Ask a Cardiologist: Dr Lee Li Ching from HSC Medical Centre Malaysia

Ask a Doctor ForumCategory: CardiologyAsk a Cardiologist: Dr Lee Li Ching from HSC Medical Centre Malaysia
dr. Lee Li Ching asked 10 months ago
I am Dr. Lee Li Ching, Cardiologist at HSC Medical Centre, a leading one-stop medical, heart & diagnostic centre in Kuala Lumpur, Malaysia.

My board certifications include:

  • MBBS, University of New South Wales, Australia
  • MRCP, Membership of the Royal Colleges of Physicians of the United Kingdom
  • National Specialist Register (Cardiology), Malaysia

My fellowships include:

  • Fellow of the Royal College of Physicians of Edinburgh, FRCP, UK
  • Fellow of the American College of Cardiology, FACC, USA

I am a cardiologist in HSC Medical Centre. The Centre has performed more than 11,000 CT coronary angiograms within the last few years, which makes it one of the largest series in the world.

Besides that, HSC Medical Centre offers advanced medical and cardiac therapeutic services like non-invasive coronary angiogram, conventional angiogram, balloon angioplasty, stent implantation on out-patient basis.

We are one of the few centers in the world to have designed and offer a very comprehensive Health Screening Package for heart disease, stroke, and cancer, to detect most of today’s life threatening diseases.

Learn more about HSC Medical Centre here: https://www.smarterhealth.my/hospital/hsc-medical-centre/

Learn more about me here: https://www.smarterhealth.my/specialist-doctor/lee-li-ching-2/

I am excited to be here to share/discuss Cardiovascular Health with everyone. Whether you’ve got questions about cardiovascular conditions, cardiovascular treatments or how to maintain good heart health, ask me anything!

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Want to ask a question? Submit your question at the bottom of this page. Don’t forget to include your name and email address to get notified when the doctor answers your question.

22 Answers
Yudhistira Kurniawan answered 10 months ago
Doc, I am 25 years old. These two years, I have been feeling my chest pounding fast after strenuous activities. I had an EKG done once and the doctor said I had arrhythmia. Is this dangerous? And should I have a surgery to treat my arrhythmia?
dr. Lee Li Ching
replied 10 months ago

Dear Yudhistira, Hope you are well. There are different types of arrhythmias. Some are dangerous, some are not. Perhaps you can share with us your ECG. Depends on the type of arrhythmias, you might need further testing such as 24hour ECG monitoring, blood test and heart scan before deciding on the next course of action. Take care. Regards, Liching.

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*Keen to tele-consult with Dr Lee Li Ching? Leave your details at https://www.smarterhealth.my/specialist-doctor/li-ching-lee-2/ and we’ll help arrange an appointment.

Imam wahyudi answered 10 months ago
Doctor, my father is 65 years old. His cardiologist suggested for him to have 2 new stents in his heart. But two years ago, he has already had one stent in his heart. Is it better for my father to have a transplant? What are the chances of success?
dr. Lee Li Ching
replied 10 months ago

Thank you for your questions. Sorry to hear that your father have to undergo another procedure. Heart transplant is a major and risky surgery. There are a lot of issues surrounding it. Firstly donor heart is not easy to come by. After a successful surgery, patient needs to be on long term immunosuppressive medications which has unpleasant side effects. Therefore, it is only reserved for certain patients. Angioplasty is a relatively simpler procedure with much lower risk. If the blockage can be treated by angioplasy, I think it is a much better option. Take care.

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*Keen to tele-consult with Dr Lee Li Ching? Leave your details at https://www.smarterhealth.my/specialist-doctor/li-ching-lee-2/ and we’ll help arrange an appointment.

yusnida answered 10 months ago
Doctor, my mother’s feet and stomach have been swollen for around 3 months. She also has breathing problems when she sleeps. Her doctor said she has congestive heart failure. Is that dangerous and treatable?
dr. Lee Li Ching
replied 10 months ago

Sorry to hear about your mum's condition. There are different causes of congestive heart failure such as blockage of arteries, valvular issues, thyroid problems, hypertension and many more. It is important to find out the cause of the problem before we know the definitive treatment. But in the meantime, we can treat the symptoms such as breathing difficulty with some medication to get rid of extra water from the body. Also, it is also important to rule out concurrent problem such as kidney failure and liver failure that also causes fluid overload.

Take care. Liching

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*Keen to tele-consult with Dr Lee Li Ching? Leave your details at https://www.smarterhealth.my/specialist-doctor/li-ching-lee-2/ and we’ll help arrange an appointment.

Junius answered 10 months ago
Doctor, what are the signs of heart disease?
dr. Lee Li Ching
replied 10 months ago

Thank you for the question. The typical signs and symptoms of heart disease is sudden onset of left sided chest tightness (not pricking / poking ) that radiates to the left arm or neck. It is associated with sweating, breathlessness and nausea. Sometimes, heart attack could present in atypical manner such as fainting spell, abdominal pain or unusual tiredness. Hope this answer your questions. Take care.

