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Medical Forum / General / Cardiology / January 2006

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It's me again

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Qwave - 14 Jan 2006 04:11 GMT
I've been having trouble with chest pain as of late..  I've been
feeling quite depressed about my cardiac status. I emailed a doctor by
the name of David G. Harrison at Emory. He reviewed my case, and thinks
a cardiac MRI would be the best test to see how "thin" my inferior wall
is.

I didn't know a heart attack caused wall thinning... What does that
mean? Can someone live a decent life with such a defect?

Thanks,

Nigel
Andrew B. Chung, MD/PhD - 14 Jan 2006 11:23 GMT
> I've been having trouble with chest pain as of late..  I've been
> feeling quite depressed about my cardiac status. I emailed a doctor by
> the name of David G. Harrison at Emory.

Dr. Harrison is chief of cardiology at Emory.

> He reviewed my case, and thinks
> a cardiac MRI would be the best test to see how "thin" my inferior wall
> is.

That would be one way to prove that you have had a heart attack.

If you decide to come here to Emory, it still would be wise to have Dr.
Randy Martin do an echocardiogram because he will be able to see any
thinning plus any associated wall motion abnormality in the area (MRI
will not be able to give any wall motion information).

> I didn't know a heart attack caused wall thinning... What does that
> mean?

SImply proving that those who believe the Q waves are "false" are
wrong.

> Can someone live a decent life with such a defect?

Yes.

However, you may not have a decent life with the chest pain.

How much food did you eat yesterday ?

Would be more than happy to "glow" and chat about this and other things
like cardiology, diabetes and nutrition that interest those following
this thread here during the next on-line chat (01/19/06) from 6 to 7 pm
EST:

http://tinyurl.com/cpayh

For those who are put off by the signature, my advance apologies for
how the LORD has reshaped me:

http://tinyurl.com/bgfqt

Prayerfully in Christ's love,

Andrew
http://tinyurl.com/b6xwk
MEM, MD - 15 Jan 2006 01:08 GMT
On 14 Jan 2006 03:23:07 -0800, "Andrew B. Chung, MD/PhD"  

>If you decide to come here to Emory, it still would be wise to have Dr.
>Randy Martin do an echocardiogram because he will be able to see any
>thinning plus any associated wall motion abnormality in the area (MRI
>will not be able to give any wall motion information).

Actually cardiac MRI is a very good way to assess regional wall
motion.  Furthermore, it is the most sensitive test of "viability" of
a given myocardial wall.


>> Can someone live a decent life with such a defect?
>
>Yes.
>
>However, you may not have a decent life with the chest pain.

A good point


Andrew B. Chung, MD/PhD - 15 Jan 2006 12:12 GMT
> On 14 Jan 2006 03:23:07 -0800, "Andrew B. Chung, MD/PhD"
> >
[quoted text clipped - 6 lines]
> motion.  Furthermore, it is the most sensitive test of "viability" of
> a given myocardial wall.

You probably mean PET instead of MRI.

> >> Can someone live a decent life with such a defect?
> >
[quoted text clipped - 3 lines]
>
> A good point

All thanks and praises belong to the LORD who has made and continues to
reshape me.

Would be more than happy to "glow" and chat about this and other things
like cardiology, diabetes, cooking and nutrition that interest those
following this thread here during the next on-line chat (01/19/06) from
6 to 7 pm EST:

http://tinyurl.com/cpayh

For those who are put off by the signature, my advance apologies for how
the LORD has reshaped me:

http://tinyurl.com/bgfqt

Prayerfully in Christ's love,

Andrew
http://tinyurl.com/b6xwk
MEM, MD - 15 Jan 2006 17:33 GMT
>> On 14 Jan 2006 03:23:07 -0800, "Andrew B. Chung, MD/PhD"
>> >
[quoted text clipped - 8 lines]
>
>You probably mean PET instead of MRI.

No- I mean MRI.  CINE MRI techniques give great wall motion data.  I
can furnish studies looking at MRI for assessment of myocardial
viability if you like.

>> >> Can someone live a decent life with such a defect?
>> >
[quoted text clipped - 23 lines]
>Andrew
>http://tinyurl.com/b6xwk
Andrew B. Chung, MD/PhD - 15 Jan 2006 22:25 GMT
> >> On 14 Jan 2006 03:23:07 -0800, "Andrew B. Chung, MD/PhD"
> >> >
[quoted text clipped - 10 lines]
>
> No- I mean MRI.  CINE MRI techniques give great wall motion data.

When there are no motion artifacts and when one is not looking for
subtle regional wall motion abnormalities.

> I can furnish studies looking at MRI for assessment of myocardial
> viability if you like.

I am familiar with these studies which is why I had thought you meant
PET instead of MRI as the **most sensitive** test for hibernating
myocardium.

Would be more than happy to "glow" and chat about this and other things
like cardiology, diabetes, cooking and nutrition that interest those
following this thread here during the next on-line chat (01/19/06) from
6 to 7 pm EST:

http://tinyurl.com/cpayh

For those who are put off by the signature, my advance apologies for
how the LORD has reshaped me:

http://tinyurl.com/bgfqt

Prayerfully in Christ's love,

Andrew
http://tinyurl.com/b6xwk
 
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