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.

This post has been edited by hoonanoo: Aug 1 2023, 05:25 PM

How old you are. I think you can correlate your heart with your age

See specialist first then only you think about those things la. Too early to say

2. well you have to declare about the heart issue
but as long as you stick to the follow-up plans.

based on your story (got ST depression during stress test),
may suggest of partial coronary blockage,
everything should be well and good

work that require stamina/ physical endurance will be unfit for you

3. drug thinners commonly used are aspirin or glycin-coated aspirin (for lesser stomach upset)
- you'll be advised to take this lifelong as preventive measures

there's another blood-thinning med, named clopidogrel (or plavix)
this one usually for the sometime only (like 6-9months, depends on the coronary status)
- this one termed as medical therapy (as there is another method to break the clot, named Per-Cutaneous Intervention, PCI. this is a minimally invasive procedure)

as for side effect, most common is stomach upset.
thus, take the meds with/after meals

4. can. it's possible. just don't push yourself too hard.
if starts to feel chest tightness, take a break

the drug thinners or PCI, both are under reperfusion therapy.
after completing therapy, the clot should be no more.
but need to stick with the single blood thinner + cholesterol meds to avoid new blockage

6. discuss with your agent
as you brought the plans before this incident,
insurance coverage should be no problem

7. any heart specialist (cardiologist) or internal medicine specialist will do.
just don't forget to bring all the test results

Consider yourself lucky that you know it now. I have friends who tiba2 kena heart attack without having any obvious symptoms... just feeling tired only.

46

I believe usual pre-employment health check only do blood test so i should not reveal your heart issue.

Im driving now so fast glance abit i see u did ecg and stress test right? U can go for another test dont remember which already. Regular GP will able to advise or if can claim go for specialist.

Insurance should be no issue

No wonder. Health going down hill. All this time your job office is it. Ayam 36 also scare already. Always have negatives though about my health

thanks.

hah, I have to take blood thinners for the rest of my life? why?

I known one of my friend's mother took blood thinners, one day she felt dizzy and vomitted, just passed away macam tu.

go specialist check, and seek for second opinion if need

wait for specialist recommendation first lah then only you know what is your risk & downtime.

I think MCO worsened my health.

Stuck with my family in small condo, no where else to go.

I should have used the staircase for exercise but was too busy with my kids.

What's your height? 170+-?

yup

Go for specialist before taking blood thinner.

Dont stress urself first

dont worry and dont hesitate to see your cardio specialist, i just did my CT Angiogram last yr when i hit 40 for preventive measure under advise of my doc (ayam smoker + alcoholic).





cukur turnout my calcium score is 0. and doc ask me see him again in 5 yrs.

plz dont ignore any red flag from cardio test, too many sudden deaths out there everyday

it's for prevention.

heart attack caused by vessel occlusion,

blood thinner reduces the tendency for our blood to form clot on its own

sudden death may due to massive heart attack
- what happen here is multiple heart vessels are occluded at the same time

our heart can't live long without oxygen (lesser than 4min)

I already give you answer in previous thread.
2. Declare. If they dont want hire, then so be it. Make sure you don't quit your job first

3. Yes. Increase risk of stomach bleeding. If you fall and hit your head, you better pray no brain bleeding. Blood thinner and cholesterol meds for life.

4. Don't be. Malaysia all very poor diet. No exercise, bad food, alcohol and smoking. Are you smoking? If yes that explains it.

6. Won't affect anything unless your insurance policy is old type where they put extra charges on you if you have certain illness. Time to dig out your terms and conditions and see if such clause exist. Very rare nowadays.

7. Go ijn if don't know where to go

go ijn...

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.

Go for follow up. My friend cycled alot, hardcore also. Now at home, last 2 month have heart attack 2 stent deployed. You, 5km is peanut. You want to wait until have heart attack up to you.

No need to declare to potential employers. Stop worrying over nothing.
An angiogram is the only way to tell if you have blocked heart vessels.
Make sure you understand the risks of getting an angiogram.
Waiting at Government Hospital Serdang will take around one year or more unless if you have urgent priority.
IJN or PPUM would be a faster but more expensive choice.

Most common prescribed blood thinner is aspirin + glycine combo.

he like to eat friend chicken, drink curry and nasi lemak like me?

so how they treat blocked arteries?

i hope not surgery

When I knew him already jaga makan one. Younger life don't know. Cycling from Perlis to Penang. Going uphill downhill road. Blood pressure most of time normal. No meds require before this.

