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Heart Disease (Expert Forum)
Re: Thallium Stress test?
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Re: Thallium Stress test?
by gilon, Jan 01, 1995 12:00AM
Posted By gillon on July 13, 1999 at 13:18:11
Regarding my last message: I spoke with my doctor yesterday (a cardio-pulmonary specialist) about whether I should have a thallium stress test.
He recently gave me a stress-echo which was normal (except for slight leakage and slight thickening of the mitral valves-no MVP)-He said no restrictions after this test, meaning I could exercise as often as I like. I am a 33yr old male with no family history of heart disease (Grandfather died of heart attack at 68 but was alcoholic)-am 6ft, weigh only 160, smoked for 11 yrs, but not heavily and quit almost 2 yrs ago.As I mentioned before, I have a history of chest pain and arrythmias during the past four years, all thought to be panic related, or not dangerous. I mentioned before I recently had chest pain after jogging,-it was very fast, but strong enough for me to stop (but I was not short of breath) and also on an airplane for several minutes. I am concerned about this.
QUESTION:#1. Could my stress echo have been negative? I take 50mg of Atenolol and did not stop it for the test.Maybe that masked the problem.My doctor said I am in great shape and finds it hard to believe after all of the testing that I would have coronary artery disease.
#2. Should I have a Thallium stress to be safe? Or is it a waste of money?
#3. What is the best test(also safest) for CAD-Thallium, Angiogram, PET scan,or CAT scan.
#4. Should I spend more money on testing or wait and see If I have more symptoms during exercise. I have to mention it is strange that I have chest pain mostly at rest (but not often) and not during exercise. What about the possibility of a Coronary Artery Spasm?-sorry this is long. Thankyou.
Regarding my last message: I spoke with my doctor yesterday (a cardio-pulmonary specialist) about whether I should have a thallium stress test.
He recently gave me a stress-echo which was normal (except for slight leakage and slight thickening of the mitral valves-no MVP)-He said no restrictions after this test, meaning I could exercise as often as I like. I am a 33yr old male with no family history of heart disease (Grandfather died of heart attack at 68 but was alcoholic)-am 6ft, weigh only 160, smoked for 11 yrs, but not heavily and quit almost 2 yrs ago.As I mentioned before, I have a history of chest pain and arrythmias during the past four years, all thought to be panic related, or not dangerous. I mentioned before I recently had chest pain after jogging,-it was very fast, but strong enough for me to stop (but I was not short of breath) and also on an airplane for several minutes. I am concerned about this.
QUESTION:#1. Could my stress echo have been negative? I take 50mg of Atenolol and did not stop it for the test.Maybe that masked the problem.My doctor said I am in great shape and finds it hard to believe after all of the testing that I would have coronary artery disease.
#2. Should I have a Thallium stress to be safe? Or is it a waste of money?
#3. What is the best test(also safest) for CAD-Thallium, Angiogram, PET scan,or CAT scan.
#4. Should I spend more money on testing or wait and see If I have more symptoms during exercise. I have to mention it is strange that I have chest pain mostly at rest (but not often) and not during exercise. What about the possibility of a Coronary Artery Spasm?-sorry this is long. Thankyou.
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Sorry.. I got another question but I dont know how to get in the forum. It is always too many questions a day.
My name is Karol Samocki, Im 28 years old male and Im written from Poland. Im not so good in English language, so first sorry...
When I was 1 year old doctors said that I got Tachycardia Paroxysmalis Supraventricularis
with WPW Syndrome. It was in 1971. From that time I got about two episodes in year.
In a hospital tachycardia stops sometimes after Rellanium (Im going sleep, and when I wake up
Usually is after party). Recently helps Gilurytmal straight to vein. But lately my episodes
Changed. Usually Tachycardia stops after 30 minutes, but my heart beat is still about 160.
Doctor says It is twinkle and they are givin me Amiodaron, Oxazepam, Ajmalin.
Now I will write You what is on my last hospital card: Syndroma preexcitationnis type B;
Tachycardia atrioventricularis paroxysmalis; Fibrillatio atriorum paroxysmalis.
My questions are:
Younger doctors says: connecting tachycardia with twinkle may be dangerous so better
Do ablation.
Older doctors says: ablation is still dangerous and if You got two episodes in year it is not
So dangerous.
Whos got right ????
Second question is : Are there new methods for stopping tachycardia? I mean laying on the floor,
Pressure on eyes, veins .....
Now Im taking Metocard (metoprololum tartaricum 50) and Polfenon (propafenone hydrochloride 0,3) in one day. Are there new medicine ways ?
Im askin, becouse here in Poland things are slowest than in Your country.
And last question is: Is there a way for life that helps reduce episodes (more time with sport...)
Im a DJ in disco club and Im working at night with stress.Please help me !
Big thanks !!
Gillon and Doctors at CCHC,
I have a similar problem that you have. That is my chest pain is always at rest and never during jogging or exercise. My cardioligst tends to attribute it to muscular skeletal. Sure wish there was an easy way to distingush between muscular skeletal vs angina chest pain.
Dear M,
Thank you for your question. It is always difficult to tell chest pain from cardiac pain although in general, chest pain is more of a deep discomfort not associated with a change with breathing, can be associated with nausea and sweating and is provoked by exertion. Other pains that are stabbing or brought on with breathing or change with position are less likely to be caused by the heart. As always, if you are concerned regarding your chest pain you should consult your physician.
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