I posted a few weeks ago. MI 2 months ago, LAD stented. 39 yr old female, no risk factors, but I am an ex-smoker. Vague lingering symptoms, not necessarily activity related.
EKG showed nonspecific abnormal T waves(?).
Treadmill stress test:
resting ECG sinus rhythm, rate 53bpm, possible old anterior myocardial infarction. 9 mins on TMT ramp protocol (stage 8)(what is that?), max heart rate 164bpm (86%). Abnormal ST segment depression 1st apparent at 4:5mins in lead II , reached max 1.3mm. Also abnormal ST depression in leads III, AVF and V5. Occasional PVCs which disappreared at higher levels of exercise. Peaked was 158/82(resting bp 130/80) at 7:30mins.
Recovery: ST depression but not exceed 0.9mm.
Conclusion: positive ekg response for myocardial ischemia
I would appreciate this info in layman's terms. Are the leads that show ischemia related to where my heart attack was? One cardiologist strongly suggests angio again (? restenosis of stent), another cardiologist insists it is not necessary says abnormal ekg because of previous MI and stress test could be false positive. I realize angio is the only definitive way to find out if stent is blocked, but I do not want to have angio again unless their is strong evidence pointing to this.
What is your take on this information? Would stress test be abnormal anyway because I had an MI 2 months ago. A nurse was concerned last week because resting hr was 36, is this why I find I am more tired? Does this treadmill test show I am deconditioned/out of shape?
Thank you so much in advance for any info.
Jann