Im a 24 year old male that has hypertension since 21 and recently began having shortness of breath and chest pain which my doctor determined were panic attacks, however I was concerned whaf I suffered from was angina or coronary artery disease. So he did an echo stress test, the results wee mailed to my house and i'd like your opinion
Stress ECG interpretation- Patient exercised for 10 mins according to Bruce protocol and achieved a heart rate of 189 BP , which is 96% of predicted maximal heart rate, and a peak BP of 180/60 (Baseline 158/82). Patient achieved a workload of 11.7 METS. Patient with normal HR and BP response to stress. Test was terminated due to shortness of breath. EKG showed sinus tachycardia without any ischemic changes. Patient demonstrated excellent functional capacity.
Stress Echo Interpretation- Normal maximal exercise stress contrast echocardiogram
Pericardium- No significant pericardial effusion
RESTING EKG- NSR at 88 bpm with nonspecific ST-T wave changes.
STRESS ECHO- Images acquired within one minute after peak exercise Images revealed: Hyperdynamic left ventricular systolic function with appropriate increase of LVEF. No regioonal wall motion abnormalities noted suggestive of myocardial ischemia.
1. Please provide your honest opinion on this test.
2. How unlikely is coronary artery disease with the results?%
3. My doctor has suggested my hypertension is white-coat and not necessarily actual hypertension. Does anything in the test suggest he may be correct?
2. That depends on how you take care of your cardiovascular system going forward.. Controlling BP cholesterol, making sure you exercise and stay away from smoking and alcohol and you stand a very good chance of never having heart disease.
3. High BP is diagnosed with three separate readings over a few weeks of 120/80. The fact that you had normal BP response to exercise would indicate you don't have high BP and it is just due to anxiety.
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