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Heart Disease Community
This patient support community is for discussions relating to angina, angioplasty, arrhythmia, bypass surgery, cardiomyopathy, coronary artery disease, defibrillator, heart attack, heart disease, high blood pressure, mitral valve, pacemaker, PAD, stenosis, and stress tests.
Cardiolite stress test
by marathon12, Mar 04, 2008 09:29PM
45 year old male excellent health planning on training for a marathon so I asked my Family Physician if I could have a Stress Test. He felt it was not necessary because I had no risk factors. He then decided to have me undergo a cadriolite stress test (against his advice).
My history
- 45 year old male
- Physical Education teacher...very active
- Non-smoker
- 1 glass of red wine a day
- one 81 mg aspirin/day. Multiple Vitamin and omega 3's
- jogging 3-5/week 40minutes for the past 20 years. Weight train regularly 2x/wk
- no hx of high blood pressure or high cholesterol or diabetes. Annual Physical results have all been excellent..
- Height 5'11.5" and weight 173-175 lbs
- stress test and echo in 1989 PAC's noted and Incomplete RBBB, advised that was normal from cardiologist and family physician.
- no chest pain experienced at rest or during exercise.
- resting heart rate around 60b/min.
- no risk factors to mention other than what has been mentioned above.
Results from MYOCARDIAL PERFUSION STUDY (STRESS)
Stress ECG Report: At REst Pulse was 63 and BP was 118/90. Resting ECG Normal.
The patient exercsied for 13 minutes and 31 seconds on treadmill according to Bruce protocol and achieved 16 METS with peak pulse of 176 which is 101% of maximum and BP of 210/85.
During exercise there were PAC's but no Ischemic ECG changes or chest symptoms.
TOMOGRAPHIC MYOCADIAL PERFUSION REPORT: The stress myocardial perfusion tomograms show mild decrease in the proximal two-thirds of the inferior wall which improves at rest.
The gated images shw normal wall motion. The rest eject fraction is 44% and the post stress ejection fraction is 48%
OPINION: although the decrease in the proximal inferior wall could be secondary to diphragmatic attenuation artifact. I think there is some improvement at rest and ischemia in the RCA territory cannot be excluded.
Dr.(Consultant Cardiologist) and Dr. (Nuclear Phusician)
I am really worried now. Maybe I should have not asked for the Stress Test and listened to my Doctor. He suggested we either redo the test or refer to a Cardiologist at teaching hospital
As soon as I eft the office I went for a a nice 40 minute run no chest pain or shortnes of breath was noted. Should I increase my dosage of baby aspirin? do you think they will recommend another cardiolite test or angiogram?
I think I might have to wait a while for the appoinment.
What's your impression or guess? I'm worried. What shoud I expect. I enjoy running and exercising.
My history
- 45 year old male
- Physical Education teacher...very active
- Non-smoker
- 1 glass of red wine a day
- one 81 mg aspirin/day. Multiple Vitamin and omega 3's
- jogging 3-5/week 40minutes for the past 20 years. Weight train regularly 2x/wk
- no hx of high blood pressure or high cholesterol or diabetes. Annual Physical results have all been excellent..
- Height 5'11.5" and weight 173-175 lbs
- stress test and echo in 1989 PAC's noted and Incomplete RBBB, advised that was normal from cardiologist and family physician.
- no chest pain experienced at rest or during exercise.
- resting heart rate around 60b/min.
- no risk factors to mention other than what has been mentioned above.
Results from MYOCARDIAL PERFUSION STUDY (STRESS)
Stress ECG Report: At REst Pulse was 63 and BP was 118/90. Resting ECG Normal.
The patient exercsied for 13 minutes and 31 seconds on treadmill according to Bruce protocol and achieved 16 METS with peak pulse of 176 which is 101% of maximum and BP of 210/85.
During exercise there were PAC's but no Ischemic ECG changes or chest symptoms.
TOMOGRAPHIC MYOCADIAL PERFUSION REPORT: The stress myocardial perfusion tomograms show mild decrease in the proximal two-thirds of the inferior wall which improves at rest.
The gated images shw normal wall motion. The rest eject fraction is 44% and the post stress ejection fraction is 48%
OPINION: although the decrease in the proximal inferior wall could be secondary to diphragmatic attenuation artifact. I think there is some improvement at rest and ischemia in the RCA territory cannot be excluded.
Dr.(Consultant Cardiologist) and Dr. (Nuclear Phusician)
I am really worried now. Maybe I should have not asked for the Stress Test and listened to my Doctor. He suggested we either redo the test or refer to a Cardiologist at teaching hospital
As soon as I eft the office I went for a a nice 40 minute run no chest pain or shortnes of breath was noted. Should I increase my dosage of baby aspirin? do you think they will recommend another cardiolite test or angiogram?
I think I might have to wait a while for the appoinment.
What's your impression or guess? I'm worried. What shoud I expect. I enjoy running and exercising.
Member Comments (2)
by Sweetwaterguy, Mar 05, 2008 06:11PM
To: marathon
You might want to talk with your doctor about a 64 slice CT scan. It will give you a good evaluation of your coronary arteries. I also believe it will also serve to evaluate the soundness and structure of your heart. I am not sure of the latter, however. Your doctor will know.
by marathon12, Mar 21, 2008 09:17AM
To: sweetwatergy
I saw my cardio today and he had a problem with the descriptive words in the perfusion report. He said it didn't tell him anything. He said that we now have to go backwards and r/o the results. My cardio said to keep up with the excercise. He suggested an ECHO and 64 slice Ct scan. I also had an ECG which indicated sinus bradycardia with a heart rate of 53b/min and RBBB otherwise normal. He
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