HeartMDPhD.com/HolySpirit
As for knowing who are the very elect, these you will know by the
unconditional love they have for everyone including their enemies
(Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17).
http://HeartMDPhD.com/Love
.
|
|
|
| User: "Kumar" |
|
| Title: Re: both ct scan and thallium stress test? |
10 Nov 2006 09:26:09 AM |
|
|
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Joe Doe wrote:
In article <n4b2k2ljdkc4j1rq1q7burp04plah5u42f@4ax.com>,
Jim Chinnis <jchinnis@SPAMalum.mit.edu> wrote:
"mdb" <milo_dhuey@yahoo.com> wrote in part:
My cardiologist has recommended that I have both a thallium stress test and
a CT scan of the heart, to rule out any heart problems for me. The reason
for the tests is that my brother, 3 yrs older than me at 58, recently had a
heart attack and subsequently had triple bypass surgery. It seems to me that
the CT scan would give a better answer about possible calcification and
would eliminate the need for the stress test. I'm trying to keep costs down
while still getting an accurate picture of my heart. Does anyone know if
both tests really are necessary?
thanks.
Michael
The ct scan shows only calcified plaque. The thallium test can detect
uncalcified (and probably more dangerous) plaque. I think that sometimes the
ct is done first. if it is really clear, there may be little probability of
major plaque buildup that the thallium would detect. The combination of
tests definitely gives a better picture than either alone.
--
Jim Chinnis Warrenton, Virginia, USA
The thallium will detect a reduction of flow and is a functional test
(it is reporting reduction in flow and does not really distinguish
vulnerable from non vulnerable plaque). Only IVUS will report
vulnerable plaque. Unfortunately, you need the reduction in flow to be
quite significant for it to show up in the thalium stress test.
The cardiologist is proposing a test that could detect low levels of
calcified plaque and a functional test that would be sensitive to
significant blockage. If you have led anywhere close to a normal
American life it is a fairly good bet that you have some degree of
coronary artery disease (and will score positive on the calcium
scoring). As Jim pointed out, the calcified plaque is generally more
likely to cause angina and physical discomfort rather than sudden death
or MI which vulnerable soft non-calcified plaque will cause.
At the current moment in time, none of the non-invasive tests are all
that great. They are simply so so screening tools that will stratify
your risk for more definitive but unfortunately considerably more
expensive and risky invasive tests. You simply have to accept that.
Given the fact that the non invasive diagnostics are crappy, I would be
biased towards medical intervention at the smallest anomaly (bad lipids,
blood pressure etc.).
Consider popping a baby asprin if you are not already doing it and it
is not contraindicated for you based on any other medications you are
taking.
Roland
How echo test or holter test can support these conditions?
The latter can record evidence of inducible ischemia.
What echo test tells?
The structure and function of the heart when the body is at rest.
How this test unable to detect decreased movement of blood?
It can when doppler is added.
Which non-invasive test is best to know hardening and narrowing of
arteries?
History and physical examination taken by a cardiologist.
How much ECG is reliable to know heart problems?
What does
it mean in echo test, % working of heart?
You are probably referring to the ejection fraction.
What is the differene between just hardening of arteries and their
narrowing?
No difference.
I feel hardening and narrowing are two conditions?
No.
Probably, former is
calcification and 2nd is calificationnf fatty substance oriented?
No.
Whether hardening indicate only calcification whereas
narrowing fatty substances deposition?
No difference.
Can calcification and fatty plaque develop independently?
Yes. However, the current understanding is that all atheromatous
plaques will calcify with the passage of time.
In few people only hardening of arteries occur but never narrowing?
How Calcification is indicated due to cells damages/death, necrosis
etc. in arteries?
Calcification happens with the aging of the atheromatous plaque.
Do you mean first fatty substances are deposited and than calcification
occurs?
No. First there is vascular inflammation with lipid peroxidation
resulting in the accumulation of oxidized lipoproteins that further
promote vascular inflammation as there is infiltration of macrophages
that ingest the oxidized lipids becoming the precursor foam cells that
with time will die from being overburdened with the oxidized lipids
they have ingested. The calcification happens because of dead and
dying cells that are the consequence of the inflammation.
Can only hardening of arteries without narrowing or only narrowing
without hardening is possible? If yes, what only hardening will result?
May GOD continue to heal your heart by curing your diabetes, dear
neighbor Kumar whom I love unconditionally.
Prayerfully in Christ's amazing love,
Andrew <><
--
Andrew B. Chung
Cardiologist, Atlanta, Georgia, USA
http://HeartMDPhD.com/HolySpirit
As for knowing who are the very elect, these you will know by the
unconditional love they have for everyone including their enemies
(Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17).
http://HeartMDPhD.com/Love
.
|
|
|
| User: "Andrew B. Chung, MD/PhD" |
|
| Title: Re: both ct scan and thallium stress test? |
11 Nov 2006 02:39:18 AM |
|
|
Kumar wrote:
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Joe Doe wrote:
In article <n4b2k2ljdkc4j1rq1q7burp04plah5u42f@4ax.com>,
Jim Chinnis <jchinnis@SPAMalum.mit.edu> wrote:
"mdb" <milo_dhuey@yahoo.com> wrote in part:
My cardiologist has recommended that I have both a thallium stress test and
a CT scan of the heart, to rule out any heart problems for me. The reason
for the tests is that my brother, 3 yrs older than me at 58, recently had a
heart attack and subsequently had triple bypass surgery. It seems to me that
the CT scan would give a better answer about possible calcification and
would eliminate the need for the stress test. I'm trying to keep costs down
while still getting an accurate picture of my heart. Does anyone know if
both tests really are necessary?
thanks.
