 |  | | Re: both ct scan and thallium stress test?. Discuss Re: both ct scan and thallium stress test?, on Health Forums.
| | 
11-08-2006, 10:16 PM
| | |  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  |
11-08-2006, 10:16 PM
| | | Re: both ct scan and thallium stress test?
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 |
11-08-2006, 10:17 PM
| | | Re: both ct scan and thallium stress test?
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 |
11-08-2006, 10:17 PM
| | | Re: both ct scan and thallium stress test?
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 |
11-08-2006, 10:17 PM
| | | Re: How can I find a bf
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?
|
11-08-2006, 10:17 PM
| | | Re: both ct scan and thallium stress test?
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 |
11-09-2006, 09:08 AM
| | | Re: both ct scan and thallium stress test?
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 |
11-09-2006, 09:08 AM
| | | Re: both ct scan and thallium stress test?
Kumar <lordshiva5753@rediffmail.com>, the sunken guitarist, hiccupped:
> FUCKING DONKEY HUMPER Which non-invasive test is best to FUCKING DITCH
> SLUT know hardening and narrowing of FUCKING INNARDS arteries? WEE
> CUNT-STICKER QUIM DONKEY DICK SPUNK ANUS MUFF FELCH BEAVER STAB CUM
> FUCKING CLOD CORNSTALK COWBOY I feel hardening and narrowing are
> FUCKING ASS-LICKING two conditions? Probably, former is calcification
> FUCKING SON OF A BITCH and 2nd is calificationnf fatty substance
> FUCKING BOOBS STOMACH oriented? CUNNILINGUS CUM CUNT PUMPER
> CUNNY-CATCHER GASH VAGINA MOTHERFUCKER SPUNK BITCH
> FUCKING BROWNEYE BLAME IT ON THE NIGGERS CLIT TICKLER Can
> calcification and fatty FUCKING ASS-GUNNER TOWN-TRAMP plaque develop
> independently? GOLDEN SHOWER BALLS DISCHARGE BOW-LEGGED SWAMP DONKEY
> BLOWJOB ANUS JACKASS SHITE WANK BUM
> FUCKING ARSE-THRASHER SPEW Do you mean first fatty FUCKING FUCK UP
> substances are deposited and than FUCKING FUCKING-STICK BUTTOCK
> calcification occurs? CUM SLINGER ARSE FELLATIO CUNT SCRAPER CUNT
> SCRUBBER HELL
|
11-09-2006, 09:08 AM
| | | Re: Is she cheating me..
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?
|
11-09-2006, 09:08 AM
| | | Re: Is she cheating me..
On Thu, 09 Nov 2006 10:48:44 +0545, "Kumar"
<lordshiva5753@r3diffmail.cum> wrote:
>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?
You are so right. That was very unwise. A man where my wife works was
fired for that very thing. He had been there for thirteen years, but
they fired him anyway.
--
Grandpa Chuck
-ô¿ô-
~
Americans killed in Iraq as of November 08, 2006 is 2839. United Kingdom = 121 Other = 119.
Non-Mortal American casualties 44,779 as of September 30, 2006.
Over 100 Iraqi civilians are killed every day. Most by so-called insurgents.
As of November 8, 2006 it has been 1285 days since Bush declared, "Mission Accomplished."
"When fascism comes to America, it will be wrapped in the flag, and carrying a cross." --Sinclair Lewis
|
11-10-2006, 04:15 PM
| | | Re: both ct scan and thallium stress test?
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 |
11-10-2006, 04:15 PM
| | | Re: both ct scan and thallium stress test?
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 |
11-11-2006, 09:29 AM
| | | Re: both ct scan and thallium stress test?
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 |
11-11-2006, 09:29 AM
| | | Re: both ct scan and thallium stress test?
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 |
11-14-2006, 02:25 AM
| | | Re: both ct scan and thallium stress test?
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,
> > > | | |
