Interventional Cardiology Expert Forum
cardiopulmonary exercise stress test
About This Forum:

Questions in the Interventional Cardiology forum are answered by medical professionals affiliated with the Truman Medical Center. Topics covered include acute coronary syndrome, angina , atrial fibrillation , cardiac catheterization , cardiomyopathy , drug abuse & cardiac disease, echocardiography , heart failure , hypertension & heart disease , lipid management , minorities and heart disease, peripheral vascular disease prevention, valvular heart disease , women’s heart health, and the warning signs of a heart attack.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Blank Blank

cardiopulmonary exercise stress test

I'm 39 female and for past 2 yrs have episodes of chest tightness, pain, & shortness of breath. Wt. 190lbs.  Only happens during workouts and not always, 2-3 a month.  Kickbox, spin & raquetball 4-5 days a week faithfully!  Stress test/thallium, echo, ekgs and blood tests normal.  Holter showed hr at 200 with pain episode.  Have taken verapamil, toprol, atenolol, nadalol, stop due to side effects.  Now on Cardizem la 180 mg daily + baby asprin for past month.  Nothing has ended episodes.  Friday did cardiopulmonary exercise stress test on treadmill.  Start at 70 hr & 118/76 bp.  Had to stop after 5 minutes due to short breath, but no pain.  May sound odd, but I would like to have reached that point so that something may have been shown.  Hr. 178 bp 178/72.   Would this be a normal response even while taking Cardizem?   Any other tests to consider?  Any input is apreciated.
Related Discussions
290383_tn?1193103921
This would be a high heart rate and BP response to only 5 min of exercise.  It may be the symptoms are due to poor physical conditioning.  The cardiopulmonary stress test should give this answer.
3 Comments
Blank
Avatar_n_tn
Thank you for your response.  I workout very intensely 1-3 hours 4-5 days a week every week.  My hrt rate typically increases quickly, but I keep going unless I have pain or can't breath.  Is it possible to be in poor physical condition with this much physical activity?
Blank
187666_tn?1331176945
I was wondering the same thing. You work out a lot more often than I do and with greater intensity. Just two thoughts come to my meager mind: you mentioned your weight but not your height. If you're carrying a bit more weight than needed that could cause some fatigue. Or what about exercise induced asthma?
Blank
Continue discussion Blank
MedHelp Health Answers
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
242532_tn?1269553979
Blank
Control Emotional Eating with this ...
Sep 04 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eating Control: How to St...
Aug 28 by Roger Gould, M.D.Blank
233488_tn?1310696703
Blank
New Cannabis Article from NORTH Mag...
Jul 20 by John C Hagan III, MD, FACS, FAAOBlank