Cardiology, Trade-offs for a "cardiac neurotic"?

Trade-offs for a "cardiac neurotic"?

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a1_d #1 / 3	Trade-offs for a "cardiac neurotic"? I've submitted a post here about a month ago. Since then my Dr. sent me to a cardiologist whom I had an appt. with today. He know's my medical history as I've seem 2 times over the last 15 years to get worked up once for a Thallium test and once for an echo test. I also knew him growing up as his family was friends of my parents neighbors. This cardiologist has done over 16,000 cath. test, that's what he does. The cardiologist say's I have "cardiac neurosis", based on the family thing but he understands. He'll do a cath. test on me or I can do a EBCT or CT calcuim scoring test and if it comes back high do a stress tests and if negative do the cath. test. He did advise me to get a {filter} test for C-Reactive protein test and told me keep BP and Chol. with good numbers. If I want to get a cath. exam he'll do it for my peace of mind he say's. Does anyone think I should get the cath. exam or the calcuim scoring exam to give me so called "peace of mind" or was the dual isotope exam I took a year ago good enough. The cardiologist doesn't really think the cath. test will show him anything new just ease my mind. Is there any reason to do either one of the test? He did say a low calcuim test will elimnate any real testing for the next 5 years. How long is it for a neg. cath test? Any recommendations on how to eliminate "cardiac nuerosis". Family History All smokers and overweight... mothers dad - MI 63, died 84 dads dad - MI 46 died dad - MI 42, cartiod artery surgery 60, Emphysema, 74 MI sudden death younger brother - MI 45 stent Me - male 55 non smoker, 6', weight 172 lastchol. 170's, HDL 47, LDL 106, Trig. 127 walk/run 4 miles 5 or 6 day's a week. At age 54 worked up with dual isotope stress test in April 2002. stress test - went 12 min. normal a few PVC's no areas of stress defect of resting reversability were identified. no evidence of transient ischemic dilation, left ventrical normal size. matching patter of avid left ventricular uptake (post stress and rest). no abnormal extracardiac labeling. normal wall motion LVEF 63% Concerns: I have arm/neck pain primarily on right side that is confusing my primary Dr. I've been to a nuerosurgeon who confirms that I have degenerative disc seems to make the pains worse and it feels like it could be maybe heart related. I guess it's just "panic disorder", "cardiac nuerosis".
Sun, 16 Oct 2005 11:43:20 GMT

Dr. Andrew B. Chung, MD/Ph #2 / 3	Trade-offs for a "cardiac neurotic"? Quote: > I've submitted a post here about a month ago. Since then my Dr. sent > me to a cardiologist whom I had an appt. with today. He know's my > medical history as I've seem 2 times over the last 15 years to get > worked up once for a Thallium test and once for an echo test. I also > knew him growing up as his family was friends of my parents neighbors. > This cardiologist has done over 16,000 cath. > test, that's what he does. > The cardiologist say's I have "cardiac neurosis", based on the family > thing but he understands. He'll do a cath. test on me or I can do a > EBCT or CT calcuim scoring test and if it comes back high do a stress > tests and if negative do the cath. test. He did advise me to get a > {filter} test for C-Reactive protein test and told me keep BP and Chol. > with good numbers. If I want to get a cath. exam he'll do it for my > peace of mind he say's. Does anyone think I should get the cath. exam > or the calcuim scoring exam to give me so called "peace of mind" or > was the dual isotope exam I took a year ago good enough. The > cardiologist doesn't really think the cath. test will show him > anything new just ease my mind. Is there any reason to do either one > of the test? He did say a low calcuim test will elimnate any real > testing for the next 5 years. How long is it for a neg. cath test? > Any recommendations on how to eliminate "cardiac nuerosis". > Family History > All smokers and overweight... > mothers dad - MI 63, died 84 > dads dad - MI 46 died > dad - MI 42, cartiod artery surgery 60, Emphysema, 74 MI sudden death > younger brother - MI 45 stent > Me - male 55 non smoker, 6', weight 172 > lastchol. 170's, HDL 47, LDL 106, Trig. 127 > walk/run 4 miles 5 or 6 day's a week. > At age 54 worked up with dual isotope stress test in April 2002. > stress test - went 12 min. normal a few PVC's > no areas of stress defect of resting reversability were > identified. > no evidence of transient ischemic dilation, left ventrical > normal size. > matching patter of avid left ventricular uptake (post stress > and rest). > no abnormal extracardiac labeling. > normal wall motion > LVEF 63% > Concerns: > I have arm/neck pain primarily on right side that is confusing my > primary > Dr. I've been to a nuerosurgeon who confirms that I have > degenerative disc > seems to > make the pains worse and it feels like it could be maybe heart > related. > I guess it's just "panic disorder", "cardiac nuerosis". If this exertional pain is new relative to the 2002 stress test, conventional wisdom would be that a repeat stress test is indicated. -- Dr. Andrew B. Chung, MD/PhD Board-Certified Atlanta Cardiologist http://www.***.com/
Sun, 16 Oct 2005 20:47:03 GMT

flor.. #3 / 3	Trade-offs for a "cardiac neurotic"? Quote: >The cardiologist say's I have "cardiac neurosis", based on the family >thing but he understands. Don't mean to be unkind but I agree with your cardiologist and you should try very hard not to be obsessed with all these things. If you are not badly handicapped with any of it you should try your utmost to be concentrating on hobbies and getting out and about. I have a lot of degenerative disc disease and just had heart surgery with maybe more to come in the future, also bowel surgery before that, but I just keep thinking of holidays in the sunshine and nice meals and one way or another I am going to get there. Don't have an angiogram if it is not required. They would not do it in the UK unless there was an indication that it was necessary. Diana
Mon, 17 Oct 2005 01:51:08 GMT

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