Re: Question on My Dad for Dr. Chung

From: Dr. Andrew B. Chung, MD/PhD (andrew_at_heartmdphd.com)
Date: 11/01/04 

Date: Mon, 01 Nov 2004 06:19:30 -0500

Larry wrote:
>
> My Dad is 82 y/o with Hx of heart disease. Two minor to moderate MIs
> (inferior wall). 11 years post-bypass, approx 7 years post angioplasty,
> and approx 4 years post RFA that corrected Atrial Flutter, 6 months post
> Pacemaker implant for Bradycardia/Sick Sinus Syndrome. He has been on
> Lipitor for a number of years and it has kept his Chol down in the low
> 100s with a moderate HDL (around 40 or so). He has done pretty well, and
> is able to walk on the treadmill at 3mph for a sustained period.
>
> Last week, he had severe pains in his neck/upper chest in the middle of
> the night. No distress, no sweating, no nausea, heartbeat was regular,
> no other symptoms. My Mom (probably not the smartest thing she's ever
> done :-)) decided to wait till morning to take him to the Cardio (he
> still had some pain although not as bad). Cardio sent him to hospital.
> He received three serial enzyme tests including CK, CK-MB, and Troponin
> beginning about 10-12 hours after the onset of the pain and continuing
> till about 36 hours after the onset of the pain. All were negative ...

Good. This means he did not have a heart attack.

> in fact, the readings were actually way towards the low end of the
> reference ranges. He was released after the third round of enzymes. His
> pain has decreased significantly. Dr. feels that it is musculo-skeletal.

Could be.
 
> Based strictly on what you have heard, do you think we are safe to
> conclude that this was not cardiac related?

Not without a stress test.
 
> Thank you very much for your help!

You are welcome.

All praises belong to my heavenly Father, Whom I love with all my heart,
soul, mind, and strength :-)
 
> Larry E.

You and your family will be in my prayers, dear Larry whom I love, in
Christ's name.

Servant to the humblest person in the universe,

Andrew 

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
http://www.heartmdphd.com/
**
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