Aa
update- I got my test results back HELP!!!!!
Ok, I am reading my stress test results and the exercise portion says this:
12-lead EKG at rest demonstrates presence of sinus tachycardia with right axis deviation and complete right bundle branch block, nonspecific poor R wave progression in the precordial leads, possible right atrial adnormality, otherwise unremarkable. Following exercise the electrocardiogram demonstrates sinus tachycardia. No evidence of exercise induced ischemia or dysrhythmia. Recovery phase was unremarkable.
Left ventricle ejection fraction is 66% and is normal range.
My 24 hr holter monitor said There were episodes of rare sinus bradycardia with min heart rate of 49 bpm. There were intermittent episodes of sinus tachycardia with maximum heart rate of 144bpm. There were episodes of sinus arrythmia. There was 1 premature atrial complex.
my question is what the heck does all this mean? What is sinus tachycardia, sinus bradycardia, sinus arrythmia and premature atrial complex? Does anyone know how to dysifer this? Any help would be appreciated, and I guess my biggest question here is , can a panick attack/anxiety cause these things, or is it a heart condition?
12-lead EKG at rest demonstrates presence of sinus tachycardia with right axis deviation and complete right bundle branch block, nonspecific poor R wave progression in the precordial leads, possible right atrial adnormality, otherwise unremarkable. Following exercise the electrocardiogram demonstrates sinus tachycardia. No evidence of exercise induced ischemia or dysrhythmia. Recovery phase was unremarkable.
Left ventricle ejection fraction is 66% and is normal range.
My 24 hr holter monitor said There were episodes of rare sinus bradycardia with min heart rate of 49 bpm. There were intermittent episodes of sinus tachycardia with maximum heart rate of 144bpm. There were episodes of sinus arrythmia. There was 1 premature atrial complex.
my question is what the heck does all this mean? What is sinus tachycardia, sinus bradycardia, sinus arrythmia and premature atrial complex? Does anyone know how to dysifer this? Any help would be appreciated, and I guess my biggest question here is , can a panick attack/anxiety cause these things, or is it a heart condition?
This isn't Brooke_38, but I thought I'd chime in.
The stress test is done to examine the functioning of your heart under duress, to see if there is a risk that, outside the hospital setting, you are risk of developing an emergent heart problem.
It would stand to reason that if a severe enough condition exists, it's possible that the person would have some sort of cardiac episode right there in the hospital. Which is why they do it in the hospital - short of having a treadmill in an ER suite, you can't really get any closer to the medical care you'd need.
That'd be far better than jumping onto your treadmill at home and having the same episode, or doing some other thing that would cause an MI or cardiac arrest miles from help.
I know the anomalous horror stories are scary - they scare me, too. But look through all the threads here and count the number of people who mention the stress test like they would a bowel movement. "Yep, had a stress test, all was fine."
So go to your test, know that if there are problems it's the best possible place to be, and ace that thing!
And heck, if you're worried about suffering an MI like the person's story that frightened you, after the test is over, just hang out in the hospital for awhile and read a book or watch TV.
The stress test is done to examine the functioning of your heart under duress, to see if there is a risk that, outside the hospital setting, you are risk of developing an emergent heart problem.
It would stand to reason that if a severe enough condition exists, it's possible that the person would have some sort of cardiac episode right there in the hospital. Which is why they do it in the hospital - short of having a treadmill in an ER suite, you can't really get any closer to the medical care you'd need.
That'd be far better than jumping onto your treadmill at home and having the same episode, or doing some other thing that would cause an MI or cardiac arrest miles from help.
I know the anomalous horror stories are scary - they scare me, too. But look through all the threads here and count the number of people who mention the stress test like they would a bowel movement. "Yep, had a stress test, all was fine."
So go to your test, know that if there are problems it's the best possible place to be, and ace that thing!
And heck, if you're worried about suffering an MI like the person's story that frightened you, after the test is over, just hang out in the hospital for awhile and read a book or watch TV.
can i plz ask you a few questions?
first am going to have a stress/nuclear test next week, scared to death to have because dont want to have a heart attack and die after it i hear so many tell me they are not safe and read where one guy on here did have a heart attack 20 mins after the test. as far as i know i have no heart problems
am having it because i got asthma in nov and since than been felling short of breath and chest pain, but not bad ones.
can the chest pain be from anxiety i belch a lot with it have lots air in chest.
