Last week on a stress test the computer generated notes stated "ST depression with slowly ascending ST slope in aVF (-1.0mm)" and "ST depression with horiz. or desc. ST slope in III (-2.6mm)". This depression was seen throughout the test and at resting. I completed the stress test with max HR of 189 @ 10.5 minutes and felt fine. My cardiologist said this was OK and reported only PVC's in his report. My question is does "OK" mean there is no ischema or I'm too young (34YO male) too worry about it until symptoms occur. Everything I read says depressed ST segments mean decreased blood flow or MI. My echo is all fine except trace mitral regurgitation. I don't know if it's important or not, but he is not board certified. Do I need a second opinion or should I forget about it? My PVC's worsen while I'm jogging at HR of 160-165, and lessen when I slow down. Is this related to decreased bloodflow?
Thank you for a great service, your time is appreciated.
If this ST depression was present initially at rest, and exercise ECG cannot be used to diagnose presence or absence of coronary artery disease. If the exercise echo was normal, it is very unlikely that you have coronary artery disease.
Board certification refers to having passed a particular written examination. There are good cardiologists that are not board certified.
As far as getting a second opinion, I cannot comment on that. It really depends on what your risk factors for heart disease are. A healthy 34 year old male with a normal echo is statistically-speaking very unlikely to have coronary artery disease. Any family history of heart disease?
I hope you find this information useful. Information provided in the heart forum is for general purposes only. Only your physician can provide specific diagnoses and therapies. Please feel free to write back with additional questions.
If you would like to make an appointment at the Cleveland Clinic Heart Center, please call 1-800-CCF-CARE or inquire online by using the Heart Center website at www.ccf.org/heartcenter. The Heart Center website contains a directory of the cardiology staff that can be used to select the physician best suited to address your cardiac problem.
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. MedHelp 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.