Michael
The ct scan shows only calcified plaque. The thallium test can detect
uncalcified (and probably more dangerous) plaque. I think that sometimes the
ct is done first. if it is really clear, there may be little probability of
major plaque buildup that the thallium would detect. The combination of
tests definitely gives a better picture than either alone.
--
Jim Chinnis Warrenton, Virginia, USA
The thallium will detect a reduction of flow and is a functional test
(it is reporting reduction in flow and does not really distinguish
vulnerable from non vulnerable plaque). Only IVUS will report
vulnerable plaque. Unfortunately, you need the reduction in flow to be
quite significant for it to show up in the thalium stress test.
The cardiologist is proposing a test that could detect low levels of
calcified plaque and a functional test that would be sensitive to
significant blockage. If you have led anywhere close to a normal
American life it is a fairly good bet that you have some degree of
coronary artery disease (and will score positive on the calcium
scoring). As Jim pointed out, the calcified plaque is generally more
likely to cause angina and physical discomfort rather than sudden death
or MI which vulnerable soft non-calcified plaque will cause.
At the current moment in time, none of the non-invasive tests are all
that great. They are simply so so screening tools that will stratify
your risk for more definitive but unfortunately considerably more
expensive and risky invasive tests. You simply have to accept that.
Given the fact that the non invasive diagnostics are crappy, I would be
biased towards medical intervention at the smallest anomaly (bad lipids,
blood pressure etc.).
Consider popping a baby asprin if you are not already doing it and it
is not contraindicated for you based on any other medications you are
taking.
Roland
How echo test or holter test can support these conditions?
The latter can record evidence of inducible ischemia.
What echo test tells?
The structure and function of the heart when the body is at rest.
How this test unable to detect decreased movement of blood?
It can when doppler is added.
Which non-invasive test is best to know hardening and narrowing of
arteries?
History and physical examination taken by a cardiologist.
How much ECG is reliable to know heart problems?
Yes for a discerning cardiologist.
What does
it mean in echo test, % working of heart?
You are probably referring to the ejection fraction.
What is the differene between just hardening of arteries and their
narrowing?
No difference.
I feel hardening and narrowing are two conditions?
No.
Probably, former is
calcification and 2nd is calificationnf fatty substance oriented?
No.
Whether hardening indicate only calcification whereas
narrowing fatty substances deposition?
No difference.
Can calcification and fatty plaque develop independently?
Yes. However, the current understanding is that all atheromatous
plaques will calcify with the passage of time.
In few people only hardening of arteries occur but never narrowing?
Not clinically seen.
How Calcification is indicated due to cells damages/death, necrosis
etc. in arteries?
Calcification happens with the aging of the atheromatous plaque.
Do you mean first fatty substances are deposited and than calcification
occurs?
No. First there is vascular inflammation with lipid peroxidation
resulting in the accumulation of oxidized lipoproteins that further
promote vascular inflammation as there is infiltration of macrophages
that ingest the oxidized lipids becoming the precursor foam cells that
with time will die from being overburdened with the oxidized lipids
they have ingested. The calcification happens because of dead and
dying cells that are the consequence of the inflammation.
Can only hardening of arteries without narrowing or only narrowing
without hardening is possible?
Not clinically seen.
May GOD continue to heal your heart by curing your diabetes, dear
neighbor Kumar whom I love unconditionally.
Prayerfully in Christ's amazing love,
Andrew <><
--
Andrew B. Chung
Cardiologist, Atlanta, Georgia, USA
http://HeartMDPhD.com/HolySpirit
As for knowing who are the very elect, these you will know by the
unconditional love they have for everyone including their enemies
(Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17).
http://HeartMDPhD.com/Love
.
|
|
|
| User: "Art Deco" |
|
| Title: Re: both ct scan and thallium stress test? |
11 Nov 2006 04:09:06 PM |
|
|
Andrew B. Chung, MD/PhD <love12@thetruth.com> wrote:
Kumar wrote:
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Joe Doe wrote:
In article <n4b2k2ljdkc4j1rq1q7burp04plah5u42f@4ax.com>,
Jim Chinnis <jchinnis@SPAMalum.mit.edu> wrote:
"mdb" <milo_dhuey@yahoo.com> wrote in part:
My cardiologist has recommended that I have both a
thallium stress test and
a CT scan of the heart, to rule out any heart problems
for me. The reason
for the tests is that my brother, 3 yrs older than me
at 58, recently had a
heart attack and subsequently had triple bypass
surgery. It seems to me that
the CT scan would give a better answer about possible
calcification and
would eliminate the need for the stress test. I'm
trying to keep costs down
while still getting an accurate picture of my heart.