am just so scared bp is running 126/68 pulse is running between 47-62 is that to low
ekg shows all is normal would it show different if i had a blockage or a problem thanks so much if you can help me out. Barbara
first am going to have a stress/nuclear test next week, scared to death to have because dont want to have a heart attack and die after it i hear so many tell me they are not safe and read where one guy on here did have a heart attack 20 mins after the test. as far as i know i have no heart problems
am having it because i got asthma in nov and since than been felling short of breath and chest pain, but not bad ones.
can the chest pain be from anxiety i belch a lot with it have lots air in chest.
am just so scared bp is running 126/68 pulse is running between 47-62 is that to low
ekg shows all is normal would it show different if i had a blockage or a problem thanks so much if you can help me out. Barbara
One more thing - in general, you should listen to Brooke_38 more than you do me. :)
Brooke_38 posted this article elsewhere, and I think it's probably better than the one I linked: http://www.texasheartinstitute.org/HIC/Topics/Cond/bbblock.cfm
Hello...
The axis of the EKG represents the average direction of flow of electricity that is given off when the heart contracts. Sometimes an EKG may reveal the finding of either a right or left axis deviation.This can represent a normal heart that during its development was slightly twisted either to the right or left. RAD can also mean that the right side of the heart is either enlarged or thicker than normal.
"Nonspecific poor R wave progression in the precordial leads" , often a Normal variant or from lead misplacement, can be seen in conditions such as pulmonary disease (COPD, Asthma etc)
"possible right atrial adnormality" EKG's are not accuarate in determining chamber size. For more accurate results, Echocardiogram is recommended.
So basically, the stress test determined that during exercise your showed normal blood flow and that you had no recorded arrhythmia(s).
Ejection Fraction (EF) of 66% is excellent.
Holter monitor showed rare episodes of sinus bradycardia. Rare means it happened very infrequently, most likely during the time you slept which is normal. Intermittent episodes of sinus tachycardia means here or there your heart rate exceeded 100BPM.
Sinus Arrhythmia is another normal variant, most often due to the cyclic rhythm when you inhale and exhale during breathing. I premature atrial complex is the finding of 1 PAC (which is wonderful news for you, many people have hundreds-thousands/daily)
All in all, your results look perfectly normal and nothing that I would worry about. Have you had an echocardiogram recently?
The axis of the EKG represents the average direction of flow of electricity that is given off when the heart contracts. Sometimes an EKG may reveal the finding of either a right or left axis deviation.This can represent a normal heart that during its development was slightly twisted either to the right or left. RAD can also mean that the right side of the heart is either enlarged or thicker than normal.
"Nonspecific poor R wave progression in the precordial leads" , often a Normal variant or from lead misplacement, can be seen in conditions such as pulmonary disease (COPD, Asthma etc)
"possible right atrial adnormality" EKG's are not accuarate in determining chamber size. For more accurate results, Echocardiogram is recommended.
So basically, the stress test determined that during exercise your showed normal blood flow and that you had no recorded arrhythmia(s).
Ejection Fraction (EF) of 66% is excellent.
Holter monitor showed rare episodes of sinus bradycardia. Rare means it happened very infrequently, most likely during the time you slept which is normal. Intermittent episodes of sinus tachycardia means here or there your heart rate exceeded 100BPM.
Sinus Arrhythmia is another normal variant, most often due to the cyclic rhythm when you inhale and exhale during breathing. I premature atrial complex is the finding of 1 PAC (which is wonderful news for you, many people have hundreds-thousands/daily)
All in all, your results look perfectly normal and nothing that I would worry about. Have you had an echocardiogram recently?
Hi kbennj,
Wikipedia has a nice article about bundle branch block: http://en.wikipedia.org/wiki/Bundle_branch_block - that might be a good place to start.
And no, I don't think a panic attack can't cause bundle branch block. I would ask your doctor to explain the significance of the RBBB and if that's the cause of the bradycardia and tachycardia (I wouldn't worry so much about the PAC), and what you might need to do next in terms of testing or taking steps to manage any symptoms you may be having now.
If you're having periods of feeling light-headed, which it sounds like you are, you'll want to get that addressed.
Wikipedia has a nice article about bundle branch block: http://en.wikipedia.org/wiki/Bundle_branch_block - that might be a good place to start.
And no, I don't think a panic attack can't cause bundle branch block. I would ask your doctor to explain the significance of the RBBB and if that's the cause of the bradycardia and tachycardia (I wouldn't worry so much about the PAC), and what you might need to do next in terms of testing or taking steps to manage any symptoms you may be having now.
If you're having periods of feeling light-headed, which it sounds like you are, you'll want to get that addressed.
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