Stress ECG treadmill test results

[Juliev25]

Can you please help me as I'm very confused
I have suffered with panic attacks and anxiety on and off for 22 years
9 years ago had a stress ECG and resting esg and 24 hr tape all normal
5 years ago had a CT scan because of pressure headaches all normal
6 weeks ago I had a panic attack
Then another 3 weeks  ago
I asked my GP for a stress ECG test referral, it was Tuesday
Resting ECG normal HR 101 bpm and PR interval 142 ms
Chest X-ray which I haven't rec results from yet
Stress ECG
Max workload 10.3
Exc duration 9mins
Pred HR 178.00
Pred HR reached 97.19%
ETT positive
Test stopped at the end of stage 3 Bruce protocol at 97% of target HR due to muscular fatigue
No chest pain or shortness of breath
No significant ST-T changes noted during exercise
0.5 mm ST depression and T inversion have been seen in the recovery period at 02.31 min
Adequate BP and HR responses

Prescribed Bisoprolol 2.5 mg and 75mg aspirin
In 2 wks a 24 hour ECG holtar and in 6 weeks a diagnostic coronary angiogram

I'm 42 and smoked until Tuesday
Been on simvastatin for 3 years
My dad died at 35 of an MI
I have been under tremendous stress as my mum is seriously ill and just before I went for the stress test I received a call saying she'd been rushed to hospital

I'm terrified that the anxiety isn't anxiety and it's all heart related and that the panic attacks are heart attacks
Could you please advise me on if this is a serious result on stress ECG or could this just be stress and anxiety

[CCFHeartMD 15]

Hello. Nobody can diagnose through internet but from what you described, your symptoms are most likely related to anxiety and panic attacks and not multiple heart attacks. If you would have had a heart attack in the past it would have shown in the tests previously done. The electrical findings from your exercise treadmill test (i.e. 0.5 mm ST depression and T inversion during recovery) are non-specific, so they do not necessary mean that you have an artery of the heart occluded. That is the reason why your doctors need to study your heart in more detail with a heart cath (coronary angiogram). The cath result could be completely normal but it was reasonable to start you on bisoprolol and aspirin in the meantime as a preventive intervention. Good luck.

[Juliev25]

I had 0.5 st t depression and t inversions in the recovery period of stress test
A friend of the family who's a retired cardi doc has said he would of passed this stress test because I got to 10.3 mets and BP and heart rate adequate
He says my heart rate at 101 was due to the anxiety and stress I've been under from my mothers terminal illness
. Wats your thoughts?

[is_something_wrong]

When you get one opinion from a Cardiologist and one opinion from your GP, in general the Cardiologist is the one you should listen to regarding heart conditions.

The Holter test (unless the lead placement is identical to the leads with ST-depression and T-wave inversion) is mainly used to detect arrhythmias, and is not as good as an EKG with 12 leads to evaluate the heart muscle. I suspect that your Cardiologist is using the Holter to rule out any arrhythmias, and the Angiography to rule out obstructions in your coronary arteries. I'm not sure if a normal Holter would make the Angiogram unnecessary. Maybe your doctor saw something on your stress test that he or she wants to examine with a Holter, just as they saw something they want to examine with an Angiogram (the ST-depression, which by the way was very light, the limit is usually 1 mm, and the TWI)

Maybe you should ask your Cardiologist what he or she suspects, and then discuss it with your GP? In general, a GP has much better time to talk with us, though he or she may not have the same experience regarding heart diseases as Cardiologists do.

Good luck, I hope the doctors here will answer your questions again.

[Juliev25]

Hope you don't mind me asking again
Cardiologist said 2 weeks holtar and 6 weeks angiogram
When I called my own gp for test results next day he said 24 ECG first and maybe angiogram
Do u think they may just do holtar test and if ok no angiogram