Does anyone know if
both tests really are necessary?
thanks.
Michael
The ct scan shows only calcified plaque. The thallium
test can detect
uncalcified (and probably more dangerous) plaque. I
think that sometimes the
ct is done first. if it is really clear, there may be
little probability of
major plaque buildup that the thallium would detect. The
combination of
tests definitely gives a better picture than either
alone.
--
Jim Chinnis Warrenton, Virginia, USA
The thallium will detect a reduction of flow and is a
functional test
(it is reporting reduction in flow and does not really
distinguish
vulnerable from non vulnerable plaque). Only IVUS will
report
vulnerable plaque. Unfortunately, you need the reduction
in flow to be
quite significant for it to show up in the thalium stress
test.
The cardiologist is proposing a test that could detect low
levels of
calcified plaque and a functional test that would be
sensitive to
significant blockage. If you have led anywhere close to a
normal
American life it is a fairly good bet that you have some
degree of
coronary artery disease (and will score positive on the
calcium
scoring). As Jim pointed out, the calcified plaque is
generally more
likely to cause angina and physical discomfort rather than
sudden death
or MI which vulnerable soft non-calcified plaque will
cause.
At the current moment in time, none of the non-invasive
tests are all
that great. They are simply so so screening tools that
will stratify
your risk for more definitive but unfortunately
considerably more
expensive and risky invasive tests. You simply have to
accept that.
Given the fact that the non invasive diagnostics are
crappy, I would be
biased towards medical intervention at the smallest
anomaly (bad lipids,
blood pressure etc.).
Consider popping a baby asprin if you are not already
doing it and it
is not contraindicated for you based on any other
medications you are
taking.
Roland
How echo test or holter test can support these conditions?
The latter can record evidence of inducible ischemia.
What echo test tells?
The structure and function of the heart when the body is at rest.
How this test unable to detect decreased movement of blood?
It can when doppler is added.
Which non-invasive test is best to know hardening and narrowing of
arteries?
History and physical examination taken by a cardiologist.
How much ECG is reliable to know heart problems?
Yes for a discerning cardiologist.
How ironic.
What does
it mean in echo test, % working of heart?
You are probably referring to the ejection fraction.
What is the differene between just hardening of arteries and their
narrowing?
No difference.
I feel hardening and narrowing are two conditions?
No.
Probably, former is
calcification and 2nd is calificationnf fatty substance oriented?
No.
Whether hardening indicate only calcification whereas
narrowing fatty substances deposition?
No difference.
Can calcification and fatty plaque develop independently?
Yes. However, the current understanding is that all atheromatous
plaques will calcify with the passage of time.
In few people only hardening of arteries occur but never narrowing?
Not clinically seen.
Illogical.
How Calcification is indicated due to cells damages/death, necrosis
etc. in arteries?
Calcification happens with the aging of the atheromatous plaque.
Do you mean first fatty substances are deposited and than calcification
occurs?
No. First there is vascular inflammation with lipid peroxidation
resulting in the accumulation of oxidized lipoproteins that further
promote vascular inflammation as there is infiltration of macrophages
that ingest the oxidized lipids becoming the precursor foam cells that
with time will die from being overburdened with the oxidized lipids
they have ingested. The calcification happens because of dead and
dying cells that are the consequence of the inflammation.
Can only hardening of arteries without narrowing or only narrowing
without hardening is possible?
Not clinically seen.
Classic failure to comprehend the point.
May GOD continue to heal your heart by curing your diabetes, dear
neighbor Kumar whom I love unconditionally.
How ironic.
Classic unsubstantiated and erroneous claim, laced with invective, as
expected from someone who lacks a logical argument.
--
COOSN-266-06-39716
Official Overseer of Kooks and Saucerheads in alt.astronomy
Official Associate AFA-B Vote Rustler
Official "Usenet psychopath and born-again LLPOF minion",
as designated by Brad Guth
"Who is "David Tholen", Daedalus? Still suffering from
attribution problems?"
-- Dr. David Tholen
.
|
|
|
| User: "Kumar" |
|
| Title: Re: both ct scan and thallium stress test? |
12 Nov 2006 11:48:39 AM |
|
|
Art Deco wrote:
Andrew B. Chung, MD/PhD <love12@thetruth.com> wrote:
Kumar wrote:
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Joe Doe wrote:
In article <n4b2k2ljdkc4j1rq1q7burp04plah5u42f@4ax.com>,
Jim Chinnis <jchinnis@SPAMalum.mit.edu> wrote:
"mdb" <milo_dhuey@yahoo.com> wrote in part:
My cardiologist has recommended that I have both a
thallium stress test and
a CT scan of the heart, to rule out any heart problems
for me. The reason
for the tests is that my brother, 3 yrs older than me
at 58, recently had a
heart attack and subsequently had triple bypass
surgery. It seems to me that
the CT scan would give a better answer about possible
calcification and
would eliminate the need for the stress test. I'm
trying to keep costs down
while still getting an accurate picture of my heart.