If that is how you eat, start control la. Someone control and exercise also kena already.

it is a form of surgery. the catheter wires are either inserted from your wrist or from your groin. it is done during the angiogram using a balloon to stretch open a narrowed or blocked artery or inserting a stent.

If the blockage is mild, no angioplasty is needed and the final cost is cheaper.

Do you take package for this check? Where is it?

CT angiogram.
But lu x de symptoms?
Low cholesterol diet, stop smoking drinking. And take the statin to hit the targetted LDL level. Then everything shall be fine

Columbia. i did not take their package as i want more than what their best package offered. I paid 6k for cta + echo + ecg + all others standard package stuff (including heart + various organs blood profile test etc)



I think CTA alone is advertised as 2.5k++ excluding consultation, but that one is just CTA.



If you want a more "comfortable" CTA process, the price is higher, my experience with ultravist 370 is not really pleasant.



btw, i cant find columbia kv price, so put the seremban one, kv price a bit higher.

edit: found it, kv is 2.7k



for those who are in their 40s, if you can afford it, i think you should go for it, the standard heart screening is not good enough, my uncle's standard screening result looks good, but then cta shows his main artery is 50% block.

This post has been edited by e46: Aug 1 2023, 11:52 PM

If 50% blocked, would stress test have indicated something? I went for treadmill stress test last year. Doc said results are good, i could go up to stage 4 and ecg showed ok.

Recommended do a yearly stress test, and followed up by other scan only if stress test results aren't good.

no idea bro, maybe 50% is not significant enough to be diagnosed in treadmill?

i think just top up 1.5k to get cta is safer bet lor, somemore can get a 3D Model of your own heart + CD as sovenior. might be a lifesaving data in future.

This post has been edited by e46: Aug 2 2023, 01:12 AM

I'm concerned about any risk of radiation from such scans, hence I asked the doctor when I should get a scan like ct scan, etc because I'm also worried about blocked arteries and what not.

Doctor implied, not necessary if I got do stress test and those markers tests. She also said chest x-ray pun not necessary due to radiation exposure. Maybe she's more kiasi than me.

very active exercise cycle alot also heart sumbat?

cholesterol n high blood pressure didnt check earlier?

I suspect never check, don't want to ask him at this moment. I think before this got indication blood pressure high that is why he started cycling. Il someone ask for advice I always say don't stress your heart. Especially if after 35. Just do casual exercise. Different story if doing it when still young. We heard alot of story died during exercise or active kind of person.

need to check lifestyle during young also

alot fatty foods, bad diets, alcohol, stress, not enough sleep, all these will add up

y not try change lifestyle n natural supplement 1st before go for western approach. jus my 2 cents.

That is why lot of people got problem only want to start exercise. Heart already not optimum but doing stressful exercise. Just overworking own heart. That is why know ownself don't do what healthy people do straight away. They been doing while their body don't have problem.

vry difficult to say a nowadays. some says effects from vaccine. some says our lifetstyle , some says our food nowadays causes too much inflamitory n plak builup in d blood wall.

What vaccine you jabbed? Ts

Yes. There is such a thing call over exercise. Studies have shown some athletes have heart attack cause exercise too vigorously without any rest.

Just go see heart specialist… health>all

I lost my best friend last year due to sudden cardiac arrest. He was only 38.. no signs no symptoms

Just see a specialist and see what his recommendations are
Since you got insurance, ask your insurance agent which doctors good

I had my stress test in 2022, failed that
get a specialist and get Coronary angioplasty done for 1 main arteries and 2 sub arteries
Was awake during operation when the doctor told me need to do 1 more sub arteries (was diagnosed 2 blockage beforehand)
Managed claim insurance or major part of it.

Affecting my lifestyle? No
Work performance? No(of cos don't push hard just after operation lar.. give rest 1 or 2 days and pick up the pace after that.. if u afraid lar)

Coming sept will do another stress test after 1 year operation.
btw me failed the test when i was 48 years (damn those chinese prediction come true... )

This post has been edited by Iceman74: Aug 2 2023, 11:44 AM

so how did he knew his heart was blocked?

he did a random test or he had a heart attack?

can do operation for stent while awake? how long did it take?

no pain meh?

wow.

but medicine cannot relieve the blockage?

