tag:blogger.com,1999:blog-2177051091363290480.post2115324702597167175..comments2023-11-03T17:32:35.792+08:00Comments on Pearls & Gem: Angina and the 'Coronary Patient'Unknownnoreply@blogger.comBlogger6125tag:blogger.com,1999:blog-2177051091363290480.post-76130674725038949852009-09-07T00:08:46.416+08:002009-09-07T00:08:46.416+08:00CPH,
I am glad you find it useful.I thot the Longe...CPH,<br />I am glad you find it useful.I thot the Longevity article, though longish is better.<br />Anon, your symptom sounds like aspirin related dyspepsia but when you say,ECG, do you mean stress ecg?If it is then , a normal stress Ecg in a situation of a aptient wuth chest pain make 'a cardiac' cause of the chest pain highly unlikely. I f it is not stress ecg ,go have one to be sure.Pearls and Gemhttps://www.blogger.com/profile/06956076197010527489noreply@blogger.comtag:blogger.com,1999:blog-2177051091363290480.post-11572338231884023602009-09-06T10:13:04.561+08:002009-09-06T10:13:04.561+08:00Salam Doc,
Saya berusia 39 thn, semenjak 5 bln lal...Salam Doc,<br />Saya berusia 39 thn, semenjak 5 bln lalu saya sering mengalami sakit sama dgn semua tanda serangan jantung seperti yang doc terangkan. Setelah 5 kali melalui ujian ECG dgn 5 ord doc berlainan, keputusannya adalah negatif. Utk pengetahuan doc, saya mula merasa kesakitan setelah memakan aspirin yg diberi seorng doc swasta.Adakah ianya hanya reflux/gastrik dan tiada kaitan dgn jantung? Keluarga tiada sejarah sakit jantung. SekianAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-2177051091363290480.post-15009079197904816992009-09-05T23:08:17.072+08:002009-09-05T23:08:17.072+08:00Thank you Doctor,
One of the best unofficial CME....Thank you Doctor,<br /><br />One of the best unofficial CME.. this should be officially endorsed by MMA!<br /><br />Appreciate if we can have more article of this sort, for non-medic ppl like me.<br /><br />Selamat Berpuasa dr Copenhagen.<br /><br />Wassalam.<br />CPHAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-2177051091363290480.post-926747912927364282009-08-31T11:10:36.724+08:002009-08-31T11:10:36.724+08:00Most useful videos and your running commentary.Not...Most useful videos and your running commentary.Noted with thanks from hafizAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-2177051091363290480.post-75931646295379363942009-08-31T06:45:50.874+08:002009-08-31T06:45:50.874+08:00Doc Rahmat,
I will talk to Ismail Merican about th...Doc Rahmat,<br />I will talk to Ismail Merican about the CME thing the next time I see him...He he..<br /><br />The 'painless heart attack' is pretty common.My late uncle had a'painless heart attack'.He was diabetic.When he say me in GHKL some 30 years back [I was running wild in GH,full of hormone then]for some other thing I noted his 'resting EKG already showed 'scarring', evidence of previous heart attack. He had no symptom at all.Just that as ayoung man of 40+, he was moving around like a man of late 50's. Diabetic, obese..He died suddenly a couple of years later from a 2nd attack.<br /><br />Fairly common in Diabetic,obese individuals. Also known as 'silent heart attack' or 'asymtomatic heart attack'.Our heart has 3 arteries supplying blood to the heart muscle ie The Left Main on the left, that branches into Left Anterior Descending Artery, or LAD,[most dominant and I usually call this the 'Federal Highway']which supplies the most important front part of the heart mainly the left ventricle, the 'main piston' of the heart.Left Main give another branch called Circumflex Artery,which supplies the back portion of the left ventricle .[ Jalan 222,less important than the Federal Highway].<br /><br />Then you have the Right Coronary Artery,RCA, supplying the right ventricle in the main.<br /><br />'Painless Heart Attack' in diabetic usually involve the blockage of the Circumflex or the Right Coronary, or a segment of it.<br /><br />Blockage of circumflrx branch though produce a full blown heart attack, does not lead to a fatal one because of the limited territory it covers.Similarly The RCA except in RCA in individuals with a dominant RCA blood vessel.In such situation fatality is due to ,usually the heart going into very slow rhytm called Heart Block,as a result of insult to the AV Node,'The Gong man ' of the heart,The focus in the mid portion of the heart that eminates electrical signal for the rest of the heart ventrcles to beat and contract accordingly to a normal fast rtyhm able to sustain a semblance of blood pressure able to push blood to the rest of the body.<br /><br />Tolak campur tolak campur Doc Rachmat," LIFE IS FRAGILE".<br />If you guys have not notice it yet, that is why my blog is laced with all the 'ayats' here and there!<br />In Kelantanese parlance,"Kalau you pesakit jantung atau diabetes dan obese,pandai pandai lah,Jangan 'corner baring'".Has to work harder on you health.....Pearls and Gemhttps://www.blogger.com/profile/06956076197010527489noreply@blogger.comtag:blogger.com,1999:blog-2177051091363290480.post-44620131609789211722009-08-30T23:23:19.817+08:002009-08-30T23:23:19.817+08:00Dear Dr Nik,
Dapat CME point tak?
A good refreshin...Dear Dr Nik,<br />Dapat CME point tak?<br />A good refreshing course!<br />Can you write something about "Painless Heart Attack" and "Neurogenic Heart Attack".<br /><br />Selamat Berpuasa dan Salam Ramadhan.RahmatHarounHashimhttps://www.blogger.com/profile/09217816593759648173noreply@blogger.com