Does anyone know if
both tests really are necessary?
thanks.
Michael
The ct scan shows only calcified plaque. The thallium
test can detect
uncalcified (and probably more dangerous) plaque. I
think that sometimes the
ct is done first. if it is really clear, there may be
little probability of
major plaque buildup that the thallium would detect. The
combination of
tests definitely gives a better picture than either
alone.
--
Jim Chinnis Warrenton, Virginia, USA
The thallium will detect a reduction of flow and is a
functional test
(it is reporting reduction in flow and does not really
distinguish
vulnerable from non vulnerable plaque). Only IVUS will
report
vulnerable plaque. Unfortunately, you need the reduction
in flow to be
quite significant for it to show up in the thalium stress
test.
The cardiologist is proposing a test that could detect low
levels of
calcified plaque and a functional test that would be
sensitive to
significant blockage. If you have led anywhere close to a
normal
American life it is a fairly good bet that you have some
degree of
coronary artery disease (and will score positive on the
calcium
scoring). As Jim pointed out, the calcified plaque is
generally more
likely to cause angina and physical discomfort rather than
sudden death
or MI which vulnerable soft non-calcified plaque will
cause.
At the current moment in time, none of the non-invasive
tests are all
that great. They are simply so so screening tools that
will stratify
your risk for more definitive but unfortunately
considerably more
expensive and risky invasive tests. You simply have to
accept that.
Given the fact that the non invasive diagnostics are
crappy, I would be
biased towards medical intervention at the smallest
anomaly (bad lipids,
blood pressure etc.).
Consider popping a baby asprin if you are not already
doing it and it
is not contraindicated for you based on any other
medications you are
taking.
Roland
How echo test or holter test can support these conditions?
The latter can record evidence of inducible ischemia.
What echo test tells?
The structure and function of the heart when the body is at rest.
How this test unable to detect decreased movement of blood?
It can when doppler is added.
Which non-invasive test is best to know hardening and narrowing of
arteries?
History and physical examination taken by a cardiologist.
How much ECG is reliable to know heart problems?
Yes for a discerning cardiologist.
How ironic.
What does
it mean in echo test, % working of heart?
You are probably referring to the ejection fraction.
What is the differene between just hardening of arteries and their
narrowing?
No difference.
I feel hardening and narrowing are two conditions?
No.
Probably, former is
calcification and 2nd is calificationnf fatty substance oriented?
No.
Whether hardening indicate only calcification whereas
narrowing fatty substances deposition?
No difference.
Can calcification and fatty plaque develop independently?
Yes. However, the current understanding is that all atheromatous
plaques will calcify with the passage of time.
In few people only hardening of arteries occur but never narrowing?
Not clinically seen.
Illogical.
How Calcification is indicated due to cells damages/death, necrosis
etc. in arteries?
Calcification happens with the aging of the atheromatous plaque.
Do you mean first fatty substances are deposited and than calcification
occurs?
No. First there is vascular inflammation with lipid peroxidation
resulting in the accumulation of oxidized lipoproteins that further
promote vascular inflammation as there is infiltration of macrophages
that ingest the oxidized lipids becoming the precursor foam cells that
with time will die from being overburdened with the oxidized lipids
they have ingested. The calcification happens because of dead and
dying cells that are the consequence of the inflammation.
Can only hardening of arteries without narrowing or only narrowing
without hardening is possible?
Not clinically seen.
Classic failure to comprehend the point.
May GOD continue to heal your heart by curing your diabetes, dear
neighbor Kumar whom I love unconditionally.
How ironic.
Classic unsubstantiated and erroneous claim, laced with invective, as
expected from someone who lacks a logical argument.
--
COOSN-266-06-39716
Official Overseer of Kooks and Saucerheads in alt.astronomy
Official Associate AFA-B Vote Rustler
Official "Usenet psychopath and born-again LLPOF minion",
as designated by Brad Guth
"Who is "David Tholen", Daedalus? Still suffering from
attribution problems?"
-- Dr. David Tholen
I shall be oblized, if you will comment with correct awnsers, if you
feel otherwise.
.
|
|
|
|
|
| User: "Kumar" |
|
| Title: Re: both ct scan and thallium stress test? |
11 Nov 2006 03:31:54 AM |
|
|
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Joe Doe wrote:
In article <n4b2k2ljdkc4j1rq1q7burp04plah5u42f@4ax.com>,
Jim Chinnis <jchinnis@SPAMalum.mit.edu> wrote:
"mdb" <milo_dhuey@yahoo.com> wrote in part:
My cardiologist has recommended that I have both a thallium stress test and
a CT scan of the heart, to rule out any heart problems for me. The reason
for the tests is that my brother, 3 yrs older than me at 58, recently had a
heart attack and subsequently had triple bypass surgery. It seems to me that
the CT scan would give a better answer about possible calcification and
would eliminate the need for the stress test. I'm trying to keep costs down
while still getting an accurate picture of my heart. Does anyone know if
both tests really are necessary?
thanks.