I want to leave my co, but next time when I put in application, I have to declare. Nobody want to hire me because HR think i am a fai cai.

I don't smoke, I don't have high blood pressure, I don't have diabetes.

but my heart is blocked.

Why? because i like to eat nasi lemak, oily food, drink curry laksa addiction, eat salty ipoh chicken.

family did any post mortem?

confirm heart blocked?

was he overweight?

yeah did post mortem if not mistaken 1 part of heart is narrow

definitely not overweight. just go normal jogging, and collapsed.

oh boy when he lifted the baloon, was it very painful?

did he do it on the groin? damn, I have goosebumps.

Have you considered changing your diet for better health?

yeah I am now eating more vegetables and refrain from nasi lemak and oily foods.

hope TS get better in health

This post has been edited by Wahlberg: Aug 2 2023, 02:35 PM

Forget vegetarian diet. Go look up Mediterranean diet. Also like I said conventional wisdom tell you only way to unblock is angiogram and angioplasty. Mediterranean diet is one part. Need to exercise also.

But if you read what I said, there are stuff not in the textbook.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9441630/
https://pubmed.ncbi.nlm.nih.gov/22240497/

This post has been edited by Ramjade: Aug 2 2023, 02:37 PM

Go on low carb diet
Restrict taking any drink and food that has added sugar.
Restrict all high carb foods like bread, rice, noodles, pizza, porridge, potatoes, etc.

Low carb is not for all. It's quite experimental until u can get a diet that u can stick, for live.

Start with a quick hit to gain motivation. Identify what you are addicted that gives u high dopamine levels. Kurangkan or eliminate that, and replace with fiber so it doesn't seem like u eating less.

Do this first, coz it's the easiest to achieve and get results. Results will motivate u to do more.

what to afraid lar

me got cancer stage 3c during much younger, also need to live a life
get it done with, operation, chemo and radiotherapy

If got chances to continue for 2nd life, take it.
Whatever will be, will be in future

wah cancer and heart.

Where the fat come from ? From food

Your lifestyle determine your death style (James hetfield)

Just go see specialist. I also detected issue from stress test, then straight did angiogram. Turns out my heart not blocked, but issue with blood vessel "kinked". Doc gave the all clear.

The fear was real. Just go and find out what the issue is and fix if necessary. Otherwise the fear anxiety will kill you.

Recommended to seek a specialist and get their advise. Take everything here with a pinch of salt.

I'm familiar with health care but I shall refrain from giving you non qualified advises.

See a cardio. See a physician. Get few opinions. It's still early but now you know you got issues, go get it checked.

You can run 5 kilo and you have supposed heart issue. I can run max 250m and i run out of breath. I have to stop and take a breather.

The human body functions differently. Thats why i never get thorough check ups

stress test have nothing to do with running further better

my wife can only goes to level 3
me can go up to level 5

my wife no problem at all
me

They're not looking at just your stamina. They also look at the pattern in the graph, indicating abnormal reaction of the heart when under stress.

When you're fitter, you can go up to level 4 or 5 in the stress test as the heart rate climbs slowly. Because heart rate climbs slowly, the chart can show more details, making diagnostic easier - according to the doctor in my stress test.

Heart attack.

I took the mobile heart raeder around that age becoz i felt heart palpatation... After consultation... Blood test, threadmill.... Doctor told me nothing for me.... The ecg data also did not show any risk during my sleep...

Two doctors i can say good.


Assunta Dr. Lam.

Amcorp mall there is a heart specialist dr. Patricia.... Very expensive but good.

Should you need consultation 2nd opinion.

Before anything, go do a calcium score test first.

The dr will let you know if you need to do angiogram.

Don't scare yourself la.

Do it double quick. As in NOW

This post has been edited by jojolicia: Aug 2 2023, 04:52 PM

Heart attack risk calculator: https://qrisk.org/index.php

Not sure how accurate is this. Perhaps for those who failed the stress test can try it out and validate the result.

PS: how frequent to do stress test? Yearly?

What made you do the stress test?

Did you do EGC before that?

Anything detected in your ECG?

Got do echocardiogram?

What is a calcium score test?

