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Doctor Q&A for Dr. Andrew Chung

A 32-year-old member asked:
Dr. Andrew Chung
Cardiology 27 years experience
All kinds: People from all kinds of different backgrounds end up with dilated cardiomyopathy (dcm) from severe coronary atherosclerotic heart disease and other such identifiable causes. This being written, if no cause is identified, we call it idiopathic dilated cardiomyopathy (idcm).
A 38-year-old member asked:
Dr. Andrew Chung
Cardiology 27 years experience
Non-surgical: Patients who are unwilling to have surgery even if needed should not have an angiogram because there are risks with this invasive procedure that would outweigh the zero benefits in this setting of no plan to act on the obtained information.
A 40-year-old member asked:
Dr. Andrew Chung
Cardiology 27 years experience
Yes: Overeating does increase physical stress on the heart. It is not normal to have symptoms, which would include palpitations, when the heart is experiencing increased physical stress. Further evaluation including possibly a stress test is indicated in this setting.
A 35-year-old member asked:
Dr. Andrew Chung
Cardiology 27 years experience
No: Heart palpitations is a symptom. As a general rule, causes of fainting (i.e. Loss of consciousness) are not symptoms.
A 39-year-old member asked:
Dr. Andrew Chung
Cardiology 27 years experience
No: Heart palpitations is a symptom. Causes of death are as a general rule not symptoms. For example, someone could die from a heart attack and for some people (especially women) there may be no symptoms except loss of appetite (i.e. Loss of hunger).
5 thanks
A 40-year-old member asked:
Dr. Andrew Chung
Cardiology 27 years experience
Triscupid valve: As the heart contracts, the tricuspid valve is able to close before the mitral valve because it faces a lower systemic venous pressure compared to a slightly higher pulmonary venous pressure faced by the mitral valve.
3 thanks
A 40-year-old member asked:
Dr. Andrew Chung
Cardiology 27 years experience
Coronary disease: Inferolateral ischemia is an indication of obstructive atherosclerotic lesion(s) in the obtuse marginal branches of the left circumflex (lcx) coronary artery.
3 thanks
A 41-year-old member asked:
Dr. Andrew Chung
Cardiology 27 years experience
Angina Pectoris: Heart pain that occurs with exertion is also known as angina pectoris.
A 32-year-old member asked:
Dr. Andrew Chung
Cardiology 27 years experience
None: A cardiologist is a specialist who deals with all aspects of cardiovascular disease.
A 36-year-old member asked:
Dr. Andrew Chung
Cardiology 27 years experience
Yes: Bundle branch block is a significant abnormality that is typically discovered on an abnormal ECG (electrocardiogram) and should be further evaluated by a cardiologist.
1 thank
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