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*Keen to tele-consult with Dr Lee Li Ching? Leave your details at https://www.smarterhealth.my/specialist-doctor/li-ching-lee-2/ and we’ll help arrange an appointment.

ario answered 10 months ago
Doctor, my chest hurts after running. I have seen a doctor several times and he said my heart is fine. What should I do to find out if I have a heart problem or not? Thanks Doctor.
dr. Lee Li Ching
replied 10 months ago

Thank you for your question. It is not uncommon for one to experience musculoskeletal chest pain or breathlessness after strenuous exercise. But i agree with you that it is important to make sure that it is not related to the heart. There are few investigations that could be performed to find out the cause, depending on your age and cardiovascular risk factors. The initial and simplest test is ECG test. The doctor can then decide to proceed with treadmill stress test, stress echocardiogram or CT coronary angiogram to determine whether it is the blockage of artery that causes the heart pain. The doctor might also order a chest XR if he suspect that there could be lung pathology. Hope this answer your concern. Take care.

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*Keen to tele-consult with Dr Lee Li Ching? Leave your details at https://www.smarterhealth.my/specialist-doctor/li-ching-lee-2/ and we’ll help arrange an appointment.

Irfan answered 10 months ago
Doctor, do heart disease medicines have bad side effects for the other parts of the body? My mother was diagnosed with heart disease and she has to consume medicines. But lately she has been complaining about having less urine and that her urine is brown. Is this normal? Is this a side effect of the ongoing medicine consumption? Thank you, Doc.
dr. Lee Li Ching
replied 10 months ago

Hi there, Hope your mother is feeling better. All the medicines has side effects, different class of medications has different side effects. Some are mild but some could be so serious that the medications need to be changed or stopped. I am not sure what heart disease does your mother suffers from and what medication is she on. Sounds like the medication she has problem with is a type of diuretic. Diuretic is a class of medications that gets rid of extra water from the body by urination. The fact that the urine turns brown and passing less urine is suggestive that she is dehydrated. May I suggest that she goes back to her regular doctor for a review. She might need some blood test and has the medicine dosage adjusted. Take care.

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*Keen to tele-consult with Dr Lee Li Ching? Leave your details at https://www.smarterhealth.my/specialist-doctor/li-ching-lee-2/ and we’ll help arrange an appointment.

Teguh answered 10 months ago
Doctor, this week I have been feeling exhausted and had cold sweats everytime I come home from work. I thought this was just common fatigue, but these two days my breath has been short. Should I see a cardiologist?
dr. Lee Li Ching
replied 10 months ago

Yes, I think you should see a cardiologist or a general physician. There many reasons why a person had experience fatigue, sweating and shortness of breath. You r doctor will take a thorough history from you and decide what investigations to carry out. Take care.

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*Keen to tele-consult with Dr Lee Li Ching? Leave your details at https://www.smarterhealth.my/specialist-doctor/li-ching-lee-2/ and we’ll help arrange an appointment.

Ronny Thomas answered 10 months ago
Doctor, I have a headache that doesn’t go away after I take medicines. Is this a side effect of the hypertension medication that I took?
dr. Lee Li Ching
replied 10 months ago

I am not sure what type of headache you experience and whether it is related to your blood pressure medication. A class of blood pressure medication which includes commonly prescribed amlodipine, nifedipine is known to cause headache. The headache should become less noticeable after you have taken the medication for a while. Please consult a doctor if your headache persists. Take care.

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*Keen to tele-consult with Dr Lee Li Ching? Leave your details at https://www.smarterhealth.my/specialist-doctor/li-ching-lee-2/ and we’ll help arrange an appointment.

Bakti answered 10 months ago
Doctor, I am 26. Why do I often feel pain in my chest? It goes through my back and neck and it makes my breath short. I have been feeling this for the past 4 years.
dr. Lee Li Ching
replied 10 months ago

Chest pain for last 4 years in a 26 year old is very unlikely related to the heart. But if it is associated with other symptoms such as shortness of breath or palpitations, i think you should see a doctor to find out the cause of the chest pain. The doctor might want to do a chest X ray, ECG and blood test. Take care.

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*Keen to tele-consult with Dr Lee Li Ching? Leave your details at https://www.smarterhealth.my/specialist-doctor/li-ching-lee-2/ and we’ll help arrange an appointment.

Irham Fadli answered 10 months ago

My father experienced a sudden heart attack a year ago after exercising. He didn’t have any heart problems before and he has always consumed healthy foods and exercised regularly. But still, he had a sudden heart attack. Is a heart attack like this also an invisible disease? I heard that heart disease can be passed from parents to their children. Am I at risk of having heart disease, Doctor, knowing what my father experienced? Thank you

dr. Lee Li Ching
replied 10 months ago

I am sorry to hear about your father's condition. it is important to consume healthy food and exercise regularly, but does not guarantee one from having heart disease because sometimes a person might have underlying undiagnosed conditions such as high cholesterol , diabetes, hypertension or heritable condition. You might not experience any symptoms from the above condition. I think knowing dad's condition, it is very logical of you to go preliminary screening. Take care.

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*Keen to tele-consult with Dr Lee Li Ching? Leave your details at https://www.smarterhealth.my/specialist-doctor/li-ching-lee-2/ and we’ll help arrange an appointment.

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