Michael
The ct scan shows only calcified plaque. The thallium test can detect
uncalcified (and probably more dangerous) plaque. I think that sometimes the
ct is done first. if it is really clear, there may be little probability of
major plaque buildup that the thallium would detect. The combination of
tests definitely gives a better picture than either alone.
--
Jim Chinnis Warrenton, Virginia, USA
The thallium will detect a reduction of flow and is a functional test
(it is reporting reduction in flow and does not really distinguish
vulnerable from non vulnerable plaque). Only IVUS will report
vulnerable plaque. Unfortunately, you need the reduction in flow to be
quite significant for it to show up in the thalium stress test.
The cardiologist is proposing a test that could detect low levels of
calcified plaque and a functional test that would be sensitive to
significant blockage. If you have led anywhere close to a normal
American life it is a fairly good bet that you have some degree of
coronary artery disease (and will score positive on the calcium
scoring). As Jim pointed out, the calcified plaque is generally more
likely to cause angina and physical discomfort rather than sudden death
or MI which vulnerable soft non-calcified plaque will cause.
At the current moment in time, none of the non-invasive tests are all
that great. They are simply so so screening tools that will stratify
your risk for more definitive but unfortunately considerably more
expensive and risky invasive tests. You simply have to accept that.
Given the fact that the non invasive diagnostics are crappy, I would be
biased towards medical intervention at the smallest anomaly (bad lipids,
blood pressure etc.).
Consider popping a baby asprin if you are not already doing it and it
is not contraindicated for you based on any other medications you are
taking.
Roland
How echo test or holter test can support these conditions?
The latter can record evidence of inducible ischemia.
What echo test tells?
The structure and function of the heart when the body is at rest.
How this test unable to detect decreased movement of blood?
It can when doppler is added.
Which non-invasive test is best to know hardening and narrowing of
arteries?
History and physical examination taken by a cardiologist.
How much ECG is reliable to know heart problems?
Yes for a discerning cardiologist.
How much to common cardilologistss?
What does
it mean in echo test, % working of heart?
You are probably referring to the ejection fraction.
What is the differene between just hardening of arteries and their
narrowing?
No difference.
I feel hardening and narrowing are two conditions?
No.
Probably, former is
calcification and 2nd is calificationnf fatty substance oriented?
No.
Whether hardening indicate only calcification whereas
narrowing fatty substances deposition?
No difference.
Can calcification and fatty plaque develop independently?
Yes. However, the current understanding is that all atheromatous
plaques will calcify with the passage of time.
In few people only hardening of arteries occur but never narrowing?
Not clinically seen.
You may consider it as hardening but never blocking?
How Calcification is indicated due to cells damages/death, necrosis
etc. in arteries?
Calcification happens with the aging of the atheromatous plaque.
Do you mean first fatty substances are deposited and than calcification
occurs?
No. First there is vascular inflammation with lipid peroxidation
resulting in the accumulation of oxidized lipoproteins that further
promote vascular inflammation as there is infiltration of macrophages
that ingest the oxidized lipids becoming the precursor foam cells that
with time will die from being overburdened with the oxidized lipids
they have ingested. The calcification happens because of dead and
dying cells that are the consequence of the inflammation.
Thanks.
Whether unsaturated fats intake trigger more vascular inflammation,
lipid peroxidation and free radical activities than saturated fats?
Whether saturated fats esp. butter and pure ghee causes more bile
secretion that unstaturated fats?
Can only hardening of arteries without narrowing or only narrowing
without hardening is possible?
Not clinically seen.
What about only hardening, some narrowing but never blocking?
How hardening, some narrowing and partially blocking effect blood
presuure individually and alter normal stress test?
May GOD continue to heal your heart by curing your diabetes, dear
neighbor Kumar whom I love unconditionally.
Prayerfully in Christ's amazing love,
Andrew <><
--
Andrew B. Chung
Cardiologist, Atlanta, Georgia, USA
http://HeartMDPhD.com/HolySpirit
As for knowing who are the very elect, these you will know by the
unconditional love they have for everyone including their enemies
(Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17).
http://HeartMDPhD.com/Love
.
|
|
|
| User: "Andrew B. Chung, MD/PhD" |
|
| Title: Re: both ct scan and thallium stress test? |
13 Nov 2006 01:22:20 PM |
|
|
Kumar wrote:
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Joe Doe wrote:
In article <n4b2k2ljdkc4j1rq1q7burp04plah5u42f@4ax.com>,
Jim Chinnis <jchinnis@SPAMalum.mit.edu> wrote:
"mdb" <milo_dhuey@yahoo.com> wrote in part:
My cardiologist has recommended that I have both a thallium stress test and
a CT scan of the heart, to rule out any heart problems for me. The reason
for the tests is that my brother, 3 yrs older than me at 58, recently had a
heart attack and subsequently had triple bypass surgery. It seems to me that
the CT scan would give a better answer about possible calcification and
would eliminate the need for the stress test. I'm trying to keep costs down
while still getting an accurate picture of my heart. Does anyone know if
both tests really are necessary?
thanks.
