Age 69, Wt 143,ht5'4", I went for routine cardio evaluation which I do due to poor family history, high cholesterol225-(now258without meds, HDL 90), &mvp.
An echo stress with definity showed abnormal EKG with St-depression consistent with anterior ischemia. MD said he could treat me medically (I can't take statins & was just taken off zetia & NIASPAN after over 7 years, due to generalized pain) or do a cath which he'd prefer. Echo showed abnormal wall movement. Had slight dizziness & s.o.a. But no pain. Report stated "slow", walked 7:14
Stage 1...3 min- HR 101 &bp 140/80
Stage 2...3 min.-HR 122. 160/80
Stage 3....1:14 min..HR 146
Had a 1mm depressed ST, got a headache , soa
Called a tecnically difficult exam w/ 1.5 ml Definity. Described it as moderate work load.
Then in Cleveland....,
2weeks later a stage 3 Bruce protocol stress EKG in cleveland , was called normal, with 91% of predicted max HR, univocal pac's& pvc's during test. Function capacity at 9 METS. Ejection faction 60%. am on no meds.
To cath or not to cath? What am I to think?
What am I to conclude?
In summary you are asymptomatic with conflicting stress test results. Im not clear if a repeat echo was normal as well. A cath would be the most direct path to certainty for you while in many cases your clinicians, certainly the ones in cleveland who received normal results of studies, would suggest that medical risk factor management is sufficient without subjecting you to the risks of cath. Its largely dependent upon your state of mind and how aggressive you want to be
Copyright 1994-2016MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.