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BIOMARKERS

Molecular Biopsy of Human Tumors

- a resource for Precision Medicine *

266 related articles for article (PubMed ID: 9734249)

  • 1. I am 58 years old and told my doctor I wanted to start an exercise program. I have never had any chest pain, but she told me I should have an exercise test because I have hypertension and diabetes. I felt fine during the test, but after four minutes they stopped me and told me my results were very abnormal. They said my EKG showed 3 mm of change. Two days later, I had a coronary angiogram, and two days after that I had bypass surgery! Was all this necessary?
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  • 2. Ask the doctors. I am a 67-year-old woman with high blood pressure. Two weeks ago, I felt some chest pressure and went to the emergency department. The pain cleared up when they gave me an antacid. My EKG and blood tests were normal. The doctor thought my pain might be due to acid in my esophagus. But when my own doctor sent me for an exercise test, I got chest pain after about five minutes, and the cardiologist said my EKG showed abnormalities that are strongly suggestive of coronary disease. She prescribed a beta blocker and suggested cardiac catheterization. Do you agree with this?
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  • 3. Ask the doctor. A few years ago, I started getting a dull chest pain when I walked up hills. My doctor said it sounded like I had angina, so I had a stress test, which was read as positive. However, when I underwent a coronary angiogram, there was no evidence of any blockage in my coronary arteries. I continue to have chest pain, yet my doctors just tell me not to worry. What should I do?
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  • 4. Ask the doctor. I am 74 years old, and recently had a chest x-ray. My doctor told me it was fine. But I saw the report, and it said that I had calcification of the arch of my aorta. Should I be worried?
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  • 5. I am an active 62-year-old woman in good health. My total cholesterol is 189, my HDL is 74, and I take hormone replacement therapy. I have no problems with heavy yard work or low-impact exercise classes. But sometimes I get episodes of irregular heartbeats and occasionally experience tightness in my chest when walking up hills. I was told my stress test was slightly "irregular," but my doctor tells me not to worry. Should I be concerned?
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  • 6. Ask the doctor. I am 83 years old and have coronary artery disease that causes angina everyday with activities like climbing stairs. My doctor thinks I am going to need bypass surgery to get some freedom from my symptoms. Isn't it too risky at my age?
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  • 7. On call. I am 62 years old and I've always been very healthy. At my last annual checkup, however, my blood pressure was 166/96. My doctor told me to cut down on drinking to lower my pressure. I usually have a cocktail or two before dinner and two or three glasses of wine with my meal. Is my doctor right?
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  • 8. Ask the doctor. I'm a 51-year-old man with no risk factors for heart disease other than being male. My blood pressure and cholesterol levels are fine. I exercise, and my diet is pretty good. I've never smoked. Yet I recently underwent a triple bypass for sudden chest pain. What could have caused this blockage and can I prevent future problems?
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  • 9. Ask the doctor. My chest x-ray report said that I had an "uncoiling aorta." My doctor told me that it just means that my aorta is getting longer as I am getting older and that it was normal. But if it was normal, why did they mention it in the report?
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  • 10. Ask the doctor. I am an 84-year-old woman who recently had stents placed in two coronary arteries. The doctors, of course, told me to quit smoking. I told them, as I have told all of my other doctors, that I have tried to quit but just can't. I have tried the patch and Chantix, but neither worked. Support groups aren't for me. I have cut back, but that's as far as so-called willpower goes. Hearing over and over again that I need to quit leaves me feeling depressed and weak. Is there some news about current or future approaches that might give me and others like me some hope?
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  • 11. Ask the doctor. I have had a leaking aortic valve for many years. I get an echocardiogram every six months. After the latest one, my doctor told me that my heart was enlarging and asked me repeatedly whether I was getting short of breath with exercise. I told him that sure, I get tired, but it isn't like I am breathing hard while sitting still. Now he wants me to have surgery to replace the valve. Should I do this at age 68?
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  • 12. I've been diagnosed with heart failure, and now my doctor wants me to have an exercise stress test. Why? Couldn't this be dangerous?
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  • 13. Ask the doctor. I am an 80-year-old woman who had a triple bypass many years ago. The veins of my legs have closed, and my feet and legs are swollen and painful. My doctor explained that the blood flows down the legs but does not flow back up. She also said that nothing can be done for it. Is this true?
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  • 14. Ask the doctor. In October 2007, I had three Cypher stents placed in my left anterior descending artery. My doctor told me to take Plavix and aspirin indefinitely. Now I need to have a hernia repaired. My surgeon refuses to operate while I'm taking Plavix and aspirin, and said I would have to stop taking the two drugs five to six days before the operation. My cardiologist says that stopping the Plavix and aspirin, as well as the stress of the operation itself, would throw me into a "hypercoagulable state," greatly increasing my chance of developing a blood clot inside one of the stents. What should I do?
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  • 15. Ask the doctor. A friend told me that if you get a stent you can't have bypass surgery later on. Is that right? And what about the opposite--getting a stent after bypass surgery?
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  • 16. Ask the doctor. I had an EKG done a few weeks ago, and the reading came back "probable inferior myocardial infarction of indeterminate age." I am, to the best of my knowledge, perfectly healthy at the age of 72. Now my doctor wants to do a bunch of tests on me. Should I go along?
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