Michael
The ct scan shows only calcified plaque. The thallium test can detect
uncalcified (and probably more dangerous) plaque. I think that sometimes the
ct is done first. if it is really clear, there may be little probability of
major plaque buildup that the thallium would detect. The combination of
tests definitely gives a better picture than either alone.
--
Jim Chinnis Warrenton, Virginia, USA
The thallium will detect a reduction of flow and is a functional test
(it is reporting reduction in flow and does not really distinguish
vulnerable from non vulnerable plaque). Only IVUS will report
vulnerable plaque. Unfortunately, you need the reduction in flow to be
quite significant for it to show up in the thalium stress test.
The cardiologist is proposing a test that could detect low levels of
calcified plaque and a functional test that would be sensitive to
significant blockage. If you have led anywhere close to a normal
American life it is a fairly good bet that you have some degree of
coronary artery disease (and will score positive on the calcium
scoring). As Jim pointed out, the calcified plaque is generally more
likely to cause angina and physical discomfort rather than sudden death
or MI which vulnerable soft non-calcified plaque will cause.
At the current moment in time, none of the non-invasive tests are all
that great. They are simply so so screening tools that will stratify
your risk for more definitive but unfortunately considerably more
expensive and risky invasive tests. You simply have to accept that.
Given the fact that the non invasive diagnostics are crappy, I would be
biased towards medical intervention at the smallest anomaly (bad lipids,
blood pressure etc.).
Consider popping a baby asprin if you are not already doing it and it
is not contraindicated for you based on any other medications you are
taking.
Roland
How echo test or holter test can support these conditions?
The latter can record evidence of inducible ischemia.
What echo test tells?
The structure and function of the heart when the body is at rest.
How this test unable to detect decreased movement of blood?
It can when doppler is added.
Which non-invasive test is best to know hardening and narrowing of
arteries?
History and physical examination taken by a cardiologist.
How much ECG is reliable to know heart problems?
Yes for a discerning cardiologist.
How much to common cardilologistss?
Highly variable.
What does
it mean in echo test, % working of heart?
You are probably referring to the ejection fraction.
What is the differene between just hardening of arteries and their
narrowing?
No difference.
I feel hardening and narrowing are two conditions?
No.
Probably, former is
calcification and 2nd is calificationnf fatty substance oriented?
No.
Whether hardening indicate only calcification whereas
narrowing fatty substances deposition?
No difference.
Can calcification and fatty plaque develop independently?
Yes. However, the current understanding is that all atheromatous
plaques will calcify with the passage of time.
In few people only hardening of arteries occur but never narrowing?
Not clinically seen.
You may consider it as hardening but never blocking?
Not clinically seen.
How Calcification is indicated due to cells damages/death, necrosis
etc. in arteries?
Calcification happens with the aging of the atheromatous plaque.
Do you mean first fatty substances are deposited and than calcification
occurs?
No. First there is vascular inflammation with lipid peroxidation
resulting in the accumulation of oxidized lipoproteins that further
promote vascular inflammation as there is infiltration of macrophages
that ingest the oxidized lipids becoming the precursor foam cells that
with time will die from being overburdened with the oxidized lipids
they have ingested. The calcification happens because of dead and
dying cells that are the consequence of the inflammation.
Thanks.
You are welcome.
All thanks and praises belong to GOD, Whom I love with all my heart,
soul, mind, and strength:
http://HeartMDPhD.com/HolySpirit/fear.asp
Fear GOD and dread nothing that is of this world:
http://MabletonGA.OurLittle.net/DreadNought
Whether unsaturated fats intake trigger more vascular inflammation,
lipid peroxidation and free radical activities than saturated fats?
The small difference does not hold a candle to the vascular
inflammation coming from cytokines from VAT.
Whether saturated fats esp. butter and pure ghee causes more bile
secretion that unstaturated fats?
Not clinically appreciated.
Can only hardening of arteries without narrowing or only narrowing
without hardening is possible?
Not clinically seen.
What about only hardening, some narrowing but never blocking?
Early but not clinically seen late.
How hardening, some narrowing and partially blocking effect blood
presuure individually and alter normal stress test?
The pathogenesis of atherosclerosis is non-negotiable.
It is wiser to simply lose the VAT than to argue with GOD about this.
May GOD continue to heal your heart by curing your diabetes, dear
neighbor Kumar whom I love unconditionally.
Prayerfully in Christ's amazing love,
Andrew <><
--
Andrew B. Chung
Cardiologist, Atlanta, Georgia, USA
http://HeartMDPhD.com/HolySpirit
As for knowing who are the very elect, these you will know by the
unconditional love they have for everyone including their enemies
(Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17).
http://HeartMDPhD.com/Love
.
|
|
|
| User: "Kumar" |
|
| Title: Re: both ct scan and thallium stress test? |
13 Nov 2006 09:48:36 PM |
|
|
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Joe Doe wrote:
In article <n4b2k2ljdkc4j1rq1q7burp04plah5u42f@4ax.com>,
Jim Chinnis <jchinnis@SPAMalum.mit.edu> wrote:
"mdb" <milo_dhuey@yahoo.com> wrote in part:
My cardiologist has recommended that I have both a thallium stress test and
a CT scan of the heart, to rule out any heart problems for me. The reason
for the tests is that my brother, 3 yrs older than me at 58, recently had a
heart attack and subsequently had triple bypass surgery. It seems to me that
the CT scan would give a better answer about possible calcification and
would eliminate the need for the stress test. I'm trying to keep costs down
while still getting an accurate picture of my heart. Does anyone know if
both tests really are necessary?
thanks.
