expert type icon EXPERT

Dr. Tien C. Cheng

Cardiologist

Dr. Tien Cheng is a cardiologist practicing in Gurnee, Illinois. Dr. Cheng specializes in diagnosing, monitoring, and treating diseases or conditions of the heart and blood vessels and the cardiovascular system. These conditions include heart attacks, heart murmurs, coronary heart disease, and hypertension. Dr. Cheng also practices preventative medicine, helping patients maintain a heart-healthy life.
Dr. Tien C. Cheng
  • Gurnee, Illinois
  • Kaohsiung University Medical School
  • Accepting new patients

After a bypass, how many times should you go for a cardiac checkup?

First visit is within 2 weeks (medicare and most insurance recommend). Next visit is 3 months then 6 months. If everything is good with return of previous activity well then every READ MORE
First visit is within 2 weeks (medicare and most insurance recommend). Next visit is 3 months then 6 months. If everything is good with return of previous activity well then every 6-12 months is fine. The most important is medications such as lowering LDL to less than 50, A1C below 6.5 to 7.0 pending your age, good kidney funntion and an exercise program to keep you fit.

Can heart blockages be cleared with medicine?

The straight and easy answer is No. Proven critical obstructive coronary lesions are best treated with balloon/stenting or CABG. Studies have shown early intervention by modifying READ MORE
The straight and easy answer is No. Proven critical obstructive coronary lesions are best treated with balloon/stenting or CABG. Studies have shown early intervention by modifying and reducing risk factors, ie, BP, LDL, DM, body weight, waist circumference, increase activity and manage stress will offer long term CV benefits

At what age is one at a high risk of a heart attack?

Yes, age can be a risk factor. Nothing is immune from the damaging aging process. Known risk factors increase the risk of heart attack or stroke. Don't spoil it, even your parents READ MORE
Yes, age can be a risk factor. Nothing is immune from the damaging aging process. Known risk factors increase the risk of heart attack or stroke. Don't spoil it, even your parents may have given you good genes. Bad habits such as excessive drinking or smoking exposure risk an individual to die from alcoholic cirrhosis of liver or lung cancer. Anxiety or stress hastens the risk of heart attack even at your (young) age. You are obese. Instead of worrying about your age or thinking you are protected because your parents live a long life, start a programmed exercise, eat a better and sensible diet first. Screen your risk, i.e., blood sugar, cholesterol level, liver and kidney function, and work to lower your risk. If you are still anxious, consult your doctor or take up yoga or meditation; biofeedback classes may help.

I have symptomatic PVCs. When do they become dangerous?

Assume you are a low risk individual, normotensive, non-diabetic with LDL below 70, I will recommend a maximal stress test. If it is normal , the most I will recommend is coronary READ MORE
Assume you are a low risk individual, normotensive, non-diabetic with LDL below 70, I will recommend a maximal stress test. If it is normal , the most I will recommend is coronary CT calcium score. If it is blow 100, I will recommend Metoptolol succinate starting dose 25 mg po daily to keep resting heart rate at 65 beats/min.