Bypass or angioplasty? Surely you are a bit young for a bypass!?

weird bcoz doctor said better bypass as it can last longer than angioplatsy.

Depends on how severe the blockage. As a minimum, you’ll likely be put on statins and a blood thinner. Your BP will also be aggressively monitored and medication be initiated at the earliest signs of a rising BP, and you’d be asked to stop smoking and reduce your weight.

Disclaimer - I’m not a cardiologist, but these are basic medical facts that all doctors learn during their undergraduate days.

u wont die from checkup. but u can die from now knowing about it.

if u know about health condition, and taking care of it. i dont think its any issue.

myself going for bypass soon. im 49. had an attack 3 years ago. my oldest kid 6yrs old now. all i think are them.

nowadays, entrance through groin is secondary option and nurse need to shave your pubic area first.
The first option should be through your right hand.

You can feel the catherer crawl through your arm artery though 

All the best, I hope all are well for you.

I also have a young family. I also concern for my kids.

But I would like to know, are you overweight ? do you have high blood pressure issues?

you had heart attack 3 years ago, why now only you take the risk for surgery?

I don't have high blood pressure.

I still have to take blood thinners?

Yes. Blood thinners and blood pressure medications are different

nope. i got good looking body. slight high blood due to work. high cholesterol. so im betting on the food lah. hgahaha

was not bad before. only now the symptoms starting to be annoying. cant pu ton a backpack anymore.

blood thinners never address the problem.

U had angioplasty before?

ooh damn gross, remind me of that Mummy movie, the scarob went into the dude's hands

Go see a specialist, TS.

When I was a little bit younger, I craved adventure and got it into my head to try to join the french foreign legion. I was healthy and supremely fit, but before I left for france, I got myself checked out at a heart specialist in KL. Got an ultrasound of my heart and the doc said it was bigger than normal size. I got alarmed and asked him why so? Was it a disease or abnormality? He smiled and said I had the heart of an athlete and it was functioning fine. Phew! He then turned the monitor to me and i saw my own heart beating on the screen...no blockages, valves working as they should, all ok. It was hella cool to see that.

I believe the test is called an echocardiogram.

sorry tumpang.

did you manage to join french foreign legionnaires?
where are you posted now?

I did angiogram before since cardiologist suspect blockage. Fortunately, my vessels are clear, not blocking.
I still remember the feeling of crawling catherer through my arm. 

Err I don't get it.

why is doctor entering a catheter into your arm when you don't have any blockages?

You have to know the difference between Angiogram and Angioplasty.

Angiogram - Doctor inserts a long catheter into your heart via your right hand. Then pump in the radio fluorescent material to light up your heart vessels, so that he can see on display in real time. He may detect blockage on your heart vessels by seeing on display.

Angioplasty -After knowing which vessel is blocked (or hit certain % of blockage), the doctor will insert another catheter with stent and deliver the stent to the blockage part, enlarge the vessel and leave the stent at the blocked part.

MRI does not have the enough resolution to pinpoint which part of your vessels blocked due to your heart is constantly beating.

You have to know the difference between Angiogram and Angioplasty.

Angiogram - Doctor inserts a long catheter into your heart via your right hand. Then pump in the radio fluorescent material to light up your heart vessels, so that he can see on display in real time. He may detect blockage on your heart vessels by seeing on display.

Angioplasty -After knowing which vessel is blocked (or hit certain % of blockage), the doctor will insert another catheter with stent and deliver the stent to the blockage part, enlarge the vessel and leave the stent at the blocked part.

MRI does not have the enough resolution to pinpoint which part of your vessels blocked due to your heart is constantly beating.

Yeah. Only 70% above they will put stent. Like my mother only 20% block, no stent go on lifelong blood thinner.

hoonanoo
But lifelong blood thinner don't dissolved the plaque. It's just prevention. It take years for plaque to build up. So of course it takes time to dissolve the plaque. To dissolve the plaque, you need to learn how it's form. To date, only stuff I known to dissolve the plaque is nattokinase, vitamin K2, high dose statins or you can sub with niacin, good diet and regular exercise. Then you want to keep the blood vessel healthy. How? Don't smoke, Mediterranean diet, exercise and pycogenol, low omega 6 diet (all your goreng food avoid). That's why I started my mother on those things as the doctors cannot do anything.
Are those things known by the cardiologist? Actually nope. I have asked private and IJN cardiologist about nattokinase, they ask me what's that? They know niacin but said very uncomfortable as you will be feeling warm and you will have red face the whole day. That's why it is not used today. You already got evidence. People already do study. That's good enough for me.

why blood thinner? what does it do ?

went for stress test on treadmill.

Was shocked when nurse told me I got ST depression on my chart.

I walked up the treadmill didn't feel much except my leg feel burn, not much strain. No heart pain.

Doctor just said shortly I may have heart blockage then referred me to heart specialist for consultation.

I guess it must be all those nasi lemak, kuih, unhealthy food my staff belanja me.

Here's the issue:

1) Many of my friends advised me to go get checked. Think about my young children, get this issue solved

2) I know I will do it, but there is an issue, I really want to leave my current employer. If I find new job, what am I going to say in my application form declaration, that I am in good health?

If I said I have heart condition, nobody wants to hire me.

I am thinking how to counter this.

3) I am anxious about surgery. I asked my friends around, one who had stents told me because i didn't have heart attack, doctor probably recommend, cholesterol drugs or drug thinners.

Drug thinners got side effect?

4) I am still in state of shock because I am not exactly that fit, but I can run at least 5km. Ok not that great la but people with heart blockage can do this?

5) My bmi is exceed, a bit. I am 75kg.

6) insurance. What shall I do? Would it affect my claim next time? I have 3 insurance policies, most recent one I bought was 5 years ago.

7) My friends n family gave me a plethora list of specialist to go to. I am now dilemma which one?

So my biggest worry is no.2
This is my last chance to reach peak in my career.
I think at my current co, I can no longer develop any further or there are any opportunities.