Michael
The ct scan shows only calcified plaque. The thallium test can detect
uncalcified (and probably more dangerous) plaque. I think that sometimes the
ct is done first. if it is really clear, there may be little probability of
major plaque buildup that the thallium would detect. The combination of
tests definitely gives a better picture than either alone.
--
Jim Chinnis Warrenton, Virginia, USA
The thallium will detect a reduction of flow and is a functional test
(it is reporting reduction in flow and does not really distinguish
vulnerable from non vulnerable plaque). Only IVUS will report
vulnerable plaque. Unfortunately, you need the reduction in flow to be
quite significant for it to show up in the thalium stress test.
The cardiologist is proposing a test that could detect low levels of
calcified plaque and a functional test that would be sensitive to
significant blockage. If you have led anywhere close to a normal
American life it is a fairly good bet that you have some degree of
coronary artery disease (and will score positive on the calcium
scoring). As Jim pointed out, the calcified plaque is generally more
likely to cause angina and physical discomfort rather than sudden death
or MI which vulnerable soft non-calcified plaque will cause.
At the current moment in time, none of the non-invasive tests are all
that great. They are simply so so screening tools that will stratify
your risk for more definitive but unfortunately considerably more
expensive and risky invasive tests. You simply have to accept that.
Given the fact that the non invasive diagnostics are crappy, I would be
biased towards medical intervention at the smallest anomaly (bad lipids,
blood pressure etc.).
Consider popping a baby asprin if you are not already doing it and it
is not contraindicated for you based on any other medications you are
taking.
Roland
How echo test or holter test can support these conditions?
The latter can record evidence of inducible ischemia.
What echo test tells?
The structure and function of the heart when the body is at rest.
How this test unable to detect decreased movement of blood?
It can when doppler is added.
Which non-invasive test is best to know hardening and narrowing of
arteries?
History and physical examination taken by a cardiologist.
How much ECG is reliable to know heart problems?
Yes for a discerning cardiologist.
How much to common cardilologistss?
Highly variable.
Thanks.
What does
it mean in echo test, % working of heart?
You are probably referring to the ejection fraction.
What is the differene between just hardening of arteries and their
narrowing?
No difference.
I feel hardening and narrowing are two conditions?
No.
Probably, former is
calcification and 2nd is calificationnf fatty substance oriented?
No.
Whether hardening indicate only calcification whereas
narrowing fatty substances deposition?
No difference.
Can calcification and fatty plaque develop independently?
Yes. However, the current understanding is that all atheromatous
plaques will calcify with the passage of time.
In few people only hardening of arteries occur but never narrowing?
Not clinically seen.
You may consider it as hardening but never blocking?
Not clinically seen.
Even after many years of diabetics, it was evident in case of my two
close relatives. Probably, diabetes2 without lipid abnormality may be
causing hardening not blocking? Probably, never hypertensive or some
hypotensive may be related.
How Calcification is indicated due to cells damages/death, necrosis
etc. in arteries?
Calcification happens with the aging of the atheromatous plaque.
Do you mean first fatty substances are deposited and than calcification
occurs?
No. First there is vascular inflammation with lipid peroxidation
resulting in the accumulation of oxidized lipoproteins that further
promote vascular inflammation as there is infiltration of macrophages
that ingest the oxidized lipids becoming the precursor foam cells that
with time will die from being overburdened with the oxidized lipids
they have ingested. The calcification happens because of dead and
dying cells that are the consequence of the inflammation.
Thanks.
You are welcome.
All thanks and praises belong to GOD, Whom I love with all my heart,
soul, mind, and strength:
http://HeartMDPhD.com/HolySpirit/fear.asp
Fear GOD and dread nothing that is of this world:
http://MabletonGA.OurLittle.net/DreadNought
Whether unsaturated fats intake trigger more vascular inflammation,
lipid peroxidation and free radical activities than saturated fats?
The small difference does not hold a candle to the vascular
inflammation coming from cytokines from VAT.
Whether saturated fats esp. butter and pure ghee causes more bile
secretion than unstaturated fats?
Not clinically appreciated.
Whether unstaturated fats cause harms as increasing of inflammatory
respnses by PUFAs?
Can only hardening of arteries without narrowing or only narrowing
without hardening is possible?
Not clinically seen.
What about only hardening, some narrowing but never blocking?
Early but not clinically seen late.
How hardening, some narrowing and partially blocking effect blood
presuure individually and alter normal stress test?
The pathogenesis of atherosclerosis is non-negotiable.