A non invasive early detection test for possible arteries blockage/ coronary disease.
If one has history of prolong high cholesterol/ BP, advisable to do the test.

https://www.mayoclinic.org/tests-procedures...ut/pac-20384686

This post has been edited by jojolicia: Aug 2 2023, 08:40 PM

after stress test result test failed, the report taken to my cardiothoracic surgeon to reconfirm the results
Done another cardiac CT scan to reconfirm the location and severity of the blockage before coronary angioplasty surgery

Depends on age kot. For unkers like me, the doctor advised me to do it once a year together with annual health check-up.

what is kinked?

thanks, the news is encouraging

sorry I can't recall if I have missed out in ur earlier replies

But did you had a heart attack prior to the failed stress test?

TS never take fish oils supplement ke?

Kink - like garden hose got bent, except it's one part of the arteries .. so everytime heart beat macam ada sikit drop in flow - which causes abnormal ecg reading.

Doc confirm during angio which took ~30 mins... No blockage so no need to put in stent.

Big relief on my part lah .. that's why myself and many others suggest just go to a specialist to diagnose properly.. if need to do ct or angio just do

you on the treadmill for 12 min, takkan your artery kink for 12 min.

Hahahhaha .. no la .. kink at higher heart rate ... anyways i'm not a doctor leh .. i share what doc told me onli

Supplements really works for prevention of heart issue like TS have?

Wrong type and and under dose won't do anything. Right type and proper dose will do something for you. Also need to see quality. Taking a rancid fish oil is worse than taking no fish oil.

This post has been edited by Ramjade: Aug 3 2023, 06:20 PM

no


supplements are just supplements, they won't help do or reverse whatever already there especially with continuity years of unhealthy lifestyles.
never trust any supplements sales talks unless there are proven scientific research and know how effective they are in real world usage.

i'm under Lam also. ur post reminded me to follow up on my paroxysmal Afib in aug lol. also had palpitations few yrs before getting Afib. did u do stress echocardiography? possibly palpitation can leads to PAF

my friend bypass heart canal surgery

i knew him only one year

then he died

So those wanna check. Shud start witmajor health check or straight go cardio specialist to check heart a.10years back I had palpitations n went to ijn for checkup. Doc says no big deal. N after I change lifestyle it didn't come bc d. But las year kena covid, palpitations come bc once in a blue moon..

I don't see anyone talking about root causes and trying to address root causes.....only what kind of medication to take....medication doesn't address root causes, doesn't fix the problem. it only manages the problem.....and the problem will continue to get bigger as you age


Fundamentally, coronary heart disease is a lifestyle disease......in most causes it means, too much sugar, too much refined sugar, too much processed foods, too much refined carbohydrates coupled with limited physical activity. Carbs have refined and complex versions....most in the market are refined. If you keep your daily intake of carbs to just 20% and only stick to the complex carb, while keep 40% of lean protein, 40% of healthy fats, slightly less than your daily calorie requirements....you'll see changes across the board.

If you solve the food problem, you would have solved 80% of the problem. Physical activity helps you deal with stress.

Better than none I supposed.

Nope..just threadmill, and simple EKG. He did not see any abnormal issues with my heart valves.

To make me feel more assured, since I persisted, he just did the

cardiac troponin test, which was OK.
cardiac event monitor, where I took 1 week data of sleep, exercises, where i carried the recorder around. ( he did not see anything abnormal, just some heart rhythm when I sleep, he believe not something to worry about ).

the only pointing factor for me....was my thyroid, was actually near hyper, and til today...it is the only factor that points to my concern. Also, my lack of stamina for my age (which i lack exercises).

Pretty much detail when he explains...and he isn't very like against if I wanted some test to be done (although had an annoyed face), eventhough he knows from his experience there isn't anything he suspect from the data.

Note: There are alot of perhaps better consultants out there...but i just got his info from alot of aunties/uncles that got recommended him.

physical activiity better becareful not to over exert.

https://www.msn.com/en-my/lifestyle/other/m...c069a6c5f&ei=12

This example of a mid age man, suddenly die when he went for his regular jog.

Are you saying put stent is the ultimate solution?

sorry to hear that

I know a friend's father, had a heart attack, died for 3min but was revived.

He then had triple bypass and 3-4 stents.

20% of his heart dead.

that was 25 years ago

he is still alive and kicking

driving his ferrari.

This post has been edited by hoonanoo: Aug 4 2023, 09:01 AM