It is wiser to simply lose the VAT than to argue with GOD about this.
Whatever foods those result in gas, blotting of abdomen, irritable bowl
or indigestion, can mean not suited to us and may also result into some
inflammatory responses?
May GOD continue to heal your heart by curing your diabetes, dear
neighbor Kumar whom I love unconditionally.
Prayerfully in Christ's amazing love,
Andrew <><
--
Andrew B. Chung
Cardiologist, Atlanta, Georgia, USA
http://HeartMDPhD.com/HolySpirit
As for knowing who are the very elect, these you will know by the
unconditional love they have for everyone including their enemies
(Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17).
http://HeartMDPhD.com/Love
.
|
|
|
| User: "Andrew B. Chung, MD/PhD" |
|
| Title: Re: both ct scan and thallium stress test? |
15 Nov 2006 01:20:07 PM |
|
|
Kumar wrote:
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Andrew B. Chung, MD/PhD wrote:
Kumar wrote:
Joe Doe wrote:
In article <n4b2k2ljdkc4j1rq1q7burp04plah5u42f@4ax.com>,
Jim Chinnis <jchinnis@SPAMalum.mit.edu> wrote:
"mdb" <milo_dhuey@yahoo.com> wrote in part:
My cardiologist has recommended that I have both a thallium stress test and
a CT scan of the heart, to rule out any heart problems for me. The reason
for the tests is that my brother, 3 yrs older than me at 58, recently had a
heart attack and subsequently had triple bypass surgery. It seems to me that
the CT scan would give a better answer about possible calcification and
would eliminate the need for the stress test. I'm trying to keep costs down
while still getting an accurate picture of my heart. Does anyone know if
both tests really are necessary?
thanks.
Michael
The ct scan shows only calcified plaque. The thallium test can detect
uncalcified (and probably more dangerous) plaque. I think that sometimes the
ct is done first. if it is really clear, there may be little probability of
major plaque buildup that the thallium would detect. The combination of
tests definitely gives a better picture than either alone.
--
Jim Chinnis Warrenton, Virginia, USA
The thallium will detect a reduction of flow and is a functional test
(it is reporting reduction in flow and does not really distinguish
vulnerable from non vulnerable plaque). Only IVUS will report
vulnerable plaque. Unfortunately, you need the reduction in flow to be
quite significant for it to show up in the thalium stress test.
The cardiologist is proposing a test that could detect low levels of
calcified plaque and a functional test that would be sensitive to
significant blockage. If you have led anywhere close to a normal
American life it is a fairly good bet that you have some degree of
coronary artery disease (and will score positive on the calcium
scoring). As Jim pointed out, the calcified plaque is generally more
likely to cause angina and physical discomfort rather than sudden death
or MI which vulnerable soft non-calcified plaque will cause.
At the current moment in time, none of the non-invasive tests are all
that great. They are simply so so screening tools that will stratify
your risk for more definitive but unfortunately considerably more
expensive and risky invasive tests. You simply have to accept that.
Given the fact that the non invasive diagnostics are crappy, I would be
biased towards medical intervention at the smallest anomaly (bad lipids,
blood pressure etc.).
Consider popping a baby asprin if you are not already doing it and it
is not contraindicated for you based on any other medications you are
taking.
Roland
How echo test or holter test can support these conditions?
The latter can record evidence of inducible ischemia.
What echo test tells?
The structure and function of the heart when the body is at rest.
How this test unable to detect decreased movement of blood?
It can when doppler is added.
Which non-invasive test is best to know hardening and narrowing of
arteries?
History and physical examination taken by a cardiologist.
How much ECG is reliable to know heart problems?
Yes for a discerning cardiologist.
How much to common cardilologistss?
Highly variable.
Thanks.
Thanks be to GOD.
What does
it mean in echo test, % working of heart?
You are probably referring to the ejection fraction.
What is the differene between just hardening of arteries and their
narrowing?
No difference.
I feel hardening and narrowing are two conditions?
No.
Probably, former is
calcification and 2nd is calificationnf fatty substance oriented?
No.
Whether hardening indicate only calcification whereas
narrowing fatty substances deposition?
No difference.
Can calcification and fatty plaque develop independently?
Yes. However, the current understanding is that all atheromatous
plaques will calcify with the passage of time.
In few people only hardening of arteries occur but never narrowing?
Not clinically seen.
You may consider it as hardening but never blocking?
Not clinically seen.
Even after many years of diabetics, it was evident in case of my two
close relatives. Probably, diabetes2 without lipid abnormality may be
causing hardening not blocking? Probably, never hypertensive or some
hypotensive may be related.
Where there is hardening, there is atherosclerosis with atheromatous
plaqueing.
How Calcification is indicated due to cells damages/death, necrosis
etc. in arteries?
Calcification happens with the aging of the atheromatous plaque.
Do you mean first fatty substances are deposited and than calcification
occurs?
No. First there is vascular inflammation with lipid peroxidation
resulting in the accumulation of oxidized lipoproteins that further
promote v | | | | | | | | | | | | |
